There’s No Place like Home
There is no place like home is a well-known adage that the healthcare industry has recently embraced as it enters in the early years of the 21st century. According to the Joint Commission, the home is the best place for healthcare, and it has proven to benefit the patients in many ways, because the cost of care is lower, the patients are happier and the environment is friendlier (Dilwali, 2013). CMS defines home care as “prescribed services delivered in the patient’s home such as nursing care; physical, occupational and speech language therapy; and medical social services” (Dilwali, 2013, p. 269). Home care includes disease prevention, health promotion and illness related services (Stanhope & Lancaster, 2014). The goal of home care is to ensure that the client’s health improves while increasing the individual’s independence. This
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Although these individual categories differ in their organizational build, they are similar in the standards they must meet and the services they provide such as medical and therapeutic services. Some of the actual services that are provided include skilled nursing services, physical therapy, occupational therapy, medical social services and home health aide services (Park-Lee & Decker, 2010, p. 5). Nurses provide many roles in home health. They can perform as the staff nurse in which they provide the care needed and educate clients and families about self-care. They act as an advocate to the clients by coordinating the care that the patient requires by making referrals to appropriate services and ensuring clients make it to appointments. They act as mentors to fellow nurses as well as the community by providing education that is beneficial to their needs (Stanhope & Lancaster,
Another focus for change is that over the years the demand for home and community care over hospital care has continued to grow, as stated by the Queens nursing institute “Recent health policy points to the importance of improving and extending services to meet the health and care needs of an increasingly older population and provide services which may have previously been provided in hospital within community settings”.
A transitional care nurse or nurse navigator could be utilized to assure a smooth transition from the hospital into the community. The nurse navigator bridges the gap between the hospital care and post-acute care, while working closely with hospital staff, primary care doctors, specialists and community resources (Lamb, 2014, p. 191). Following the client’s discharge, a home health nurse would assume care and begin coordinating services. This nurse would be responsible to assure that all the care services are in place and there is a smooth
Nurses have a considerable amount of responsibility in any facility. They are responsible for administering medicines and treatments to there patient’s. While caring for there patients, nurses will make observations on patient’s health and then record there findings. As well as consulting with doctors and other healthcare professionals to plan proper individual patient care. They teach their patients how to manage their illnesses and explain to both the patient and the patients family how to continue treatment when returning home (Bureau of Labor Statistics, 2014-15). They also record p...
The quality of the home care must meet the essentials of the patients or service seekers. But it never means to fulfil the basic needs or requirements of the individuals who are seeking the service. On the other hand, if the home care is not able to meet the basic needs of the patients then this is important to analyse the certain reasons behind this (Janamian, et. al., 2014).
The job duties also vary from home healthcare situation to the next. Each patient receiving home healthcare differs in level of independence and cares required. Thus their job duties vary. Personally, the lady I take care of in a home healthcare situation requires many cares. She brushes her own teeth and stands on her own. However, she needs help with her daily cares and transferring. I cook, clean, and do her laundry. This is the typical situation of many home healthcare jobs. Some home healthcare aides transport the individual as well, in addition to doing their shopping.
The significance of this article is that nursing is continually changing. The role of the nurse will always be based on direct care giving, however, nursing as an occupation is professional.
The first step to understand your role as a CNA is to know the difference between a hospital setting and a nursing center. Hospitals provide emergency care, surgeries, and laboratory testing. They care for people of all types of ages and all scenarios. Hospital patients have three types of illness: acute, chronic, or terminal. Acute illness is a sudden illness from which someone is likely to recover. Chronic illness is an on-going illness which there is no known cure. Terminal illness is an illness or injury from which a patient is expected to expire. On the other hand, long term care centers are designed to meet the needs of people who no longer can care for themselves but do not need hospital care. These people are called residents upon their entrance. Care centers provide residents with the right medical, nursing, rehabilitative, recreational, and social services. Nursing centers meet the needs of all kinds of residents from alert, oriented, confused, short term, life long, mentally ill, terminally ill, to persons needing complete care. Besides the differences hospitals and nursing centers have similar standards. They must protect and promote patients or residents rights. Both require high quality care, and a clean and safe setting. The Omnibus Budget Reconciliation Act ...
Nursing assistants work in many types of settings including nursing homes, hospice, mental health centers, assisted living residences, home care agencies, hospitals, rehabilitation and restorative care facilities (Sorrentuino & Remmert, 2012). There are many types of Long-term care centers. For this paper, I will focus on the long-term care centers often referred to as nursing homes. These LTCs are "licensed facilities that provide extended care for individuals who do not require the acute care provided in a hospital but who need more care than can be given at home" (U.S Department of Health And Human...
Home health is a service provided to recovering, disabled, or chronically ill person. It provides treatment to help the patient function in a home environment. Home health provides a wide range of health and social services delivered at home whether its medical, nursing, social, or therapeutic treatment. With the many advances in technology and medical equipment home health allows patients to receive treatment in home versus a visit to the hospital or a stay in a long-term care facility. A patient choosing to receive home health feels that it gives them a sense of independence and comfort.
Nurses around the world collaborate with various providers and partners to address multiple challenges in the community. With emphasize on health promotion and disease prevention, nurses have an important role in delivering nursing services in the community and in the home. Challenges that impact the overall health of the community can arise from unequal access to health care or lack of insurance causing individuals do not receive healthcare. However, all nurses can help improve health outcomes and help to prevent and manage diseases. With the help of community health nurses, public health nurses, and home health nurses, the ability to provide safe and effective care for all sectors of health is possible.
Implications for Nursing Practice, Education, and Research. Home Health Care Management Practice, 6, 534-537. doi: 10.1177/1084822304266500
According to the American Nurses Association, nursing is defined as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations” (American Nurses Association, 2016). Nurses have many jobs and responsibilities and wear many different hats. Nurses can perform at many different levels depending on their scope of practice which is defined by the board of nursing in one’s state of residence. It is important as nurses to understand and follow
In a matter of fact, home is a noun that is defined in the -Collins
Nursing is constantly evolving and changing, in order to be more efficient in providing care than in the past. The nursing profession includes professionals who are not only caregivers but support systems as well as educators. All these factors help to provide optimal care for patients and to also better serve their families and the community. All nurses are encouraged to break down the simplistic notion society has about the nursing profession because nursing is a multi-faceted profession encompassing many different factors that are beneficial to overall human development and health.
There is a familiar saying, which is along the lines of, "Home is where the heart is." This is true for most, but often, people are forced to leave their homes and relocate. Often, this causes a sense of uprootedness and confusion. One's most precious memories are often left behind. Confusion results from the loss of familiarity and a sense of having little or no ties to a new place. Sometimes, the changing of homes may be quite devastating, but eventually overcome or in the worst case, the uprooting could cause a lifelong disappointment and result in a loss of feeling of a sense of belonging which is a key to living a full life. The people of the former towns of New Bordeaux, Petersburg, and the Ridge community were all too familiar with the feelings of hopelessness. Although these people faced great challenges and hardships, they are quite heroic because many were able to accept the devastating changes, but eventually moved on and hopefully found a new "place" while never forgetting their past.