FINAL - Chapter 30 Nurse in Home Health and Hospice Flashcards

Terms Definitions
a credentialing process used to recognize health care agencies or educational programs for provision of quality services and programs
accreditation
comparing national standards and guidelines with other agencies
benchmarking
linking clients with services
care coordination
a mechanism, usually by means of written examination, that provides an indication of professional competence in a specialized area of practice
certification
changes in client health status as a result of care or program implementation
client outcomes
assisting the client to meet his or her basic needs and providing direct care such as personal hygiene, meal prep, med administration and treatments
family caregiving
palliative system of health care for terminally ill ppl. it takes place in the home with family involvement under the direct supervision of health professionals, esp the visiting nurse. This can also take place in the hospital when severe complications of
hospice
a working agreement in which each home health care provider carefully analyzes his or her role in determining the best plan for the client's care
inter professional collaboration
an instrument to collect client data for doing outcome assessments in home health
outcomes and assessment information set (OASIS)
alleviating symptoms of, meeting the special needs of, and providing comfort for the dying clients and their families by the nurse
palliative care
a mechanism whereby Medicare will pay home health agencies a set amount of money to care for a client who meets the criteria of 1 of 80 home health resource groups (the diagnosis is based on severity, functional status, and number of services needed)
prospective payment system
specific statements of law that relate to and clarify individual pieces of legislation
regulations
the process by which home health care agencies receive payment, either by the client or three major funding sources: medicare, medicaid, and 3rd party funding
reimbursement system
care provided to a client that requires the knowledge and skill of a RN
skilled care
health info sent from one site to another by electronic communication
telehealth
Which level of prevention is pre-partum and post-partum home visiting models can help vulnerable mothers learn how to cope successfully with stressful life events
primary
Which level of prevention is - the nurse assesses clients in their homes for early signs of new health problems, contacts the physician, and initiates prompt treatment to prevent the condition from worsening. i.e. assessing clients for the development of
secondary
Which level of prevention is - the nurse provides counseling on dietary modifications and insulin injections to the newly diagnosed diabetic client. The purpose of these interventions is to prevent the development of complications from DM. The diabetic cl
tertiary
what are the different types of home health agencies?
official, voluntary private, hospital based, proprietary, combination
QBQI
quality based quality improvement
5 types of home care
1. population focused home care
2. transitional care in the home
3. home based primary care
4. home health
5. hospice
what standards do home health nurses follow?
Scope & Standards of Home Health Nursing Practice

Scope and Standards of Hospice and Palliative Nursing Practice
What are home care agencies accredited through?
The Joint Commission or the Community Health Accreditation Program
What is the Omaha System?
standardized system of problem solving, intervention schemes, and problem rating scales.

*it is unique in that it is the only comprehensive vocabulary developed initially by and for practicing population-focused nurses.
What key characteristics define this type of agencies/home health services...

Private
are grouped together as nonprofit home health agencies. Voluntary are supported by charities.
What key characteristics define this type of agencies/home health services...

Combination
official and voluntary home health agencies may have merged to cut costs
What key characteristics define this type of agencies/home health services...

Hospital-Based
have emerged in response to the recognized need for continuity of care form the acute care setting Clients of hospital based home health care have access to existing inpatient services, thus allowing sharing of resources.
What key characteristics define this type of agencies/home health services...

Official/Public
these agencies have tended to retain a focus predominantly on health promotion and illness prevention.

i.e. well child, immunizations, and education
Power of Attorney
*A patient advocate only has the authority to act for the patient while they are unable to communicate. If you get better, their authority ends.

*Further, the patient advocate does not have the authority to end medical treatment if it is likely to cause you death UNLESS you have specifically given the patient advocate the authority to also make life and death decisions for you.

*This all must be spelled out in you Health Care Power of Attorney
Living Will
*Another document, similar to Power of Attorney

*This document is used to plan future health care choices

*Sets out the medical treatments you choose to have, as well as those you do not want (as well as in what circumstances you may be in at the time)
Advanced Directives
power of attorney & living will
Episodic Care
curative and restorative aspect of nursing practice
Distributive Care
Health care services that emphasize health promotion, maintenance, and disease prevention.
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