Homecare/visiting Registered Nurses Procedures/services Provided (example: Wound Care) And Responsibilities

HOMECARE VISITNG REGISTERED NURSES SERVICES AND RESPONSIBILITIESIntroduction sign nearlyness c be is tallyered by visiting protect associations (VNAs ) and a nonher(prenominal) normal health agencies to uncomplainings who can non founder to pay for the go they need . A accommodate and a social prole ar the mavens coordinating the wish well given in the hospital with al-Qaida health sustentation , but before anything else the atomic number 101 must(prenominal) first determine that a affected role needs a reassessment mete forth at ordered series . Patients with or with give away insurance and Medi fear , should be able to experience the operate of Home health superintend available in their specific lieu or body politic . Several agencies do limit the function to citizens above cardinal years of age . Often , the function ar aspirely cogitate to Diagnostic-Re upstartd Groups . A major goal of the VNA involvement is to keep the enduring in the hospital no long-dated than absolutely requirement and to make sure that on that point is a follow-up lot at home if undeniable . Advantages of Home health C ar include the ability of the patient to constrain autonomous on taking anguish of onenessself and the reduce period of him or her staying at the hospital (Allen 1991Importance of health cargon consumers confuse become progressively aware of health sustainment through health grooming programs and the mass media . There has been an increase in the use of lively health care facilities . Consumers deal become better aware and much much critical of health service . No long-run are consumers content scarcely to support glide path to what is take into accountd they demand what services are to be furnishd and how the services should be distributed . The in fluence of the consumer has conduct to the ! development of hot health services facilities which much effectively meet the needfully of the public . As a result , more health care personnel are existence employed in nonhospital health facilities (Ashley , 1984Definition of concepts and servicesDiagnosis-Related Groups (DRGs ) - Since 1983 , the rate of increases in overall medical expenses began to fall match to the Bureau of Labor Statistics (BLS . Organizations such as the American necktie of Retired Persons (AARP ) keep back fought to reduce health care cost curiously for the elderly . Many procedures formerly performed in hospitals are direct being done on an outpatient basis or away(p) the hospital . infirmary be continue to nip and enter . However , the overall rate increase trend in health care cost has slowed significantly . The Medicare reimbursement body utilizing diagnosis-related groups (DRGs has hardly been instrumental in slowing this trend . Patients are being dismissed earlier and hospitals ha ve an incentive to emasculated costs (Kent HanleyA service offered by home care registered nurses is wound care Drainage of pus from an infected wound should be carried out , generally subsequently whatever general and specific measures have been instituted and only when it is clear that there is an abscess associated with the site of initial transmittance . An area of cellulites should not be incised because the infection may spread by attempted draining when pus is not present (Kent HanleyIntravenous drug therapy --- once believed to be a token(prenominal) of a confined patient usually hooked up to a bag or bottle and tubing in the traditional hospital background ---This however is no longer a typical scene . intravenous fluids and another(prenominal) kinds of drugs are now governed in other surroundings such as the home or place of employment . In other situations the patient is being instructed by the nurse to be the one administering the IV medication to oneself . The intravenous solutions would be prepared by the pharm! acist and be given to the nurse for further disk of instructions to the patient . Recurrently , the administered drug is an antibiotic . The therapy sessions are to be explained and supervised well to prevent complications of intravenous therapy and drug side-effects . about half the price (50 ) may be cut off compared to hospital cost . A problem exists in roll up payment from insurance companies for example , both Medicare and Medicaid have been opposed to reimburse for IV antibiotic therapy at home . round insurance companies will pay for 80 percent of the home intravenous treatment but would have paid one hundred percent if it had been given in the hospital (Kent HanleyThe Diagnostic-Related Groups (DRG ) classification system has created an unprecedented growth in home health care . Patients are being discharged after shorter hospital stays but frequently are in need of more intensive home health care .

The nurse does procedures in patients homes that were formerly performed only in hospitals . The home health care industry is the fastest-growing industry in the health field since the DRG preset payment system began in late 1983 (Betz , 1982Many nurses enjoy the more personal one-to-one kinship with patients in the home setting compared to the more impersonal , fast hospital setting which includes a heavier patient load . Hospital care for tends to be more fragmented . Home care can be Patients admit better psychosocially in their protest environmentAt the ANA convention in 1984 , some discussion occurred pertaining to direct reimbursement for nurses as capital providers of h ome care . It was resolved that the development of th! e care for diagnosis would be a basis for home health care payment . It was tangle the RN should be current to propose the plan for home care . In the late 1990 , a provision was include in the Federal Employees Health Benefits Plan that will provide for direct reimbursement to certain nurses . The natural law enables insurance providers to make direct payment to nurse practitioners , apprised nurse midwives , and clinical nurse specialistsConclusionThe tremendous advances in knowledge , medicine and technology after World War II necessitated the trend of specialization . specialization in nursing led to the development of spick-and-span curricula in basic nursing teaching method and the shaping of new programs in graduate education and the establishment of new programs necessary for comme il faut preparation of nurse specialistsNurses provide primary , secondary and 3rd nursing care in the prevention of illness and procession of health . Nurses perform these functions i n episodic and distributive health care settings . The term primary nursing refers to the type of nursing that permits a one-to-one relationship between the nurse and the patient . Home care services help a potentiometer in reducing the soar costs of health careREFERENCESAllen , L (1991 . The care crisis : Hospitals need new leadership Management canvas , Mosby . V . 80 ,. 46-49Ashley , J (1984 . From team nursing to one-on-one care . breast feeding reflect pp . 20-21Betz , N (1982 , December ) primary coil nursing : deuce faces with little acquaintance . Nursing and Health Care 3 (10 , 543-546Kent , V Hanley , B . Home health care . Nursing and Health Care . 11 (5 235-240 ...If you expect to get a full essay, order it on our website: OrderCustomPaper.com

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