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Description : history and evolution of Home Health / Hospice & Palliative Care

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Published on : Jan 11, 2018 | Views : 3264 | Downloads : 2

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Community Health Nursing Bachelor of Science In Nursing Academic Year: 2017 / 2018 Year Four – Semester seven Session 10 Home Health / Hospice & Palliative Care Prepared By: Sultan Al_Rushdi Sunday , September 17th
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Objectives Summarize the historical evolution of home health and hospice care. Define home health as afield of nursing practice. Discuss the practice competence of home health nurse. Explain family caregiver burdens of providing home care.
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Continue Objectives Differentiate between home health and hospice. Describe the practice competencies of hospice nurses. Discuss the ethical challenges in hospice nursing. Define hospice Care.
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Summarize the historical evolution of home health and hospice care At the beginning the home health care was given by family member. Until the ladies benevolent society in Charleston, USA South Carolina in 1813 made the effort to care for the sick poor at home(Buhler- Wilkerson,2007). Later in the 19th century , it was possible for women to become nurses trained in the manner of Florence Nightingale, then wealthy women started to higher them as visiting nurses. .
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Summarize the historical evolution of home health and hospice care At 1893 Lillian Wald began home visiting in New York City One of her famous innovations was the establishment of insurance coverage for home care. Between 1909 and 1952, 100 million home visit were made
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Summarize the historical evolution of home health and hospice care In medieval Europe, hospice refuge for the sick and dying. hospice care at first originated in England. Dame Cicely Saunders funded St. Christopher's Hospice in 1967 ( Mclntosh &Zerwekh,2006). She develop a unique program based on both compassion and skillful relief of physical pain through around- the-clock analgesic orally.
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Summarize the historical evolution of home health and hospice care The first hospice in USA was established in 1974 by Florence Wald, dean of Yale school of nursing aiming for shortening the hospital stay to save the money. Hospice in USA came to focus on providing care in the home.
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Define Home health as a field of nursing practice The nurse provides home health nursing care to acute, chronic, and terminally ill clients of all ages in their homes while integrating public health nursing principles that focus on the environmental, psychosocial, economic, cultural, and personal health factors affecting a client's and family's health status and well-being.
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Discuss The Practice Competencies of Home Health Nurses Locating client address: the first step of making home visit is locating where the client lives this includes telephone number instructions, GBS. Promoting self management: prompting independence rather than dependence the health improvement will be achieved if nurse work with client family.
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Discuss The Practice Competencies of Home Health Nurses Detecting: is an all-encompassing, never ened assessment process as the nurse seek to understand the client's health in the context of home (Zerwekh, 1997). Collaborating: collaborating with multiple team member. Mobilizing: resources in the community that can suport the client after discharge.
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Discuss The Practice Competencies of Home Health Nurses Strengthening: involves development of self- management or family caregiving ability. teaching: constantly teaching clients and/or family caregivers the concrete explanation, discussion, and modeling behavior. Solving problems: health nurse requires flexibility and creativity in solving health care problems and the challenges of everyday living.
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Continue… Discuss The Practice Competencies of Home Health Nurses
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Explain Family caregiver burdens of providing home care Care giver deterioration. Assuming daily tasks of care bathing, feeding to sophisticated skilled care, including managing tracheostomies or I/V lines. Physical, psychological, and economic burden. Huge responsibilities.
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Explain Family caregiver burdens of providing home ca Compete for time, energy, and attention. Emotionally and physically drained. Need information about resources like the economic cost of providing home care Burden of medications, transportation, home medical equipment
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Differentiate Between Home Health and Hospice
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Describe The Practice Competencies of Hospice Nurse Sustaining on self: caring for themselves health by maintaining physical, emotional and spiritual wellbeing. Knowing oneself, identifying sources of stress. Connecting.
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Describe The Practice Competencies of Hospice Nurse Speaking truth. Encouraging choice. Collaborating. Strengthening the family. Comforting. Spiritual practice and letting go.
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Hospice nursing Hospice care: Is a type of care and philosophy of care that focuses on the palliation of a chronically ill, terminally ill or seriously ill patient's pain and symptoms, and attending to their emotional and spiritual needs.
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Discuss The ethical Challenges in hospice nursing Value-laden the choice of medical and nursing intervention. We must strengthen our voice and ask, Is what we are doing good for this person and family?’ (zerwekh,2006, pp180-181). Wide ranging issues include respect or disregard for client autonomy Relief or disregard for client suffering. avoidance of killing at the very end of life
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