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Designed for the Unique Needs
of Homecare Providers
This site provides homecare clinicians with access to chronic care management models, best practices and downloadable resources for homecare patients.
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"The body of knowledge that serves as the rationale for nursing practice determines the areas of specialty to develop as well as the manner in which that knowledge is organized, tested and applied." -Carper, 1978
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level 1
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Heart Failure
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Coping
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| Best Practice:
Homecare patients with heart failure should receive screening for depression and psychosocial concerns. The screening should include: attitudes about the illness, expectations for medical management and outcomes, affect/mood, related quality of life, resources (financial, social, and emotional) and psychiatric history. A repeat of the depression screening may be needed in the presence of unexplained decline in clinical status or when adherence to the medical regimen is poor. |
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The approach to the assessment of coping mechanisms and the presence or absence of depression must:
- Not significantly increase the time involved in the overall assessment
- Be similar to assessments used for other conditions
- Not stigmatize depression
- Rely on nurse's knowledge, clinical judgment, and OASIS results
(The best practice recommended approach listed above is based upon research from the Martha Bruce, Weill Cornell Homecare Research Partnership) References
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| Assess
(2 documents) |
| Question patients' and/or caregivers’ attitudes, expectations, adherence to medical regime and what resources they might have available to them to assist in coping. |
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| Plan
(3 documents) |
| A patient centered plan includes acceptance and understanding on the part of the patient and caregiver and considers culture, ethnicity, tradition, individual preferences and economic circumstances. |
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| Implement
(19 documents) |
| Ongoing communications among all professionals, patient and caregivers is essential to improving and maintaining stability. This is particularly true when communication involves assisting in building coping strategies and trust. |
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| Evaluate
(4 documents) |
| Minimizing risk factors and maintaining or improving symptoms of heart failure can assist in the evaluation of coping mechanisms. Progress needs to be continually updated by assessing measurable outcomes. The goals and interventions for all heart failure patients need to be evaluated regularly and revised to achieve desired health outcomes. |
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Coping
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