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Home Care for Older Adults Using Interprofessional Teams

✍ Scribed by Danita H. Stapleton (editor), Sekeria Bossie (editor)


Publisher
Springer
Year
2023
Tongue
English
Leaves
191
Category
Library

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✦ Synopsis


This textbook fosters a deeper understanding of how home healthcare goals for older adults can be achieved through interprofessional collaboration. The contributors create a context where allied health and healthcare professionals can acquire and exchange knowledge about their diverse disciplines and practices for the betterment of the home care population. The book also reinforces what the COVID-19 pandemic made quite apparent to health institutions and providers: patients can receive adequate and acceptable care within the home setting. The pandemic also highlighted the important role that interprofessionalism can play in attaining desired patient outcomes.

Statistics reveal that the population of persons over the age of 65 years is the largest that it has ever been. This volume focuses on older adult patients because caring for these individuals from an interprofessional perspective is now more important than ever.

Through the ten chapters of this edited book, the contributors including home care providers offer their perspectives on interprofessional collaboration and the provision of quality home care services. They use the Interprofessional Education Collaborative's (IPEC) four core competencies as a framework for improving the collaborative practice of home health care for older adult patients with complex medical issues. Among the topics covered:

  • Medical Social Work and Case Management
  • Skilled Nursing
  • Physical Therapy
  • Occupational Therapy
  • Behavioral Health Care
  • Other Relevant Home Care Services: Prosthetics and Orthotics, Pharmacy Services, Durable Medical Equipment and Nutritional Services

Home Care for Older Adults Using Interprofessional Teams is intended for advanced undergraduate and graduate students in health or allied health programs and can be used as a primary text for interprofessional education courses. The text benefits students, instructors, and faculty who have stakes in obtaining positive health outcomes for older adult patients. Today, more and more programs are requiring the development of interprofessional competencies. This book provides a forum where students can obtain in-depth knowledge of teaming, as well as the roles and functions of various care providers.

✦ Table of Contents


Acknowledgments
Contents
Contributors
About the Editors
Chapter 1: Introduction: History of Home Care Services
Introduction
Operating Frameworks: Legislation/Policy and Theoretical Perspectives
Theoretical Care Perspectives (Specific to Understanding Patients’ Perspective)
Systems Theory
Biopsychosocial-Spiritual Approach
Ecological Theory
Theoretical Perspectives (Specific to Rehabilitation Theory Models)
IPEC Model of Care
Benefits of Home Healthcare Services
Types of Home Healthcare Services
Care Coordination Between Interprofessional Team Members
Quality Measures for Home Health Care
Chapter Summary
Discussion Question
Multiple Choice Questions
References
Chapter 2: Professionalism and Ethical Considerations
Professionalism in Home Care
Professionalism Defined
Professional Dispositions
Commitment to Competence
Commitment to Conduct
Respect for the Profession
Respect for the Professional Relationship
Respecting the Client
Commitment to Confidentiality
Clinical Documentation
Elements of Quality Clinical Documentation
Payment for Services
Risk Management
Maltreatment or Abuse of Older Adults
Types of Maltreatment or Abuse of Older Adults
Signs of Maltreatment or Abuse of Older Adults
Reporting Maltreatment or Abuse of Older Adults
Cross-Cultural Communication
Cross-Cultural Communication Differences
Cross-Cultural Communication Models
Iceberg Model
Chapter Summary
Discussion Questions
Multiple Choice Questions
References
Chapter 3: Patient-Client and Family Caregiver Considerations
Historical Perspectives on Person-Centered Care, Family Caregiving, and Interprofessional Collaboration
Additional Federal Reports on Family Caregiving
Improving the Home Care Experience of Older Patients
Health Literacy
Support Systems for Family Caregivers in Home Care Settings
Characteristics and Responsibilities of Family Caregivers in the Home Care Milieu
Challenges Faced by Family Caregivers in Home Healthcare
Quality of Life and Wellness Considerations for Patients and Caregivers
Client and Family Autonomy and Choice Making
Multicultural Considerations
Chapter Summary
Case Study: Jeralean
Discussion Question
Multiple Choice Questions
References
Chapter 4: Medical Social Work and Case Management
Introduction
Crisis Management
Psychosocial Assessment and Psychological Review
Service and Intervention Planning
Counseling and Education
Care Coordination
Natural Clinical Environment Versus Other Clinical Settings
Benefits and Limitations of Providing Care in the Skilled Nursing or Hospital Setting
Benefits and Limitations of Providing Care in the National Clinical Environment
The Person-in-Environment Approach
Accentuating Traditional Assessment Procedures and Evaluating Patient Needs
Safety Considerations, Crisis Planning, Emergency Preparedness
Violence in the Home Care Setting
Home Care Safety
Emergency Preparedness
Emergency Preparedness: Healthcare Organizations
Emergency Preparedness: The Patient and Family
Telehealth
Preparing for a Telehealth Appointment
Step 1: Consider the Patient’s Interest
Step 2: Obtain Informed Consent
Step 3: Ensure Access to Internet or Phone Service
Step 4: Prepare for the Appointment
Interprofessional Collaboration
Coordinating Medical Services and Referrals
Resolving Interprofessional Conflict and Disagreement Among IP Team Members
Chapter Summary
Discussion Questions
Assignment
References
Untitled
Chapter 5: Skilled Nursing
Introduction
Interprofessional Teaming and a Fundamental Care Model
Care Environments
Hospital
Clinic or Office
Natural or Home
Telehealth
Skilled in the Home Care Setting
Nursing Assessment in the Home Care Environment
Safety Considerations and Crisis Planning
Chapter Summary
A Skilled Nurse’s Response to the Case Study on Jeralean
Discussion Question
Multiple Choice Questions
References
Chapter 6: Physical Therapy
Introduction
Natural Environment Versus Office Setting (Juxtaposition of Risks and Benefits)
Accentuating Traditional Assessment Procedures and Evaluating Needs
Initial Interview
Outcome and Assessment Information Set (OASIS)
Patient Examination
Referrals/Selecting Care Personnel/Coordinating Medical Services
Safety Considerations and Crisis Planning
Telehealth in Home Healthcare
The Role of the Physical Therapist Assistant
Chapter Summary
The Interprofessional Team Dynamics Case Study: Jeralean
Discussion Question
Multiple Choice Questions
References
Chapter 7: Occupational Therapy
Occupational Therapy
Natural Environment Versus Office Setting (Juxtaposition of Risks and Benefits)
Accentuating Traditional Assessment Procedures and Evaluating Needs
Safety Considerations and Crisis Planning
Interprofessional Collaboration
Integration of Occupational Therapy into an Interprofessional Collaborative Team
OT Referrals in an Interprofessional Collaborative Team
Care Coordination of Medical Services and Selecting Care Personnel
Telehealth
Case Study: Occupational Therapy Practice Framework
Occupational Therapy Domain
Occupations
Contexts
Performance Patterns
Performance Skills
Client Factors
Chapter Summary
Discussion Questions
Multiple Choice Questions
References
Chapter 8: Behavioral Healthcare
Introduction
Behavioral Healthcare: Natural Environment Versus Office Setting
Community-Based Programs
Using the Home Environment to Accentuate Traditional Assessment Procedures
Safety Considerations and Crisis Planning
Interprofessional Collaboration and Referrals
Tele-Behavioral Health Services
Tool Box: Behavioral Health Activities for Use with Older Clients
Case Study: IP Collaboration on Behalf of Jeralean
Chapter Summary
Discussion Questions
Multiple Choice Questions
References
Chapter 9: Other Relevant Home Care Services: Prosthetics and Orthotics, Pharmacy Services, Durable Medical Equipment, and Nutritional Services
Introduction to Prosthetics and Orthotics
Natural Environment Versus Traditional Setting
Using the Home Environment to Accentuate Traditional Assessment and Evaluation
Safety Considerations and Crisis Planning
Interprofessional Collaboration and Referrals/Coordinating Medical Services/Patient Selection of Services
Tele-Health
Case Study: Perspective of a Prosthetist
Pharmacy Services
Durable Medical Equipment
Nutritional Services
Case Study: Perspective of a Registered Dietician
Chapter Summary
Discussion Question
Multiple Choice Questions
References
Chapter 10: Conclusion: Integration and Synthesis
Introduction
Integration and Synthesis of Diverse Care Perspectives
Maximizing Health Outcomes for Older Patients
Communication Is Fundamental
A Best Practice Quality Model for Home Care Services
IP Team Members’ (Practice) Contributions
Interprofessional Team Collaboration Moving Forward: The Need for New Policy and Legislation
Chapter Summary
Discussion Question
Multiple Choice Questions
References
Appendices
Appendix A: Answer Key
Chapter 1
Discussion Question
Multiple Choice Questions
Chapter 2
Discussion Questions
Multiple Choice Questions
Chapter 3
Discussion Question
Multiple Choice Questions
Chapter 4
Discussion Questions
Assignment
Assignment: “Make a Plan” Activity
Chapter 5
Discussion Question
Multiple-Choice Questions
Chapter 6
Discussion Question
Multiple Choice Questions
Chapter 7
Discussion Questions
Multiple Choice Questions
Chapter 8
Discussion Questions
Multiple Choice Questions
Chapter 9
Discussion Question
Multiple Choice Questions
Chapter 10
Discussion Question
Multiple Choice Questions
Appendix B: Resource List
Appendix C: Chapter 6 Assessment Form
Reference
Index


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