requirements for home care - Answer--referral
-require skilled nursing care/therapy services that cant be provided by patient/caregivers
-homebound
home care focuses on... - Answer-tertiary prevention (and some secondary)
purpose of home visit - Answer-get them to function successfully with...
NUR 443 Exam 2 URI Questions with
Correct Answers
requirements for home care - Answer--referral
-require skilled nursing care/therapy services that cant be provided by patient/caregivers
-homebound
home care focuses on... - Answer-tertiary prevention (and some secondary)
purpose of home visit - Answer-get them to function successfully without nursing
interventions
purpose of palliative care - Answer--providing comfort and easing pain
-symptom management
-discussion of patient's EOL goals of care
-prevents readmissions
difference between palliative and hospice - Answer-in palliative care patients are @ any
point of health care continuum, and can still be seeking treatment
goal of hospice care - Answer--reduce pain and suffering
-improve quality of life for client and family
-provide support for client and family
eligibility for hospice care - Answer--6 months life expectancy
recertification for hospice care - Answer--HCP must re-certify pt after the first 90 days
and then every 60 days to determine if still eligible
family & hospice care - Answer--after care with family for up to 1 year after passing of pt
who pays for hospice - Answer-medicare
nursing interventions in hospice care - Answer--decrease irritating stimuli
-keep warm
-comforting conversation and touch
-soothing music
-managing secretions
-discuss with family members option to say goodbye/give pt permission to die
major issues in home care/hospice - Answer--caregiver strain
-client neglect
-lack of resources
-ethical dilemmas
,what does OASIS stand for - Answer-Outcome and Assessment Information Set
what does OASIS do - Answer--determine medicare pay rate (medicare requirement)
-forms the basis for plan of care
-measures outcomes for adult home care
-evaluate and improve clinical performance
domains of OASIS - Answer--clinical
-functional
-service utilization
clinical - OASIS - Answer--all body systems
-sensory (pain), integumentary, respiratory, cardiac, elimination, neurological,
emotional, behavioral, cognitive
service utilization - Answer--number of therapy visits
-what will the patient needs? disciplines, interventions, skills...
what are the components of home visit - Answer--planning/visit preparation
-referral
-initial phone contact
-assessment
-perform
-listen & teach
-building trust
-termination phase/wrapping up
planning phase of home visit - Answer--visit preparation
-purpose of admission
-check advance directives
-know who is in home
-coordinate with other disciplines involved
listen & teach phase of home visit - Answer--ask open ended questions, teach back
, -therapeutic communication
-involve family and support network
-expert knowledge of community resources
what is epidemiology - Answer-study of distribution and determinants of health events in
human populations (not individuals)
process of epidemiology - Answer--determine nature and extent of problem
-make hypothesis
-analyze data
-plan for control
-implement plan for control
-evaluate control plan
-make a report
-conduct research
what are the 6 stages of disease - Answer--prepathogenesis
-early pathogenesis
-discernible early disease
-advanced disease
-convalescence
-death, disability, chronic state, recovery
prepathogenesis stage - Answer-health promotion and specific protection
before disease
early pathogenesis - Answer-early diagnosis and prompt treatment
advanced disease - Answer-disability limitation
convalescence - Answer-rehab/recovery
what is morbidity - Answer-illness
what is mortality - Answer-death
epidemic - Answer-disease occurrence that clearly exceeds normal or expected
frequency in a community or region
pandemic - Answer-worldwide epidemic
endemic - Answer-continuing presence of a disease/infectious agent in a specific
geographic area (Flu is endemic in the US, malaria is NOT)
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