Pub Date : 2025-03-01Epub Date: 2025-03-03DOI: 10.1097/NHH.0000000000001328
Matt Sevier
TeamSTEPPS is a patient safety model that uses a collection of tools and best practices to optimize team performance. It has been widely adopted in the inpatient setting but clinician autonomy has been a barrier in its use. A home healthcare agency began using TeamSTEPPS® and found that it has a positive impact on nurse retention through the use of situational awareness and mutual support tools. Small improvements were made in OASIS outcomes and 30-day hospital readmissions through the use of handoffs and huddles.
{"title":"TeamSTEPPS® in Home Health.","authors":"Matt Sevier","doi":"10.1097/NHH.0000000000001328","DOIUrl":"10.1097/NHH.0000000000001328","url":null,"abstract":"<p><p>TeamSTEPPS is a patient safety model that uses a collection of tools and best practices to optimize team performance. It has been widely adopted in the inpatient setting but clinician autonomy has been a barrier in its use. A home healthcare agency began using TeamSTEPPS® and found that it has a positive impact on nurse retention through the use of situational awareness and mutual support tools. Small improvements were made in OASIS outcomes and 30-day hospital readmissions through the use of handoffs and huddles.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 2","pages":"95-101"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01Epub Date: 2025-03-03DOI: 10.1097/NHH.0000000000001323
Heidi Sykora
{"title":"Home Care and the Patient Taking Kratom.","authors":"Heidi Sykora","doi":"10.1097/NHH.0000000000001323","DOIUrl":"10.1097/NHH.0000000000001323","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 2","pages":"122-124"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01Epub Date: 2025-03-03DOI: 10.1097/NHH.0000000000001327
Laura Marchwinski
{"title":"Transitioning from Home Care to Phase 2 Cardiac Rehabilitation.","authors":"Laura Marchwinski","doi":"10.1097/NHH.0000000000001327","DOIUrl":"10.1097/NHH.0000000000001327","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 2","pages":"118-119"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01Epub Date: 2025-03-03DOI: 10.1097/NHH.0000000000001325
Karen Hellwig
This article explores depression in older adults, addressing types of depression, risk factors, signs and symptoms, prevention strategies, treatments, and the critical role of home care clinicians. It concludes with a discussion on the tragic issue of suicide among older adults, including its risk factors, prevention, and management.
{"title":"The Tormented Soul: Caring for Older Adults with Depression in Home Healthcare.","authors":"Karen Hellwig","doi":"10.1097/NHH.0000000000001325","DOIUrl":"10.1097/NHH.0000000000001325","url":null,"abstract":"<p><p>This article explores depression in older adults, addressing types of depression, risk factors, signs and symptoms, prevention strategies, treatments, and the critical role of home care clinicians. It concludes with a discussion on the tragic issue of suicide among older adults, including its risk factors, prevention, and management.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 2","pages":"78-85"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01Epub Date: 2025-03-03DOI: 10.1097/NHH.0000000000001324
Gary E Hicks-Clayton
{"title":"Reflecting on a Career in Home Health Nursing and Management in the USA.","authors":"Gary E Hicks-Clayton","doi":"10.1097/NHH.0000000000001324","DOIUrl":"10.1097/NHH.0000000000001324","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 2","pages":"120-121"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01Epub Date: 2025-03-03DOI: 10.1097/NHH.0000000000001340
{"title":"Immunoglobulin Therapy and Standards of Practice.","authors":"","doi":"10.1097/NHH.0000000000001340","DOIUrl":"10.1097/NHH.0000000000001340","url":null,"abstract":"","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 2","pages":"E2"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01Epub Date: 2025-03-03DOI: 10.1097/NHH.0000000000001332
Sai Sirisha, Sireesha Jala, Sanjana Putta, Sudhindra Vooturi, Subhash Kaul
This study compared knowledge of stroke medications and therapies between informal caregivers of stroke survivors and controls, highlighting important implications for post-stroke care. Although awareness of stroke deterioration and recurrence was similar between groups, caregivers demonstrated greater recognition of residual effects, such as one-sided weakness and speech difficulties. Higher education, particularly holding a graduation degree, was strongly associated with better awareness among caregivers, including an improved understanding of the role of medications and therapies in stroke management. These findings underscore the need for structured training programs to equip caregivers with essential knowledge for supporting stroke survivors after hospital discharge. Enhancing caregiver education can improve understanding of recovery trajectories, promote effective management of residual symptoms, and help families set realistic goals for community reintegration. Addressing these gaps in caregiver training could lead to better outcomes for both stroke survivors and their families.
{"title":"Knowledge About Medical Management and Therapies for Stroke Among Caregivers of Stroke Survivors-A Comparative Study.","authors":"Sai Sirisha, Sireesha Jala, Sanjana Putta, Sudhindra Vooturi, Subhash Kaul","doi":"10.1097/NHH.0000000000001332","DOIUrl":"10.1097/NHH.0000000000001332","url":null,"abstract":"<p><p>This study compared knowledge of stroke medications and therapies between informal caregivers of stroke survivors and controls, highlighting important implications for post-stroke care. Although awareness of stroke deterioration and recurrence was similar between groups, caregivers demonstrated greater recognition of residual effects, such as one-sided weakness and speech difficulties. Higher education, particularly holding a graduation degree, was strongly associated with better awareness among caregivers, including an improved understanding of the role of medications and therapies in stroke management. These findings underscore the need for structured training programs to equip caregivers with essential knowledge for supporting stroke survivors after hospital discharge. Enhancing caregiver education can improve understanding of recovery trajectories, promote effective management of residual symptoms, and help families set realistic goals for community reintegration. Addressing these gaps in caregiver training could lead to better outcomes for both stroke survivors and their families.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 2","pages":"102-107"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01Epub Date: 2025-03-03DOI: 10.1097/NHH.0000000000001326
Ju Young Shin, Ryan T Pohlig, Barbara Habermann
This study aimed to describe paid service use among informal caregivers of community-dwelling older adults and to identify factors associated with paid service use using data from the Caregiving in the U.S. 2020. Home modification was the most used paid service (43.2%) followed by paid help (41%), outside transportation (22.5%), and respite care (14.5%) among 912 caregivers. Higher levels of caregiver education and household income, recipients' older age, greater numbers of recipient health conditions/problems, higher levels of care intensity, and providing medical/nursing tasks were associated with a greater number of paid service use. Home healthcare clinicians play an essential role in supporting informal caregivers in the community setting by assessing caregiving needs and the home environment during each visit and referring caregivers to appropriate state or federal caregiver support programs. Research examining the decision-making process regarding paid service use among older adults and their caregivers could provide an opportunity to deliver more patient/caregiver-centered services.
{"title":"Factors Associated with Paid Service Use among Caregivers of Community-Dwelling Older Adults.","authors":"Ju Young Shin, Ryan T Pohlig, Barbara Habermann","doi":"10.1097/NHH.0000000000001326","DOIUrl":"10.1097/NHH.0000000000001326","url":null,"abstract":"<p><p>This study aimed to describe paid service use among informal caregivers of community-dwelling older adults and to identify factors associated with paid service use using data from the Caregiving in the U.S. 2020. Home modification was the most used paid service (43.2%) followed by paid help (41%), outside transportation (22.5%), and respite care (14.5%) among 912 caregivers. Higher levels of caregiver education and household income, recipients' older age, greater numbers of recipient health conditions/problems, higher levels of care intensity, and providing medical/nursing tasks were associated with a greater number of paid service use. Home healthcare clinicians play an essential role in supporting informal caregivers in the community setting by assessing caregiving needs and the home environment during each visit and referring caregivers to appropriate state or federal caregiver support programs. Research examining the decision-making process regarding paid service use among older adults and their caregivers could provide an opportunity to deliver more patient/caregiver-centered services.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"43 2","pages":"86-94"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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