Home Health

Temple University School of Podiatric Medicine's picture
Temple University School of Podiatric Medicine Journal Review Club

Article Title: Pressure Injury Progression and Factors Associated With Different End-Points in a Home Palliative Care Setting: A Retrospective Chart Review Study
Authors: Artico M, D’Angelo D, Piredda M, et al
Journal: J Pain Symptom Manage 2018;56(1):23-31
Reviewed by: Arden Harada, class of 2021, Temple University School of Podiatric Medicine

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Margaret Heale's picture
Keywords: 
Home Health Nurse

By Margaret Heale, RN, MSc, CWOCN

"Must Love Dogs (Cats, Lizards, Snakes, Birds, AND Arachnids)." This is a line that needs to be next to all job advertisements for home health care staff. You see, I am a dog lover, not because I love dogs but because I have a way of being able to adapt in order to survive. I work in home care as a clinical nurse specialist and have slowly learned to love dogs ever since I was reported to my manager for mentioning I didn't like them much. Shortly after this I was told not to visit a patient whose cat I had shooed away from my wound dressing field. While discussing this with a colleague, she told me of the bird that had landed on her head that morning just as she was probing the patient's foot wound with a Q-tip. Maybe everybody has had experiences like mine, but maybe not, so I would like to put mine to paper to entertain you in this season of good cheer.

Paula Erwin-Toth's picture
Preventing Caregiver Burnout

Paula Erwin Toth, RN, MSN, FAAN
WOC nurse

November is National Family Caregiver Month. Family caregivers are the unsung heroes of the health care team. Without their loving care, hard work, and dedication our health care delivery system would crash and burn. They are the ones continuing our plans of care in the home. They are the nurse, physician, physical therapist, nursing assistant, home health aide, counselor, and social worker all rolled into one. They are expected to grasp complex care techniques that years ago were carried out only in the hospital.

Margaret Heale's picture
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Clean Technique

By Margaret Heale, RN, MSc, CWOCN

Having read a recent article on clean versus sterile dressing technique, commenting again on this issue seems highly appropriate. The conclusion of the paper essentially is that a clean technique for acute wound care does not affect the incidence of infection.1 There is insufficient evidence in the literature relating to chronic wound care. I particularly appreciated the comment that nurses need to decide which approach to have by using critical thinking skills. I was reminded of a visit to a patient to utilize a fancy new dressing that I had never used before.

Margaret Heale's picture
home care nurse with patient

By Margaret Heale RN, MSc, CWOCN

I watched a short PowerPoint DVD on the "bag technique" as part of our regular in-servicing the other day. The presentation started with the most important way to prevent cross infection—wash hands—which is fine. Then came the bag technique. I have no problem with the fundamentals of keeping your bag off the floor, only getting anything out of it after decontaminating your hands, and wiping before you store. I do have a problem with having to place the bag on a Chux or water-resistant wipeable or disposable surface, however.

Cheryl Carver's picture
Telemedicine Wound Care

by Cheryl Carver LPN, WCC, CWCA, CWCP, FACCWS, DAPWCA, CLTC

Let's be frank: wound care telemedicine cannot replace a visit to a physician's office or the wound care center. Telemedicine was primarily developed to reduce visits and help serve people living in rural communities. However, telemedicine can supplement advanced wound care in many ways, and has been proven to be time saving and effective. Telemedicine in wound care has its pros and cons (like anything else), but with a protocol-driven approach, it is effective for wound healing.

Terri Kolenich's picture
Caregiver

by Terri Kolenich, RN, CWCA, AAPWCA

"To care for those who once cared for us is one of the highest honors."
― Tia Walker, The Inspired Caregiver: Finding Joy While Caring for Those You Love