HOME NURSING

INTRODUCTION
Need for health care at home has been steadily growing in the last two decades. Reasons? 1. Drastic Change in Finance 2. Changing Provider role 3. Increased client acuity

INTRODUCTION Cont
Rigid Rules of Third Party Payer are now requiring that certain procedures are to be performed only on out patient basis. Hospital stay for mother and new born have been shortened for less than 48 hours. Advancement of machines that can provide dialysis, pain control, and ventilator care at clients home.

INTRODUCTION Cont
In addition terminally ill clients those with less than 6 months to live find that hospice care allow them to live as fully as possible and die at home rather than at hospital.

TERMINOLOGIES
Home Health Care

Refers to all of the services and products provided to clients in their homes to maintain, restore, or promote their physical, and emotional health.

TERMINOLOGIES
Home Health Nursing

Is a specialized area of nursing practice with its roots firmly placed in community health nursing

TERMINOLOGIES
Durable Medical Equipment

It includes equipment that is used for a long period of time and can be used again by others such as wheel chairs, Walkers, Hospital beds, IV Poles and so on.

THE HOME CARE POPULATION

Females Elderly Clients
Most Common Diagnoses For Home Care Clients 1.Heart Diseases 2.Diseases of Muscular Skeletal system 3.DM 4.Respiratory Illness 5.Injury & Poisoning

SCOPE AND STANDARDS

Standards of Care
Standard I: Assessment Standard II: Diagnosis Standard III: Outcome Identification Standard IV: Planning Standard V: Evaluation

SCOPE AND STANDARDS

Standards of PROFESSIONAL PERFORMANCE
Standard I: Quality of care Standard II: Performance appraisal Standard III: Education Standard IV: Collegiality Standard V: Ethics

SCOPE AND STANDARDS

Standards of PROFESSIONAL PERFORMANCE
Standard VI: Collaboration Standard VII: Research Standard VIII: Research utilization

TYPES OF HOME CARE AGENCIES

Voluntary Agencies Proprietary Agencies Hospital Based Agencies Official Agencies Homemaker Agencies Hospices

ROLE OF HOME HEALTH NURSE

Direct Care Infection Control Client Education Documentation Supervision and case management Determining the financial coverage Determining frequency and duration of service.

Conclusions
Home health nursing is a natural extension of the Family Practice mission to care for individuals and their families throughout their life span.

Reference
Judith Ann Allender, Community Health Nursing, 6th edition, Lippincott Williams & Wilkins.

CONCLUSIONS
Nursing Home Care requires compassion and a comforting and caring approach. This work confirms that we can each help improve the end of life for someone we know.