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H Health/Writing TAS

Home Health/ Writing and Research NP1 Test 4

QuestionAnswer
Define Home Health Care Health care provided to clients and their families in the home fore health maintenance, education, illness prevention, diagnosis and treatment of an illness for palliative or rehabilitation reasons
The purpose of HHC is to provide patients/caregivers with: -support -treatment -information -understanding SO THEY CAN SUCCESSFULLY MANAGE HEALTH CARE NEEDS AT HOME
What is the focus of HHC? Individuals and their families
HHC focuses largely on community health/public health nursing. T or F False. HHC focuses on individuals and their families
What makes HHC an appropriate role for the ASN RN? It is an extension of care directly from the hospital to the home.
What are the guidelines for HHC? Physician's orders
T or F. The HHC nurse has no assistance in caring for patients. False. Supervisors assist the nurse directly caring for the patient.
Who are the supervisors in HHC? Case managers or clinical coordinators
Why were DRGs established? to curb the rapidly spiraling cost of health care
What does DRG stand for? Diagnosis Related Groups
How did DRGs change health care? They established specific time lines and costs for each medical diagnosis.
What was the adverse result of establishing DRGs? Patients went home "quicker and sicker"
List some positive results of DRGs. - reduced cost/shorter stay - pts recover better at home - health care system streamlined - family involved in care - needless procedures avoided - privacy for client - familiar surroundings
List negative results of DRGs. - pts with no family or support systems - complications can occur at home due to earlier hospital departure - no access to health care system after hours, must go to ER
HHC demands a team approach. T or F True
Who makes up the HHC team? - Physician - nurse - social worker - home health aide - homemaker - physical/occupational/speech therapist - pharmacist - discharge planner
What are the three roles of a nurse in HHC? 1. Provider of care 2. Manager of care 3. Member within the discipline
Provider of care... assesses, plans, implements, evaluates, teaches
Manager of care... coordinates, collaborates, supervises, monitors
Member within the discipline... utilizes research, supports standard of care
4 factors that influence HHC 1. client need based on evaluation 2. coverage for costs 3. availability of caretakers 4. clients must meet requirements of coverage by government agencies
Needed for HHC... Nurse, physician, discharge planner/social worker, family/support system
What is the common nurse-physician relationship in HHC? the nurse writes the evaluation and the physician signs it-often the nurse visits the client at home and recommends to the physician
T or F. A nurse can solely approve HHC for a patient. False. A physician must give the order.
What are the payment/coverage provisions available for HHC? private insurance, federal and state funds, private pay
Name five criterion for HHC services... 1. must be reasonable and necessary 2. pt must be homebound 3. must be a defined plan of care with signed physician order 4. services must be skilled nursing services 5. service must be intermittent or part time
HHC services can be provided 24 hours a day. T or F. False. HHC services must be intermittent or part time.
What are five trusted sites for writing and research? 1. CINAHL 2. Medscape 3. Nat'l Institute for Health 4. CDC 5. WebMD
What format must all nursing papers be in? APA
T or F. Any edition of APA formatting is acceptable in writing and research. False. Must use sixth edition of APA.
List four keys to proper writing and research... 1. Stay gender neutral 2. Put direct quotes in quotation marks 3. one inch margins on all sides 4. double spaced
What should be on the title page? Title Name College
What must be at the very top of every page? a running head
The reference page should be in what order? alphabetical
Created by: tiffiny090180
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