Home Health Nursing (Ch 37)
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Home Health Nursing (Ch 37) - Leaderboard
Home Health Nursing (Ch 37) - Details
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46 questions
| 🇬🇧 | 🇬🇧 |
| This service enables indivs of all ages to remain in the comfort and security of their home while receiving health care | Home health care |
| System that classifies pt by age, diagnoses, and surgical categories; used to predict the use of hospital resources, including the length of stay | Diagnosis-related Groups (DRG) |
| Allows for pt and care provider interaction and monitoring through the use of telephones, computers, televisions, and two-way monitors | Teleheatlh services |
| What aspects contribute to feelings of worth and dignity for home health pts? | -Family support -Familiar surroundings -Participation in the care process |
| Home health care preserves: | Indiv independence and integrity and keeps families together |
| PPS | Prospective payment system(apart of Tax Equity & fiscal Responsibility Act) -Pays a set rate based on diagnosis |
| IPS | Interim Payment System(Balanced Budget Act of 1997 (BBA)) |
| What 3 factors attributed to quadrupled Home Health care from 1980-1991? | -Shorter hospitalizations -more seriously ill pt's discharged to home -Increased acceptance of the delivery of higher technological care in the home |
| Home health agencies have to comply with federal, state, and local laws and regulations via the following: (4) | -Licensure by the state -Certification by the state certifying that the federal gov' designates -Certificate of need -Accreditation by an outside agency that evaluates and judges how well the agency meets certain standards that the accrediting organization sets |
| Gives legal permission to agencies operate within that state. Regulations vary. Not all states have such laws | Licensure by state |
| The federal gov't sets the rules that govern certification. Only certified agencies are permitted to receive Medicare payments | Certification by the state certifying body that the federal gov't designates |
| Home care agencies are classified by: | Tax status(profit/non-profit) location(freestanding/institution-based) governance(private or public) |
| Handles ethical issues that arise in the home | Ethics Committee |
| The 3 common types of home IV Therapy | -antibiotics -hydration -TPN (total parenteral nutrition) |
| Additional types of IV medications provided by home care | Analgesics (pain) chemotherapeutic agents hormones antiemetic agents (prevent nausea/vomit) |
| The LVN provides nursing care under the direction of the RN who responsibility is development of | The plan of Care |
| Skilled nursing services revolve around 4 major goals | -Restorative -Improvement -Maintenance -Promotion |
| Preserving functional capabilities and independence by maintaining current level of health | Maintenance |
| For physical therapy services what does Medicare require for reimbursement? | Restorative treatment |
| What does Medicare require for reimbursement for Speech-Language Therapy? | A Master's prepared clinician who has been certified by the American Speech and Hearing Association |
| The guidelines and techniques used to meet the needs of the home care clients and continuously improve the quality of care provided | Quality management |
| The 3 major elements of quality management | -Structural Criteria -Process Criteria -Outcome Criteria |
| The agency's overall organization, philosophy, policies, procedures, bylaws, personnel practices, supervision, orientation, contracts, and physical facilites | Structural Criteria |
| Types of services covered(by Medicare) and length of coverage are delineated further in guidelines developed by | The Health Care Financing Administration (HCFA) |
| HMOs | Health maintenance organizations |
| PPOs | Preferred provider organizations |
| The role of the LVN in the nursing process for home health care (4) | -Participate in planning care for pts based on pt's needs -Review pt's plan of care and recommend revisions as needed -Review and follow defined prioritization for pt care -Use clinical pathways, care maps, or care plans to guide and review pt care |