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
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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.

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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.

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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

As a nurse who was once a caregiver for a family member, I have a unique and personal perspective on the needs of caregivers. I cared for my mother-in-law, who was also my best friend and mentor, during the last several months of her life. At the time I provided care for her, I hadn't yet started my education to become a nurse. Knowing what I know now as a nurse causes me to reflect often on the daily struggles I encountered performing the very basic elements of her care.

Michael Miller's picture

By Michael Miller DO, FACOS, FAPWCA, WCC

We have all seen the use of the term "Entitlement Mentality" in the media. Liberals decry its use by pointing out that the government has a duty to all citizens to assure that all people have the same rights. This argument tends to fall short when there is juxtaposition of families with multiple generations of "welfare" against those who chose to delay gratification to further their educations and become health care professionals and other occupations of service. We have all seen patients whose corpulence rivals that of Jabba the Hut and wondered not only how someone could allow themselves to mutate into such a state but more, how their loved ones could allow it. Of course, in the grand scheme of things, it does make for interesting reality television. Like the 55 year old male who had the equivalent of a '57 Chevy bypassed from him. Let's face it–regardless of how mechanistic you would like to believe we all are, regardless of your occupation, personal feelings always play a role. If not, then why would it matter if there were Republicans or Democrats sitting on our judiciary, as shouldn't the laws be interpreted based on their meaning and relationship to the US constitution and Bill of Rights and not which President appointed you to the bench?

Paula Erwin-Toth's picture

By Paula Erwin-Toth MSN, RN, CWOCN, CNS

November is National Caregiver Month. Unpaid caregivers are the unsung army of health care providers. They give their time, energy, resources and most importantly love to those in need. Years ago images in television and movies depicted multi-generational families living under one roof in peace and harmony. Today's realities of caring for a loved one with significant medical, psychological and psychiatric needs largely go unacknowledged and unappreciated.

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By Paula Erwin-Toth MSN, RN, CWOCN, CNS

Ah February! The month of love and romance. Regardless of whether Buckeye Chuck or Punxsutawney Phil predicted an early spring or 6 more weeks of winter for those of us who live in the northern climes winter seems cold, dark and endless. Seasonal affective disorder (SAD) is a real possibility and the idea of hibernating until spring is tempting. If you are living with a chronic wound, this time of year can be especially problematic. Getting out for groceries, doctors appointments, or worship can be a major undertaking. The challenges for home care nurses are incredible.