Home Health Nursing- Exam Questions with Verified Solutions Latest Update (Rated A+)

Home Health Nursing- Exam Questions with Verified Solutions Latest Update (Rated A+) Home health nursing services enable: - Answers individuals of all ages to remain in the comfort and security of their homes while receiving health care. feelings of worth and dignity are contributed by? - Answers Family support, familiar surroundings, and participation in the care process home health Services may include - Answers skilled nursing, physical therapy, speech language therapy, occupation therapy, social services, intravenous therapy, nutritional support, home health aide, respiratory therapy, acquisition of medical supplies and equipment, and homemaker and companion care. Official - Answers Services are provided to individuals and their families in their place of residence for the purpose of promoting, maintaining, or restoring health or of minimizing the effects of illness and disability. Patient - Answers Skilled and compassionate care is provided on a one-to-one basis in the comforting and familiar surroundings of the home. Family - Answers It is a means to keep the family together as a functioning, integrated unit Provider - Answers All disciplines involved are challenged to provide excellent care in often less-than-excellent conditions and surroundings. The first home health care program in the United States was organized in - Answers 1796 as the Boston Dispensary. The first visiting nurse service in the United States was formed in - Answers Philadelphia in 1886. These two women developed a visiting nurse service for the poor in New York City in 1893 at the Nurses' Settlement House on Henry Street. - Answers Lillian Wald and Mary Brewster The Social Security Act of 1935 first provided government rather than local charitable funding for selected services such as: - Answers maternal health, communicable disease, and the training of public health professionals. When Medicare became effective in 1966, it revolutionized home care by - Answers Changing it to a medical rather than nursing model of practice, Defining and limiting services for which it would reimburse, Changing the payment source and even changing the reason home care was provided Diagnosis-Related Groups (DRGs) - Answers Based on major diagnostic categories, a set rate is paid for the hospitalized patient's care rather than the "cost" or charges traditionally billed by institutions. Congress enacted this prospective payment system in 1983 as a part of the Tax Equity and Fiscal Responsibility Act for hospitals receiving Medicare reimbursement. - Answers Diagnosis-Related Groups (DRGs The net effect of the change to DRGs was - Answers shift of patients out of the hospital into their homes, extended-care facilities, or skilled nursing facilities. DRGs created a challenge of - Answers of volumes of patients seen, necessity of more skilled nursing care over intensive times, and the evolution of highly technical procedures in the home. Agencies may have to comply with federal, state, and local laws and regulations via the following: - Answers Licensure by the state, Certification by the state certifying body designated by the federal government, Certificate of need granted by some state according to rules and formulas devised by state regulators, Accreditation by an outside agency that evaluates how well the agency meets certain standards set by the accrediting organization Agencies Classified According to - Answers Tax status: For profit or not for profit Location: Freestanding or institution-based Governance: Private or public Seven Types of Home Care Agencies - Answers Voluntary Official Combination Hospital Proprietary Private not-for-profit Other Pet care programs are emerging to - Answers reduce stress for the home health patient who is too ill to care for his or her pet. One of the most rapidly growing segments in home health is .. - Answers home infusion therapy Skilled Nursing - Answers This is provided and directed by currently licensed registered nurses Basic nursing services may be provided by the LPN/LVN under the supervision of the . - Answers RN Service goals of skilled nursing - Answers Restorative, improvement, maintenance, promotion Nurses practicing in the home setting must be - Answers technically proficient, self-motivated, innovative, and independent decision makers. Skilled service has become a growing field of practice for the LPN/LVN as agencies - Answers cope with increased staffing needs, nursing shortages, and recognition of the contributions the LPN/LVN can make to home care. The goals of treatment must be restorative for reimbursement - Answers medicare Speech-Language Therapy - Answers Speech services must be provided by a master's-prepared clinician who has been certified by the American Speech and Hearing Association. Therapy goals in speech therapy include? - Answers minimizing communication disorders and their physical, emotional, and social impact. primary treatment goals of speech therapy are - Answers Independent functioning and maximum rehabilitation of speech and language abilities Occupational Therapy are services that - Answers deal with life's practical tasks. The occupational therapist will? - Answers choose and teach therapeutic activities designed to restore functional levels. occupation therapist services include? - Answers Techniques to increase independence, Design, fabrication, and fitting of orthotic or self-help devices, Assessment for vocational training Medical Social Services - Answers Focus is on the emotional and social aspects of illness. The care plan for social services includes? - Answers education, counseling, payment source identification, and referrals. Homemaker-Home Health Aide - Answers The aide provides the basic support services that can enable an elderly individual, disabled adult, or dependent child to remain at home. Most aid services fall into one of three categories - Answers Personal care, Physical assistance, Household chores Referral - Answers Entry point into the home health care system. Can come from the patient, family, social service agency, hospital, physician, or another agency. The initial evaluation and admission visits are made by an RN within ______ of the referral. - Answers 24-48hours The evaluation and admission process generally includes at least the following: - Answers Complete patient evaluation