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Advanced Practice RNs in the Home Health Care Arena, 2004.
This paper discusses that there is an urgent need for APRN services in the home health care environment and suggests ways of meeting this need.
3,890 words (approx. 15.6 pages), 10 sources, APA, £ 73.95
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Abstract
This paper explains that there is an urgent need for quality home care that exceeds the minimum expectations of patients and their families. The author points out that there is a dearth of data relating to the specific training, planning, and placing advanced practice nursing talent in home health care situations. The paper suggests that the medical staff train the advanced practice nurses in home care, and they, in turn, will teach families how to give good care to their loved ones.
Table of Contents
Introduction
Identification of the Phenomenon.
Review of Literature
Relevant Literature Appropriate for The Qualitative Study Planned
Integrating Advanced Practices Nurses into Home Care Environments
Effects of a Relationship-Enhancing Program of Care on Outcomes
Validity and Community-Health Nursing Sensitivity of Six Outcomes for Community Health Nursing with Older Clients
Review: Prenatal Home Visitation by Nurses through Infancy
Effect of Prenatal and Infancy Home Visitation
Home Health Care: Improving Quality, Tightening Standards
A Case Study in Care: APRN Home Nursing Service
A Practical Guide to Caring for Caregivers
From the Paper
"After all, NPs have a ?proven efficacy in health promotion, early identification and prevention of complications,? as well as patient compliance and education ? so, it is a logical argument to bring advanced practice nurses into the home care environment, and in order to plan for the future, more specifically targeted nursing teaching programs are proposed as a solid strategy for integrating primary care by NPs into the home care genre. The growth of home care services was tremendous between 1988 and 1995, as the number of Medicare home health visits jumped from 37 million to 252 million. Money spend through Medicare home health care visits also leaped during that period ? from $2.1 billion to about $16 billion, which is the fastest-growing budget item in Medicare."
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Health and Safety for Nurses in Home Health Care, 2008.
A discussion of health and safety issues for nurses who work with home health care agencies.
1,710 words (approx. 6.8 pages), 4 sources, APA, £ 38.95
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Abstract
This paper takes a look at the situation of nurses in home health care, who regularly work in isolation without the benefit of peers or essential supports, unlike nurses in hospitals, which have the benefit of safety and security measures provided by the institution. The paper points out that home health care nurses are predominately female and are subject to high physical and psychosocial demands. Furthermore, many of these nurses work in isolated rural settings, making them more prone to physical assault, sexual assault and various forms of workplace violence, as well as personal injury related to heavy lifting. The paper argues that the most important point about health and safety issues is that they impact of the care the client receives. To conclude, the paper maintains that the goal for all home health care agencies must be to ensure the safety of both staff and patients, and this may be achieved through employee awareness and in agency commitment to the staff.
From the Paper
"Home health care is a rapidly expanding industry because of such factors as an aging population and decreased hospital stays. With that expansion have come increasing incidents of violence in the workplace. Surveys of nurse reveal that problems related to safety in the home care field have escalated. These problems range form verbal and physical abuse, along with threatening animals to visible weapons and illegal drugs (Sylvester & Reisener, 2002). In addition, nurses in home care very often work in areas where the crime rate is above the national average. All of these issues and concerns create a potential impact on patient care and patient outcomes (Fazzone & Barloon, 2000). When nurses are in continual fear over their safety, this situation is certain to affect the quality of care."
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Home Health Care, 2006.
A review of quality assessment and performance improvement of home health care policies.
2,250 words (approx. 9.0 pages), 7 sources, £ 61.95
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Abstract
This paper discusses how home health care has been a controversial health care delivery system for many decades, changing dramatically throughout the years in accordance with nursing policy, federal and state guidelines and is usually driven by certification and accreditation by the Medicare system. This paper highlights the role of quality assessment and performance improvement measures in home health care through direct review of current literature and through mock interviews with a home health care professional and home health care agency.
From the Paper
"According to the Center for Medicare and Medicaid Services, 2.4 million individuals receive private home health care services from one of the 8,100 Medicare-certified agencies authorized to provide home health care in the United States ("Home health," 2006). Home health care agencies provide both health and personal care for patients in their own home, with the goal of helping patients to improve their self-care capabilities and health status ("Home health," 2003). In November 2001, Secretary Tommy Thompson of the US Department of Health and Human Services announced the Quality Initiative, which was rolled out in two phases in 2003 through the nation ("Home health," 2003). The initiative was part of the Bush administration's Medicare related assurance of quality health care for all people ("Home health," 2003; "HHS launches," 2003)."
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Home Health Care Services, 2007.
This paper presents a marketing audit approach for the home health care industry.
1,225 words (approx. 4.9 pages), 3 sources, APA, £ 28.95
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Abstract
This marketing audit was undertaken in an effort to determine how referrals from physicians, skilled nursing facilities and hospitals play a critical role in the profitability of a home health agency. In order to reach viable and accurate conclusions about the topic, statistics and relevant research on the topic are studied and recommendations are presented in an easy to understand format. The paper discusses how the research conducted in combination with a SWOT and marketing analysis will enable the Home Health Care Partners company to develop a targeted marketing plan for execution.
Table of Contents:
Executive Summary
Overview of the Home Health Care Industry
Methodology
Final Marketing Plan
Time Frame for the Study
Limitations of the Study
Conclusions
Recommendations
From the Paper
"To say the least, there is a great deal of potential within the Home Health Care industry; by the year 2020, there will be approximately 100 million Americans over the age of 50 who will be potential patients of local community home health care providers. Of this 50+-population base, 39% will be elderly, 27% will be wound care patients, 18% will be incontinent and 12% will be urological patients. There is also every indication that these people will seek home care- American patients today are directed to leave the hospital, and nursing homes "quicker and sicker" due to managed care. Many of these patients are sent home to recuperate with the support of a home health care provider (Evan, 2005). Another key consideration in the potential of this industry is the fact that many more people are living well past the age of 100, and the great majority of these people will be potential home health patients (Brown, 1998)."
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Home Health Care Delivery, 2004.
This paper discusses the improvement of home health care delivery through the implementation of quality assessment/ performance improvement (QA/PI) programs
1,150 words (approx. 4.6 pages), 5 sources, APA, £ 27.95
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Abstract
This paper explains that the improvement of health care programs in the medical industry has spread to home health care delivery in which the physician makes home visits. The author defines quality assessment as the development of data sources and analysis of information generated from patients, which reviews their perception and expectation of quality. The paper concludes with an interview of a physician working in a home care agency who believes that, ever since the implementation of the QA/PI policies, his organization has started to pay close attention to quality performance issues, such as physicians' abilities to meet patient expectations and demands.
From the Paper
"There are gatekeepers to the implementation of QA/PI programs. These include the Division Home Health QM Program, Directors Committee, Continuing Care Leaders and Quality Service Leaders, Service Area and Local Agency. These controllers are responsible for the planning of the QA/PI activities into the current systems of organizations that are responsible for home health care delivery. They also are responsible for identifying changing indicators from the consumer perspectives and conducting audit of the agency involved in QA/PI to regular and accredit credible organizations who have maintain their standards according to the AHRQ. Similarly, they are involved in setting criteria for divisional directors of home care quality improvement programs."
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Home Health Care and Hospice, 2002.
This paper examines the topic of the management of chronic pain in home health care and hospice care.
2,442 words (approx. 9.8 pages), 12 sources, MLA, £ 51.95
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Abstract
There has been a massive shift in thinking about chronic pain and pain management, from seeing pain as a secondary characteristic to the disease, to seeing pain as a primary problem. The writer explores the issue and the surrounding controversy. The paper looks at the ways in which financial cutbacks in home health care and hospice have led to fewer employees and a stronger reliance on pain medication.
From the Paper
"In an article in the Columbian (Oregon leads quiet revolution, 1999), a graphic example of one of the ongoing problems in the management of chronic pain was illustrated in the story of a man who hurt his back in 1988. Although in chronic pain, his doctors hesitated to provide him with narcotics for long-term pain relief because of the fear of drug addiction. Despite the fact that things are changing, pain management in home health care and hospice has often been shaped more by politics than by scientific knowledge about the effects of pain and its management. Both doctors and patients still exhibit resistance to appropriate pain management, fearing addiction, acting from ignorance, or feeling that patients should simply be more stoic. In the following pages, the intention is to explore this issue in more detail."
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Home Health Care, 1989.
Examines theory & practice of home care for long-term patients. Discusses types of services, health care teamwork, confidentiality, patient rights & abuse, access to services and costs.
1,800 words (approx. 7.2 pages), 21 sources, £ 43.95
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From the Paper
"The health care services delivery environment is a dynamic one in the late.1980s. Increasing costs, evolving societal values, advances in treatment therapies, changing demographics, and other factors are affecting both the how and the where of the delivery of health care services (Mentkowski, & Doherty, 1984). The introduction of technological innovations into health care is not only enhancing the quality of the services delivered, it is making possible the effective treatment and care of patients in home and community environments who would have previously required institutionalization (Thomas, 1988).
The restructuring of the health care delivery environment adds new dimensions to the ethical issues involved in the (...)"
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Home Health Care For Elderly, 1989.
Examines alternative to institutional care, focusing on long-term care for chronically ill patients. Discusses health needs & costs, population affected, laws and government involvement.
2,700 words (approx. 10.8 pages), 19 sources, £ 66.95
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From the Paper
"This research examines the concept of home health care (HHC) services delivery for the elderly. HHC is examined as an alternative to institutional delivery of health care services. The focus in this examination is on the delivery of long.term care (LTC) to chronically ill individuals.
HEALTH CARE NEEDS AND COSTS OF THE ELDERLY
The average life span in the United States increased from an expected 70 years in 1960 to 79 years in the late 1980s. The expected life span for women is greater than that for men. Additionally, the expected life span applied to individuals born in the year for which the statistic is determined..not for those individuals already in their elderly years. A similar life expectancy increase, however, developed with respect to all age (...)"
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Home Health Care, 1996.
Economic, social & medical advantages over institutional care, emphasizing role of nurses & multi-disciplnary team approach.
1,800 words (approx. 7.2 pages), 16 sources, £ 43.95
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From the Paper
"As a result of the combination of factors (increasing costs of health care, changing societal values, and advances in treatment therapies to name but three), the delivery of health care services in the United States is undergoing rapid and important change (Salmon, 1993, pp. 1674-1678). One of the more significant of the changes occurring involves the direct delivery of health care services by non physician health care professionals. A second significant change involves a trend toward the delivery of health care in non institutional settings?including the home. There exists both substantial support for these changes, as well as substantial opposition to them (Hupcey, 1993, pp. 181-185)."
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Mental Health and Physical Health, 2005.
Discusses the reasoning behind two beliefs - whether or not mental health should be treated on par with physical health.
930 words (approx. 3.7 pages), 3 sources, MLA, £ 23.95
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Abstract
There are two arguments regarding the treatment of mental health. Some believe that it should receive the same amount of health care coverage as physical illness, while others argue that the costs of treating mental illness could lead to severe problems. To better understand these arguments, this paper examines two articles, "Mental Health Should be Treated on Par with Physical Health," by Lewis L. Judd, and "Mental Health Should Not be treated on Par with Physical Health," by Richard E. Vatz, as well as two of their reference sources.
From the Paper
"Martin Bobgan and Deidre Bobgan, the writers of an article titled, "Mental Illness is not a Disease" would probably agree that spending money on mental illness, and treating it equally to physical illness would be a lost cause. Although their opinion is much more drastic than that of Richard Vatz, all three writers would probably seem to agree that covering mental illness in insurance coverage would not be helpful to society. In the article, Mental Illness is not a Disease," Martin and Deidre Bobgan profess that people "continue to promote the false concept of mental illness, to align it with medicine, and consign it to science." It is apparent that these writers believe that the mental state and one's physical well-being fall into completely different categories."
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Health Education and Health Promotion, 2002.
An overview of health education and promotion programs in the States today.
3,650 words (approx. 14.6 pages), 14 sources, £ 92.95
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Abstract
This paper examines programs for health education and health promotion in the United States today. It identifies the importance of health promotion and theoretical models of health promotion. It also focuses on appeals to diverse groups within American society.15 pgs, bibliography lists 14 sources.
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Home Care and Community Health Nursing, 1999.
Examines role of the nurse practitioner in home service delivery and intervention, funding, patient issues, team care, planning and case management.
1,800 words (approx. 7.2 pages), 23 sources, £ 43.95
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Abstract
A combination of factors (increasing costs of health care, changing societal values, and advances in treatment therapies to name but three), is bringing about rapid and important changes in the delivery of health care services in the United States (Salmon, 1993). One of the more significant of the changes occurring involves the direct delivery of health care services by non-physician health care professionals.
From the Paper
"HOME CARE WITHIN THE CONTEXT OF COMMUNITY HEALTH NURSING
A combination of factors (increasing costs of health care, changing societal values, and advances in treatment therapies to name but three), is bringing about rapid and important changes in the delivery of health care services in the United States (Salmon, 1993). One of the more significant of the changes occurring involves the direct delivery of health care services by non-physician health care professionals. A second significant change involves a trend toward the delivery of health care in non-institutional community settings-including the home.
Zerwekh (1997, p. 46) noted, however, that nursing care "provided in the patient's home continues to lose status and funding. … Funding continues to be cut because of lies about the..."
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Telemedicine and Remotely Located Advanced Healthcare Para-professionals, 2002.
An examination of whether Telemedicine will improve the quality of health care and its delivery for remotely located advanced health care para-professionals.
6,405 words (approx. 25.6 pages), 30 sources, MLA, £ 102.95
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Abstract
This in-depth study explores the implication of implementation of Telemedicine as a professional genre. It shows what the installation of Telemedicine means to other scientists wanting to take this field further. The study analyzes the context of financial and medical systems and Telemedicine?s implication on Medicare. The author of the study recommends that the medical centers focus on the resulting benefits it can provide not only to the rural population but also the urban ones. Hence, to increase the spread and receptiveness of Telemedicine usefulness, organizations must promote it to the society as a whole.
Table of Contents
Introduction to Study
Purpose
Methodology
Statement of Problem/Question to be Researched
Statement of The Problem
Introduction
Background of The Problem
Survey: The Literature
The History of Telemedicine
Telemedicine Application
Telemedicine Technology
Current Applications of Telemedicine
Teleconferencing-Based Systems
Cost Effectiveness vs. System Effectiveness
Barriers to The Use of Telemedicine
Quality of Care
Research Design and Collection of Information and/or Data
Analysis of Data or Information or Research Results
Conclusion
VII. Bibliography
From the Paper
"Telemedicine is perhaps one of the fastest growing revolutionary technologies after computer-based patient records. According to a recent study, telemedicine, in all likelihood worth billions of precious health care dollars along with replacing 5 % of hospital stays, 5 % of nursing home care and another 20 % of home health visits. (Dakins 1995)
The primary advantage that can be acquired through the field of telemedicine is that it allows patients and doctors to interact at a rapid speed mainly by way of computers and patient video cameras. To put it simply, physical distance between a doctor and a patient is greatly reduced as this interactive method of finding health practitioners brings the former to the patients thereby giving them a wide variety of doctors and surgeons to choose from [First Mayo Telemedicine Symposium, 1993].
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Advanced Practice Nursing, 2007.
A discussion of how advanced practice nursing is a key element in the provision of health care today.
1,193 words (approx. 4.8 pages), 4 sources, MLA, £ 27.95
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Abstract
The paper discusses how in the last decade, the United States' health care costs have grown faster than any other aspect of the economy. The paper looks at the advanced practice nurse (APN), an umbrella name or term identified to a registered nurse who has attained advanced educational and clinical practice requirements. The paper examines how the provision of health care by the government includes the distinction of new roles of registered nurses in society, who may be equal or superior to physicians. The paper shows how the challenges they encounter regarding ethical, economic and other issues are still part of their development as health workers moving forward to new times.
Outline:
APN- Ethical Issues Vs Medical Practitioner
APNs in Health Care Delivery
Economics and Cost Issues
Summary
From the Paper
"The Pew Health Professions Commission (1995) analyzed the importance of cost containment in the American health care system as a priority that is rapidly changing. It has envisage a greater role for nurse practitioners (NPs) in the delivery of primary care in the not so distant future.
"The role of the RNs (APNs) has been seen with their specific expansion in the delivery of health care. The functions of RNs in the system are designed to facilitate healthcare institutions in meeting the demands for serving patients with increasingly complex needs, as well as cost-containment goals."
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