TAILIEUCHUNG - mosby paramedic (52)

9/11/20121Chapter Interventions .for Home Care2Learning Objectives.• Discuss general issues related to the home .health care patient• Outline general principles of assessment and .management of the home health care patient• Describe medical equipment, assessment, and .management of the home health care patient .with inadequate respiratory © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Objectives.• Identify assessment findings and acute .interventions for problems related to vascular .access devices in the home health care .setting• Describe medical equipment, assessment, and .management of the patient with a .gastrointestinal or genitourinary crisis in the .home health care setting4Learning Objectives.• Identify key assessments and principles of .wound care management in the home health .care patient• Outline maternal/child problems that may be .encountered early in the postpartum period in .the home health care setting• Describe medical therapy associated with .hospice and comfort care in the home health .care setting5Overview of Home Health Care .• Home health care began in . in late 1800s as .direct result of rapid city growth and an increase .in the number of immigrants moving into large .cities.– Emphasis of home health care at that time was on .personal hygiene and preventive care.– Health services were provided by visiting nurses.• Worked in tenements to assist poor.• Cared for wealthy and middle‐class families after births or .discharges from hospitals– At first, few physicians were associated with most of .these home health care © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning of Home Health Care .• Until mid‐1960s, home health care continued to focus on poor.– Rest of population received care in hospitals and doctors’ offices.– With passage of Social Security Act Amendments (commonly .known as Medicare) in 1965, home health care became benefit .to older adult patients receiving Medicare.• Greatly accelerated growth of industry.• In 1973, these services were extended to certain disabled younger .Americans.• Hospice benefits were added in 19837Overview of Home Health Care .• In 2008, million Medicare recipients received formal home .care services.– Medicare is single largest payer of home care services in – Other funding sources •.•.•.•.•.•.• Americans XX Social Services Block for military care of Home Health Care .• In recent years, federal health care reform has .led to development of managed care services .provided to members by managed care .organizations.– These plans now cover about 95 percent of . .population.– Have greatly influenced methods of health care .delivery (including home health care services)9Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning of Home Health Care .• Today, home health care incorporates wide .variety of health and social services.– These services are provided at home to .recovering, disabled, or chronically ill and .terminally ill persons in need of.•.•.•.•.•Medical with essential activities of daily of Home Health Care .• Sampling of services provided to home health .care patients.– Skilled nursing services.– Physical, speech, and occupational therapy.– Medical social services.– Home health aides.– Nutritional counseling11Advanced Life Support Response to .Home Health Care Patients .• About 21 percent of home health care patients have .conditions related to diseases of circulatory system as their .primary diagnosis.– Persons with heart disease make up about half of this group.– Other common diagnoses of home health care p

• Sáng kiến kinh nghiệm
• Mosby's paramedic
• Mosby's paramedic textbook
• Medical terminology
• EMS systems
• Acute interventions
• Home care
• EMS system development
• Current health care reform
• Prehospital patient care repor
• Patient care report
• Emergency medical services
• Narrative section
• Hazardous materials awareness
• Scope of hazardous materials
• Paramedic’s practice
• Claim of negligence
• Well‐being of the paramedic
• Physical fitness
• Components of wellness