Home Health

Lydia Corum's picture

by Lydia A Meyers RN, MSN, CWCN

At the start of December, I was looking at graduation from my Master's Degree program and the completion of my final paper. A capstone to the Master's program is much like the dissertation to the doctoral program. My journey has been long and along the way I have increased my base of knowledge. What I have learned on this journey will enhance my practical knowledge of wound care and patient care. I learned that health care must change, and we must look hard at how we are doing business and be willing to challenge the status quo. Health care needs highly knowledgeable leaders to assure patients receive quality care by being good stewards of the money given to promote that care. The provider must be educated to assure the patient's wishes are followed first and always.

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Karen Zulkowski's picture

By Karen Zulkowski DNS, RN, CWS

Five million US rural residents live in designated provider shortage areas. A provider shortage area is defined by the federal government as counties with fewer than 33 primary care physicians per 100,000 residents. It is believed this shortage will be worse by 2014. Not surprisingly, rural residents and primary care providers rate their health care lower than their urban counterparts. Few specialists are available in rural areas with rural areas having half the number of surgeons and other specialists compared to urban areas.

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Michael Miller's picture

By Michael Miller DO, FACOS, FAPWCA, WCC

RAMBLINGS OF AN ITINERANT WOUND CARE GUY, PT. 16

As I write my blog, I wonder whether anyone really reads it. I know that my wife and daughters do, because they have no choice. For all the foibles my 24 year old is quick to point out --Dad, you’re not really going to wear that; Dad, you have a stain on your shirt; Dad, you need to empty the cat litter (to which I reply, “why, they didn't eat what I poured them yet!”)--, she has commented on an occasion or two, “That was funny” or, “Yeah, it’s pretty good this time.”

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Paula Erwin-Toth's picture

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

Part 4 in a series discussing the challenges and opportunities in patient/family education
For Part 1, Click Here
For Part 2, Click Here
For Part 3, Click Here

Paula Erwin-Toth's picture

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

Part 3 in a series discussing the challenges and opportunities in patient/family education
For Part 1, Click Here
For Part 2, Click Here

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Michael Miller's picture

By Michael Miller DO, FACOS, FAPWCA, WCC

RAMBLINGS OF AN ITINERANT WOUND CARE GUY, PT. 13

There is a particularly memorable scene in the 1976 Film “Network” in which Anchorman Howard Beale (played by acting maven Peter Finch), learns that he has just two more weeks on the air because of declining ratings. His angst finally comes to the surface and in a burst of splenic venting ecstasy, he persuades his viewers to shout out of their windows "I'm as mad as hell, and I'm not going to take this anymore!"

Paula Erwin-Toth's picture

Part 1 in a series discussing the challenges and opportunities in patient/family education

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

Mr. Gillan is a 72 year old man with venous insufficiency. He presents with a venous ulcer on his left lower leg. He has several co-morbid conditions including hypertension, cataracts, and osteoarthritis which includes his hands. His primary caregiver is his 74 year old wife who suffers from diabetes and mild dementia. They do not have any family living nearby. He is being discharged to his home with a primary wound dressing and compression wraps. His discharge instructions include requests for Home Care nursing and follow up with vascular medicine and a pedorthist.

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Glenda Motta's picture

By Glenda Motta RN, MPH

Most individuals with chronic conditions would much prefer to remain at home in familiar surroundings than be relocated to a nursing care facility. Yet, the largest expenditures under state Medicaid programs involve providing institutional care for the chronic, long-term care population.

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