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 Introduction to Home Health Care

Introduction to Home Health Care Often, seniors undergo a lot of stress with long-term hospitalization and rehab stays. Prolonged in-patient stays in seniors are common and secondary to various factors, such as, poor management of chronic disease processes, non-healing wounds, falls, repeated infections, and both planned & unforeseen surgeries with accompanying complications. With hospitalization and rehab stays, patients may not recover completely and often fall short on goal accomplishment by the time they are discharged [...]

Safety Measures and Patient Education for Supplemental Oxygen Use

Safety Measures and Patient Education for Supplemental Oxygen Use Instruct all oxygen dependent patients and caregivers on safety measures and precautions to be observed with oxygen use. Reinforce strict instructions regarding “no smoking” in the room, irrespective to oxygen use. Oxygen can get trapped in the bedsheets and curtains for long periods of time and can be a potential source of fire accident. Educate the patient and family on posting “no smoking” and “oxygen in [...]

Home Health Nurse Assessment

Home Health Nurse Assessment Now you can generate similar detailed and comprehensive skilled nursing narrative for various health conditions using our customizable skilled nursing documentation templates. Sign up know more!! #1 Reason(s) for Admission to Home Health Degenerative Disc Disease Lumbar Fusion Back Precautions Patient is a 71-year-old female patient with history of degenerative disc disease involving the lumbar spine and underwent lumbar fusion in June 2011. Between last year and this year had about [...]

Patient-Driven Groupings Model (PDGM) in Home Health Care

Patient-Driven Groupings Model (PDGM) in Home Health Care The Patient-Driven Groupings Model (PDGM) is a reimbursement payment model used by the Centers for Medicare & Medicaid Services (CMS) for home health services in the United States. It was implemented on January 1, 2020, and it replaced the previous payment model known as the Prospective Payment System (PPS). PDGM is designed to more accurately reimburse home health agencies for the services they provide to Medicare beneficiaries. [...]

Nurse Teaching on Safety Measures for Alzheimer’s Patients

Nurse Teaching on Home Safety Measures for Alzheimer’s Patients Nurse educated the patient and caregiver on home safety measures to be observed for Alzheimer’s patients as follows: Avoid/limit the use of mirrors in patient’s room and restroom, as mirror images can be extremely confusing to an individual with Alzheimer’s. It is very common for an Alzheimer’s patient to interpret the image of self in the mirror as a different person and fearing a threat from this [...]

Nursing Narrative Note Examples for Recertification Assessment

Nursing Narrative Note Examples for Recertification Assessment Now you can generate similar detailed and comprehensive skilled nursing narrative for various health conditions using our customizable skilled nursing documentation templates.  Sign up know more!! #1  Reason(s) for Home Health Recertification Un-resolving Pain Episodes Sleep Disturbances Un-resolving GERD Comprehensive home visit SN assessment and evaluation of all of patient's body systems, needed for recertification to home health services for episode period 09/03/2011 - 10/31/2011. Patient has a [...]

OASIS Assessment in Home Health Care

OASIS Assessments in Home Health Care The OASIS (Outcome and Assessment Information Set) is a comprehensive assessment tool used in home healthcare. It is designed to evaluate the functional status, healthcare needs, and outcomes of patients receiving home healthcare services. OASIS assessments are typically conducted by healthcare professionals, such as registered nurses or therapists, at the beginning of a patient's care and periodically throughout the course of their home healthcare services. Here are some key [...]

Nurse Teaching on Side Effects of Humalog Use

Nurse Teaching on Side Effects of Humalog Use Nurse educated the patient/caregiver upon the side effects of Humalog use as follows: Hypoglycemia: Hypoglycemia happens to be the most common side effect with Humalog. The risk for this complication multiplies with the patient being noncompliant with the time of Humalog administration, stacking up the doses of insulin too close, and highly irregular eating habits with improper mealtimes. During the episode of hypoglycemia, patients can present with dizziness, [...]

Nurse Teaching on Complications of Diabetic Foot Ulcers

Nurse Teaching on Complications of Diabetic Foot Ulcers Nurse educated the patient/caregiver upon the complications of diabetic foot ulcers as follows: Diabetic foot ulcer usually is an ulcer with full-thickness skin loss and a circular punched out appearance. The ulcer site is surrounded by hard callus, which is thickened and hardened portion of the skin. Due to the neuropathy in poorly managed diabetics, individuals often have poor sensation at the ulcer site, which contributes to the [...]

Nurse Teaching on Types of Stroke

Nurse Teaching on Types of Stroke Nurse educated the patient/caregiver upon the types of stroke as follows: The brain is richly supplied with blood, which delivers oxygen and nutrients to all the brain cells that are highly dependent on them for optimal function. Stroke, also called cerebrovascular accident (CVA) is caused by interruption of blood supply to the brain tissue, which can result in compromised oxygen and nutrient delivery to the affected portions of the [...]

Home Health Care Documentation

Home Health Care Documentation Now you can generate similar detailed and comprehensive skilled nursing narrative for various health conditions using our customizable skilled nursing documentation templates.  Sign up know more!! #1 Reason(s) for Home Health Admission PICC Line Patient is a 62-year-old female who was diagnosed with MRSA pneumonia on 11/20/2010. Patient was admitted to XXX and was on antibiotics. Patient was discharged on 11/25/2010 with PICC line and an order for IV antibiotics to [...]

Nursing Visit Note Templates for Start of Care (SOC)

Nursing Visit Note Templates for Start of Care (SOC) Now you can generate similar detailed and comprehensive skilled nursing narrative for various health conditions using our customizable skilled nursing documentation templates. Sign up know more!! #1 Reason(s) for Home Health Admission Fall Head Injury Subdural Hemorrhage Altered LOC Not Hypertensive, but BP Not Under Control After the Fall Patient had an accidental fall, before the SOC and had a head injury with 2 episodes of [...]

OASIS Documentation Samples

OASIS Documentation Samples Now you can generate similar detailed and comprehensive skilled nursing narrative for various health conditions using our customizable skilled nursing documentation templates. Sign up know more!! #1 Reason(s) for Admission to Home Health Degenerative Disc Disease Lumbar Fusion Back Precautions Patient is a 71-year-old female patient with history of degenerative disc disease involving the lumbar spine and underwent lumbar fusion in June 2011. Between last year and this year had about 10 [...]

Nurse Teaching on Nephrotic Syndrome

Nurse Teaching on Nephrotic Syndrome Nurse educated the patient and caregiver on the complications of nephrotic syndrome as follows: Glomeruli are the small blood vessels in the kidneys that filter excess fluid and wastes from the blood. Usually protein are bigger molecules and so, cannot pass through the glomeruli, to be filtered out. Proteins in the blood usually draw extra water from the body into the blood stream. This extra water in the blood stream can [...]

Nurse Teaching on Causes and Risk Factors for Myocardial Infarction

Nurse Teaching on Causes and Risk Factors for Myocardial Infarction Nurse educated the patient and caregiver on the causes and risk factors for myocardial infarction as follows: Like every other body organ, even the heart will need oxygen-rich blood to survive. Oxygenated blood is supplied to the heart muscle through arterial system called coronary circulation. Two major coronary arteries branch from the aorta, right and left coronary arteries. Coronary arteries further branch off into smaller [...]

Nurse Teaching on Complications of Unresolved Osteoarthritis

Nurse Teaching on Complications of Unresolved Osteoarthritis Nurse educated the patient and caregiver on the complications of unresolved osteoarthritis as follows: Damage to the cartilage: Osteoarthritis involves damage to the articular cartilage that covers the ends of bones and allows the bones to glide over each other. Articular cartilage minimizes the friction between the joints and makes the movement easier and pain free. Chronic unresolved osteoarthritis leads to complete lysis of the articular cartilage resulting in loose [...]

Nurse Teaching on Risk Factors and Causes of Stroke

Nurse Teaching on Risk Factors and Causes of Stroke Nurse educated the patient and caregiver on risk factors and causes of stroke as follows: Transient ischemic attack (TIA): TIA is defined as a mini stroke, caused by a brief interruption of blood supply to parts of the brain. The symptoms of TIA are the same as stroke but less in intensity and usually resolve in 24 hours timeframe. Since the episode of short-lived, individuals experiencing [...]

Nurse Teaching on Precautions for Trimipramine

Nurse Teaching on Precautions to be Exercised While Taking Trimipramine Patient/caregiver was educated on precautions to be observed while taking Trimipramine as below: Follow closely on the expiration date of the medication. If using a pillbox, check the expiration date on the medication container every time you fill the pillbox. If you are taking this medication for longer periods of time, set enough reminders on your phone for medication pick-up. You can have a reminder [...]

Nurse Teaching on Safety Precautions For Using the Transfer Board

Nurse Teaching on Safety precautions to be Observed while Using the Transfer Board Nurse educated the patient and caregiver on the safety precautions to be observed while using the transfer board as follows: Make sure the transfer board chosen can handle your weight. Check for the weight limitations allowed on the transfer board. Having a most recent weight reading available can help choose the board that best suits your needs. Make sure the transfer board [...]

Nurse Teaching on Overflow Incontinence and Risk Factors for Overflow Incontinence

Nurse Teaching on Overflow Incontinence and Risk Factors for Overflow Incontinence Nurse educated the patient and caregiver on overflow incontinence as follows: Overflow incontinence occurs when the individual is unable to empty the bladder completely. When the bladder is incompletely emptied, a portion of urine is retained in the bladder. Gradually more volume of urine is accumulated in the bladder, thus resulting in overflow and sudden leaking of a portion of the accumulated urine. Backup [...]

Nurse Teaching on Timed Voiding for Bladder Retraining

Nurse Teaching on Timed Voiding for Bladder Retraining Nurse educated the patient and caregiver on how to practice timed voiding as follows: Timed voiding pattern is a behavior therapy of bladder retraining. By frequently emptying the bladder and thereby, reducing the back-up of urine in the bladder, timed voiding helps prevent development of urinary tract infections. This nurse teaching covers some important steps on how to educate or practice timed voiding. The goal of timed voiding [...]

Nurse Teaching on Signs and Symptoms of of Inflammation

Nurse Teaching on Signs and Symptoms of Inflammation Nurse educated patient and caregiver on signs and symptoms of inflammation as follows: Pain: Pain at the site of injury is secondary to chemical mediators of pain, such as, histamine, bradykinin, and prostaglandins. Heat: Heat is secondary to increased blood flow to the site of injury, providing more oxygen and cells needed for protection and healing of the site. Redness: Redness is secondary to increased blood flow [...]

Nurse Teaching on Observing Hand Hygiene Protocol during Wound Care

Nurse Teaching on Observing Hand Hygiene Protocol during Wound Care Nurse educated the patient and caregiver upon when to observe hand hygiene protocol during wound care as follows: Perform hand hygiene before donning the gloves and starting to gather wound care supplies in the patient environment. The supplies are considered a clean environment and accessing the supplies without proper hand hygiene can potentially contaminate them. Read through the wound care orders carefully and gather all [...]

Nurse Teaching on Measures to Prevent Exacerbation of Hypertension

Nurse Teaching on Measures to Prevent Exacerbation of Hypertension Nurse educated the patient and caregiver on measures to prevent exacerbation of hypertension as below: Observe compliance with log maintenance of everyday blood pressure and heart rate readings. Report to your physician regarding any consistent systolic readings below 90 and above 160. Report consistent diastolic readings below 60 and above 90. Report any consistent heart rate readings below 55 and above 100. Observe compliance with all [...]

Nurse Teaching on Risk Factors for Developing ARDS

Nurse Teaching on Risk Factors for Development of Acute Respiratory Distress Syndrome (ARDS) Nurse educated the patient and caregiver on the risk factors for development of ARDS as follows: ARDS usually occurs in patients, who are severely ill, hospitalized, and have many factors of comorbidity. Injury to the lungs and alveoli can occur secondary to conditions such as, Severe sepsis Excessive inhalation of exhaust fumes Unresolving pneumonia Near drowning with fluid accumulation in the lungs Major [...]

Nurse Teaching on Signs and Symptoms of Polycystic Kidney Disease (PKD)

Nurse Teaching on Signs and Symptoms of Polycystic Kidney Disease (PKD) Nurse educated the patient and caregiver on signs and symptoms of polycystic kidney disease as follows: UTIs: Patients with multiple cysts of the kidney frequently present with UTIs. Enlarged cysts in the kidneys can compress onto the urinary tubules and result in obstruction to the urine flow and retention of urine in the kidney. Retained urine is always a risk factor for development of UTI. [...]

Nurse Teaching on Functions of Different Parts of the Brain

Nurse Teaching on Functions of Different Parts of the Brain Nurse educated the patient and caregiver on the functions of different parts of the brain as follows: Brain is broadly divided into cerebrum or the cerebral cortex, cerebellum, and brainstem, each part performing different functions and put together contribute to the normal function of the brain. Cerebrum is the big dome-shaped part of the brain, divided into many lobes, and occupies major part of the [...]

Nurse Teaching on Sites for Insulin Administration

Nurse Teaching on Sites for Insulin Administration Nurse educated the patient and caregiver on sites for insulin administration as follows:  Insulin is administered into the less sensitive layer of fatty tissue, just underneath the skin (subcutaneous fat). Injecting insulin into the fat layer beneath the skin can help absorption of insulin into the blood stream at a desired and consistent rate. Insulin can be injected into the subcutaneous fat available at various body sites by using insulin [...]

Nurse Teaching on Route of Insulin Administration

Nurse Teaching on Route of Insulin Administration Nurse educated the patient and on route of insulin administration as follows: Insulin is administered into the less sensitive layer of fatty tissue, just underneath the skin (subcutaneous fat). Injecting insulin into the fat layer beneath the skin can help absorption of insulin into the blood stream at a desired and consistent rate. To facilitate insulin administration into the subcutaneous fat, insulin is administered via insulin syringe, insulin pen, or [...]

Nurse Teaching on Systematic Factors Contributing to Delayed Wound Healing

Nurse Teaching on Systematic Factors Contributing to Delayed Wound Healing Nurse educated the patient and caregiver upon overall systematic factors contributing to delayed wound healing as follows: Poor nutritional status: Adequate nutrition intake, especially protein intake, is needed for timely wound healing. Protein is essential for development of granulation tissue, resulting in quickening of the healing process. Individuals with history of malnutrition can present with poor protein intake, which can compromise growth of granulation tissue, [...]