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Sources of Medical Information
Published in Julie Dickinson, Anne Meyer, Karen J. Huff, Deborah A. Wipf, Elizabeth K. Zorn, Kathy G. Ferrell, Lisa Mancuso, Marjorie Berg Pugatch, Joanne Walker, Karen Wilkinson, Legal Nurse Consulting Principles and Practices, 2019
Patricia J. Bartzak, Deborah Enicke, Patricia Ann “Stormy” Green
Home care records include documentation regarding treatment plans, patient assessments, care provided (skilled nursing, aide care, PT, OT), care outcomes, diagnostic test results, home medical equipment or therapies, and phone or electronic communications. Home health agencies receiving payment for Medicare or Medicaid patients must adhere to Conditions of Participation (CoPs) guidelines. CoPs dictate timelines for initial assessment, comprehensive assessment, and reassessment.
Home Health and Hospice Care Pharmacy
Published in William N. Kelly, Pharmacy, 2018
Home care pharmacies often provide home medical equipment (HME) for patients. HME has replaced the older term durable medical equipment (DME). Examples of HME include aids for daily living, hospital equipment for the home, ostomy aids and supplies, incontinent supplies, self-monitoring equipment, ambulatory aids such as walkers and wheelchairs, dressings, and prostheses. The HME pharmacy business can be rewarding if done properly.17
Determinants of Pediatric EMS Utilization in Children with High-Acuity Conditions
Published in Prehospital Emergency Care, 2018
Casandra Quiñones, Manish I. Shah, Andrea T. Cruz, Jeanine M. Graf, Juan A. Mondragon, Elizabeth A. Camp, Pooja Reddy, Esther M. Sampayo
Our study, contrary to existing literature, found differences among the two groups in illness severity, pre-existing comorbidities, insurance type, geographic location, and LOS. Although the EMS group had an overall higher triage acuity and percentage requiring CPR, the non-EMS group still had many patients arriving in extremis such that over half required respiratory support. No statistically significant difference was found with respect to the number of pre-existing comorbidities between the groups. Despite a small sample size, a statistically significant difference was noted in the number of prior admissions among those interviewed and indicated that those without prior admissions were less likely to utilize EMS. Additionally, several caregiver interviewees noted that readily available home medical equipment and treatments for chronically ill or technology dependent children directly influenced their decision to not call 9-1-1. Our findings also show that the privately insured have a different EMS utilization pattern that minimizes their use of it. Differences in distance from the hospital were also noted, such that families who lived further from the hospital were concerned over loss of autonomy about destination of transport and preferred not to call 9-1-1 in order to ensure arriving at their hospital of choice. Another potential confounder may be higher socioeconomic status in those living further from the hospital. There are also conflicting data on the role of EMS utilization and its association with LOS. Research has shown that early intervention in out-of-hospital cardiac arrest, trauma, and shock increases chance of survival and improves outcomes (4–7, 17, 20). We hypothesize that those participants in our study arriving by EMS had a shorter LOS, adjusted for deaths, when compared to those arriving by non-EMS means, as a result of receiving more timely interventions en route. Further investigation is needed to confirm these results.
Family Caregivers of Older Adults: Strategies, Tools, and Technologies for Medication Management
Published in Journal of Gerontological Social Work, 2023
Susan A. LaValley, Laura A. Brady, Melanie Nguyen, David Jacobs
In the United States, 39% of adults provide care for someone with a chronic or terminal illness (Fox et al., 2013). The term “caregiver” includes family members, spouses, friends, or non-married partners who provide unpaid medical and/or nonmedical assistance to a patient (Talley & Montegomery, 2012). Family members and friends who provide care for loved ones perform a host of caregiving activities, ranging from providing direct patient care to communicating with a patient’s medical team, all while balancing caregiving responsibilities with personal obligations such as work and family (Bialon & Coke, 2012; Talley & Montegomery, 2012). However, caregivers rarely receive formal training in tasks related to care like medication management, patient transfers, and operating home medical equipment, while simultaneously expressing reluctance to use formal supportive services (Angelo, 2013; Funk, 2015; LaValley et al., 2019). Caregivers who do not receive adequate formal or informal support in the form of information or service utilization and/or navigation are at increased risk for anxiety, depression, cancer, and injuries related to providing care at home, and there is emerging evidence that high caregiver burden is associated with increased mortality of the care recipient (Cassie & Sanders, 2008; Schulz et al., 2021; Wolff et al., 2007). This lack of caregiver training paired with a prediction for a significant increase in the number of caregivers needed to care for the aging baby boomer generation (CDC, 2003; NAC/AARP, (2020) underscores the need for a better understanding of caregivers’ support needs. As integral providers of specialized care and support, social workers are ideally positioned to identify understand the multiple challenges at the individual, organizational, and policy levels that caregivers experience and then broker appropriate connections for the training, resources, and support caregivers need to navigate complicated and demanding services and processes for taking care of their loved ones (Given et al., 2008; Wagle et al., 2021).