Sunday, February 16, 2020

Introduction to the Home Health Agency Role Essay

Introduction to the Home Health Agency Role - Essay Example Most skills trainings for HHAs are taught by other healthcare professionals, and they usually learned on the job. Generally, their trainings are molded around the unique needs of the patient. Depending on the level of complication of the client’s illness, the HHAs trainings could be done in a few hours to a few days. For more complex cases, some employers provide training classes, which the aspiring HHA has to pass before they are given a job. There is no license for HHAs, but there are some employers who would rather hire certified HHAs. The certification process includes an examination and 75 hours of training and skills testing. Other requirements may include a background check of candidates, before enrolling them to a program, due to the high trust nature of the job. Sometimes, health screenings may be required to prevent patients from contracting diseases from their caregivers. 2.0 Purpose and Goals of Home Care Home care involves a wide scope of care for a wide variety o f patients outside the hospital setting. The services that home health care companies provide can range from nursing care, physical therapy, and even occupation therapy from qualified medical professionals to smaller services from home health aides. The care provided could be as simple as assistance in everyday activities, such as bathing and eating, to more complex services requiring more specialized professionals. Essentially, the purpose and goal of home care is to provide an adequate level of care usually achievable at the hospital, and bring it to the patient’s home. 3.0 Members of the Home Health Care Team (With Functions and Interaction) Physician. Physicians perform home visits to the patient at regular intervals wherein they assess the patient in an environment that he or she is more comfortable. They assess how the patient handles his or her illness at home. They also regularly check and make adjustments and interventions when necessary. There are two ways in which physicians can function in the home health care setting. First, they rely on the home health care nurse, as the leader, mediator, and coordinator of the group, leaving them to be the evaluator of the patient’s health, which is to be coordinated with the rest of the team by the nurse. Second, they are the one who will lead the team by taking a more active role in patient care. The mnemonic INHOMESSS enumerates the roles of the physician including immobility, nutrition, home environment, other home health care members, medications examination, safety, spiritual health, and services by home health agencies. Furthermore, at the patient’s home, physicians will be able to get a more in-depth assessment of aspects of the patient’s life that is not normally accessible from the hospital setting. Moreover, they can look for environmental factors found in the home that can affect the patient’s illness; they can see how the patient acts in a more comfortable setting than in a hospital, and they can assess the patient’s compliance with the therapeutic regimen including diet, exercise, and medications. From these observations, they can identify faults in the patient’s activities and make interventions to change them for the patient’s health. They can also assess the tasks of the health care team and change them to suit better with the therapeutic regimen, especially if they are the one functioning as a team leader and a coordinator. Nurse. Most of the care

Sunday, February 2, 2020

Research Evdidence for Nursing Practice 2 Essay

Research Evdidence for Nursing Practice 2 - Essay Example 12 Midwifery Care Measures in the Second Stage of Labour and Reduction of Genital Tract Trauma at Birth: A Randomized Trial 13 Abstract 13 Effects of pushing techniques in birth on mother and fetus: a randomized study. 14 Abstract 14 Active pushing versus passive fetal descent in the second stage of labour: a randomized controlled trial. 15 Source 15 Abstract 15 A randomized trial of coached versus uncoached maternal pushing during the second stage of labour. 17 Abstract 17 Source 17 Abstract 17 Pushing methods used by UK midwives during the second stage of labour: current practice and rationale. 1.0 Background The second stage of labour is the period between the moment when the cervix attains complete dilatation and when the baby is born (Caldeyro-Barcia et al. 1981). This stage is portrayed by frequent and regular contractions and it is the period when the mother experiences rectal pressure, vaginal pressure, and an irresistible need to push down. For a long time in the history, th e management of the second stage of labour has consisted of a set of behaviors that start when the midwives become aware that the woman has attained full dilatation and hence prepared to push. The midwives proceed by instructing the mother to continue pushing while holding their breath, with successful contractions (Hanson 2006; Hansen, Clark and Foster, 2002). This kind of practice has been done by many midwives for the purpose of shortening the occurrence of the second stage of labour and speeding up fetal descent, though the rationale and safety of the practice has not been substantiated (Yildirim, Beji, 2008). Nevertheless, there is mounting evidence showing that unplanned pushing is a better way of managing the second stage of labour than directed planning, which is typically done by Valsalva maneuver. When all is said and done, many midwives in the United Kingdom (U.K.) and other parts of the world have continuously adopted the directed mode of attending to mothers when giving birth, during the second period of labour. A recent study by Osborne (2010) found that midwives felt the need of supporting women without epidural anesthesia to start the efforts of bearing-down on when the women felt the need to do so. The majority of the participants, however, revealed that they did not provide direction when helping the mothers, which means many of them often, supported spontaneous bearing-down. Their study further revealed that most of the midwives started providing directive support when the fetal head appeared and when the final drawing out of the perineum was occurring. The other factor that influenced directive support was the tendency by the mothers to ask for more direction or when they appeared to be exhausted (Osborne 2010) An unplanned push is accompanied by a release of numerous breaths and air within the intervals of bearing-down attempts (Roberts et al. 1987; Bloom 2006). Albers et al. (2005) scrutinised pushing techniques used by Certified Nurse-Mi dwives (CNMs) and found that the largest proportion of midwives preferred non-Valsalva methods. For quite a long time, the practice of subjecting women to long pushes in the course of the second-stage of labour has been disapproved by critics. 2.0 Introduction The practice of midwifery is premised on the view that labour and birth are ordinary physiological phenomenon that takes place in the life of a woman. The practice of m