Known for its comprehensive, readable, consistent format, as well as its coverage of pediatric and geriatric patients, this practical text and reference presents principles for managing complex patient care in the home environment. It addresses the medical conditions most commonly seen by the home care nurse in the context of the theoretical foundations of home health nursing. Patient education - a vital element of home care - is incorporated throughout. This edition features new chapters on oncology home care, social services for a home care patient, and innovative holistic nursing strategies. It also highlights HIPAA regulations related to home care, new trends in the growing area of telehealth, and content about disaster planning as it relates to people in their homes.
- Essential information is provided on conditions most commonly seen in home care, including clients with congestive heart failure, ventilator-dependent patients, patients receiving IV therapy, and patients with AIDS.
- A consistent format in the clinical chapters describes pathophysiology, assessment guidelines, equipment issues, and home care management - so information is easy to reference.
- Separate chapters highlight unique care considerations for children and elderly patients.
- Patient education boxes for each condition summarize important information patients need to know.
- A chapter on working with families in the home emphasizes the importance of providing care to caregivers as well as the patient.
- Content examines the role of the home care nurse, preparation for that role, and how that role has changed over the years.
- Guidelines for planning and conducting a home visit are included.
- Discussion of the importance of proper documentation in home care includes guidelines for Medicare reimbursement.
- Information on infection control in the home is provided, including the latest CDC guidelines.
- A chapter on oncology home care emphasizes the unique needs of cancer patients who receive nursing care in their home.
- A chapter on social services for home care patients explores the numerous support services available to assist in the provision of home care.
- A chapter on innovative, holistic nursing strategies examines their implementation through telehealth methods.
- New trends in telehealth are discussed, including specific guidelines, legal standards, telephone triage, and intentionality of health care via the telephone.
- HIPAA content is discussed in the legal/ethical chapter to highlight the changes brought about by this new federal legislation.
- Community disaster planning and bioterrorism content in the environmental chapter emphasizes the impact of this issue on people in their homes.
- The psychosocial aspect of home care is addressed, taking into account its effect on a client's physical condition.
- Additional safety information is provided in the elderly chapter, such as a home evacuation plan, to reinforce the need for the elderly to have all safety needs addressed.
Part I. Concepts of Home Care Nursing
1. Home Care Nursing Practice: Historical Perspectives and Philosophy of Care
2. Understanding Home Care: Applying Theory to Clinical Practice
3. The Role of the Home Care Nurse and Orientation Strategies
4. Caring for Families in the Home
5. Developing the Plan of Care and Documentation
6. Infection Control in the Home
7. Patient Education in the Home
8. Legal and Ethical Issues in Home Care
9. Case Management and Leadership Strategies in Home Care
10. Quality Patient Care
Part II. Clinical Application
11. The Patient with Chronic Obstructive Pulmonary Disease
12. The Patient with Chronic Heart Failure
13. The Ventilator-Dependent Patient
14. The Patient with Chronic Wounds
15. The Patient with Diabetes
16. The Patient with Bladder Dysfunction
17. The Patient with Neurological Dysfunction
18. The Patient with AIDS
19. The Patient with Cancer (new)
Part III. Special Clinical and Community Issues
20. The Patient Receiving Home Care Rehabilitation Services
21. The Patient Receiving Home Care Social Services (new)
22. The Patient Receiving Home Infusion Therapies
23. Maternal Child Nursing: Postpartum Home Care
24. The Mental Health Patient
25. The Elderly Patient
26. The Hospice and Palliative Care Patient
27. Managing Home Environmental Threats and Safety in the Community
Part IV. Future Trends
28. From Telehealth to Telecare: Implications for Clinical Practice
29. Complementary Therapies and Home Care Nursing Practice
30. Developing Nursing Strategies that Transcend Time, Distance, and Space (new)
Epilogue. Reconsidering Caring in the Home
Appendix. Laboratory Values