1.2c The Care of Women at Home Flashcards
1
Q
Home Care
A
- There is a growing need for home care due to negative effects of antepartum (pre-birth) hospitalizations such as costs and lengthy hospitalizations.
2
Q
Growing Demand for Home Care
A
- Interest in family birthing alternatives
- Shortened hospital stays
- New technology that facilitate home-based assessments
- Reimbursement from 3rd party payers
- Healthcare costs
3
Q
Healthcare Delivery Network Goals
A
- Improved coordination of care and outcomes
- Better communication among healthcare providers
- Increased client, payer and provider satisfaction
- Reduced Cost
4
Q
Telehealth/Telemedicine
A
- Make it possible to be interviewed and assessed by specialists from hundreds of miles away.
5
Q
Telephonic Nursing
A
- Warm lines, nurse advice lines,
- Valuable to manage healthcare problems and bridge gaps between acute, outpatient, and home care services.
- Used for immediate healthcare questions about particular healthcare needs
6
Q
Warm Lines
A
- Telephone lines offered as community services to provide new patients with support, encouragement and basic parenting education
7
Q
Nurse Advice Lines
A
- Toll free nurse consultation services
- Supported by 3rd party payers or health management organizations.
- Provides answers to medical questions
8
Q
Home Nursing
A
- Limited to practices deemed safe and appropriate away from a healthcare institution.
9
Q
Home Care Team for Perinatal Services
A
- Nurses
- Obstetricians
- Maternal-Fetal medicine
- Pharmacy
- Mental Health Practitioners
- Social Workers
- Public Health Department
- Case Managers
10
Q
Opportunities for HomeCare
A
- Pregnant women can maintain bedrest and neonates are not exposed to outside infections
- Nurses can interact with family members in their most comfortable environment
- Teaching can be tailored to actual home conditions
- ## Other family members can be included
11
Q
Opportunities of HomeCare
A
- Less expensive than hospitalization but 60-90 minute visit takes 2.5-3 hours of nursing time including traveling and documentation
- Limited availability of nurses with expertise in maternity care. Concern for nurses physical safety in the community. Alternative is contact via phone/internet.
- Low risk antepartum and preconception care is more efficient in offices.
- High-risk antepartum care can be provided by home care agencies
12
Q
Indications for Home Care
A
- Conditions requiring bed rest (preterm labor or hypertension)
- Conditions managed with homecare also include cardiac disease, substance abuse, and diabetes in pregnancy.
13
Q
Nursing Considerations for Nursing
A
- Demographics
- Medical History
- General Health History
- Medication History
- Psychosocial Assessment
- Home and Community Environment
- Physical Assessment
14
Q
Nursing Role
A
- Women need to know how to respond in emergency situations
- They need 24 hour resources in their community during emergencies
- Patients should learn CPR especially for infants
15
Q
Nursing Role
A
- Verbal explanations should be accompanied by written instructions
- General information includes nutrition and general discomforts of pregnancy.
