Clinical Case Studies in Home Health Care

Home health care is an important aspect of community health and
a growing area of healthcare services. Clinical Case Studies in
Home Health Care uses a case-based approach to provide home
healthcare professionals, educators, and students with a useful
tool for thoughtful, holistic care.

The book begins with a thorough and accessible introduction to the
principles of home health care, including a discussion of
supporting theoretical frameworks and information on managing
complexities, transitioning patients to home care, and preparation
for the home visit. Subsequent sections are comprised
entirely of case studies organized by body system. Though cases are
diverse in content, each is presented in a consistent manner,
incorporating relevant data about the patient and caregivers and
the approach to patient care and promoting a logical approach to
patient presentation. Cases also include helpful tips
about reimbursement practices, cultural competence, community
resources, and rehabilitation needs.

Auteur
Leslie Neal-Boylan, PhD, RN, CRRN, APRN-BC is a certified family nurse practitioner, rehabilitation nurse, and home health nurse. She developed the Neal Theory of Home Health Nursing and has published and presented widely on issues related to rehabilitation, disability, chronic illness, home health, and nurse workforce. Dr. Neal-Boylan has edited four books, one of which won the American Journal of Nursing Book of the Year Award. She was also the consulting editor for the 2010-2011 edition of the Visiting Nurse Associations of America's Nursing Procedure Manual.

Résumé

Home health care is an important aspect of community health and a growing area of healthcare services. Clinical Case Studies in Home Health Care uses a case-based approach to provide home healthcare professionals, educators, and students with a useful tool for thoughtful, holistic care.

The book begins with a thorough and accessible introduction to the principles of home health care, including a discussion of supporting theoretical frameworks and information on managing complexities, transitioning patients to home care, and preparation for the home visit. Subsequent sections are comprised entirely of case studies organized by body system. Though cases are diverse in content, each is presented in a consistent manner, incorporating relevant data about the patient and caregivers and the approach to patient care and promoting a logical approach to patient presentation. Cases also include helpful tips about reimbursement practices, cultural competence, community resources, and rehabilitation needs.

Contenu

Contributors ix

Preface xiii

Acknowledgments xvii

Section 1 Introduction 3

Chapter 1 Theoretical Frameworks That Support Home Care 5
By Leslie Neal-Boylan, PhD, RN, CRRN, APRN-BC, FNP

Chapter 2 Managing the Complexities of Home Health Care 13
By Mary Curry Narayan, MSN, RN, HHCNS-BC, COS-C

Chapter 3 Transitioning 23
By Jeanie Stoker, MPA, RN, BC

Chapter 4 The Home Visit 33
By Pamela Teenier, RN, BSN, MBA, CHCE, HCS-D, COS-C, and Lelah R. Marzi, RN, MBA, BSN, COS-C, HCS-D

Section 2 Cardiac 43

Case 2.1 Congestive Heart Failure 45
By Jeanie Stoker, MPA, RN, BC

Case 2.2 Atrial Fibrillation 55
By Jeanie Stoker, MPA, RN, BC

Case 2.3 Wound following a Coronary Artery Bypass Graft (CABG) 65
By Jeanie Stoker, MPA, RN, BC

Section 3 Peripheral Vascular Disease 75

Case 3.1 Peripheral Vascular Disease 77
By Linda Royer, PhD, RN

Section 4 Pulmonary 87

Case 4.1 Chronic Obstructive Pulmonary Disease (COPD) 89
By Lisa A. Gorski, MS, HHCNS, BC, CRNI, FAAN

Case 4.2 Pneumonia 99
By Leigh Ann Howard, RN, MSN

Case 4.3 Tuberculosis 107
By Leigh Ann Howard, RN, MSN

Section 5 Gastrointestinal 113

Case 5.1 Stomach Cancer 115
By Sharron E. Guillett, PhD, RN

Case 5.2 Malnutrition/Anemia 123
By Linda Royer, PhD, RN

Section 6 Genitourinary 135

Case 6.1 Neurogenic Bladder 137
By Kathleen Francis, RN, MSN, CWOCN

Case 6.2 Urostomy Care 151
By Kathleen Francis, RN, MSN, CWOCN

Case 6.3 Urinary Tract Infection and Functional Incontinence 163
By Kathleen Francis, RN, MSN, CWOCN

Section 7 Psychiatric/Mental Health 173

Case 7.1 Bipolar Disorder 175
By Joanne DeSanto Iennaco, PhD, PMHCNS-BC, APRN

Case 7.2 Personality Disorders 185
By Debra Riendeau, MN, APRN, BC, PMHNP-BC

Case 7.3 Schizophrenia 195
By Joanne DeSanto Iennaco, PhD, PMHCNS-BC, APRN

Case 7.4 Schizoaffective Disorder 203
By Joanne DeSanto Iennaco, PhD, PMHCNS-BC, APRN

Section 8 Musculoskeletal 215

Case 8.1 Muscular Dystrophy 217
By Sharron E. Guillett, PhD, RN

Case 8.2 Cerebral Palsy 225
By Sharron E. Guillett, PhD, RN

Case 8.3 Osteomyelitis, Decubitus Ulcer, and Paraplegia 235
By Linda Royer, PhD, RN

Section 9 Neurological 247

Case 9.1 Brain Stem Infarct 249
By Shelia Spurlock-White, MSN, RN

Case 9.2 Multiple Sclerosis 259
By Leslie Neal-Boylan, PhD, RN, CRRN, APRN-BC, FNP

Section 10 Maternal Health 267

Case 10.1 Antepartum Care 269
By Ruth Smillie, RN, MSN

Case 10.2 Postpartum Care following Uncomplicated Delivery 281
By Ruth Smillie, RN, MSN

Case 10.3 Postpartum Care following Complicated Delivery 291
By Ruth Smillie, RN, MSN

Section 11 Pediatrics 299

Case 11.1 Premature Infant with Apnea and Reflux 301
By Teresa LaMonica, PhD, MSN, RN, CPNP

Case 11.2 Asthma 311
By Teresa LaMonica, PhD, MSN, RN, CPNP

Case 11.3 Adolescent with Neurodevelopmental Disability 319
By Teresa LaMonica, PhD, MSN, RN, CPNP

Section 12 Pediatric Intensive Care 329 Case 12.1 Alpha-Thalassemia X-Linked Mental Retardation Syndrome 331
By Lannette Johnston, RN, BSN, MS, CPST</...