Home health care is an important aspect of community health and a growing area of healthcare services. Clinical Case Studies in Home Health Care uses a case-based approach to provide home healthcare professionals, educators, and students with a useful tool for thoughtful, holistic care.
The book begins with a thorough and accessible introduction to the principles of home health care, including a discussion of supporting theoretical frameworks and information on managing complexities, transitioning patients to home care, and preparation for the home visit. Subsequent sections are comprised entirely of case studies organized by body system. Though cases are diverse in content, each is presented in a consistent manner, incorporating relevant data about the patient and caregivers and the approach to patient care and promoting a logical approach to patient presentation. Cases also include helpful tips about reimbursement practices, cultural competence, community resources, and rehabilitation needs.
Contributors ix Preface xiii Acknowledgments xvii Section 1 Introduction 3 Chapter 1 Theoretical Frameworks That Support Home Care 5 By Leslie Neal-Boylan, PhD, RN, CRRN, APRN-BC, FNP Chapter 2 Managing the Complexities of Home Health Care 13 By Mary Curry Narayan, MSN, RN, HHCNS-BC, COS-C Chapter 3 Transitioning 23 By Jeanie Stoker, MPA, RN, BC Chapter 4 The Home Visit 33 By Pamela Teenier, RN, BSN, MBA, CHCE, HCS-D, COS-C, and Lelah R. Marzi, RN, MBA, BSN, COS-C, HCS-D Section 2 Cardiac 43 Case 2.1 Congestive Heart Failure 45 By Jeanie Stoker, MPA, RN, BC Case 2.2 Atrial Fibrillation 55 By Jeanie Stoker, MPA, RN, BC Case 2.3 Wound following a Coronary Artery Bypass Graft (CABG) 65 By Jeanie Stoker, MPA, RN, BC Section 3 Peripheral Vascular Disease 75 Case 3.1 Peripheral Vascular Disease 77 By Linda Royer, PhD, RN Section 4 Pulmonary 87 Case 4.1 Chronic Obstructive Pulmonary Disease (COPD) 89 By Lisa A. Gorski, MS, HHCNS, BC, CRNI, FAAN Case 4.2 Pneumonia 99 By Leigh Ann Howard, RN, MSN Case 4.3 Tuberculosis 107 By Leigh Ann Howard, RN, MSN Section 5 Gastrointestinal 113 Case 5.1 Stomach Cancer 115 By Sharron E. Guillett, PhD, RN Case 5.2 Malnutrition/Anemia 123 By Linda Royer, PhD, RN Section 6 Genitourinary 135 Case 6.1 Neurogenic Bladder 137 By Kathleen Francis, RN, MSN, CWOCN Case 6.2 Urostomy Care 151 By Kathleen Francis, RN, MSN, CWOCN Case 6.3 Urinary Tract Infection and Functional Incontinence 163 By Kathleen Francis, RN, MSN, CWOCN Section 7 Psychiatric/Mental Health 173 Case 7.1 Bipolar Disorder 175 By Joanne DeSanto Iennaco, PhD, PMHCNS-BC, APRN Case 7.2 Personality Disorders 185 By Debra Riendeau, MN, APRN, BC, PMHNP-BC Case 7.3 Schizophrenia 195 By Joanne DeSanto Iennaco, PhD, PMHCNS-BC, APRN Case 7.4 Schizoaffective Disorder 203 By Joanne DeSanto Iennaco, PhD, PMHCNS-BC, APRN Section 8 Musculoskeletal 215 Case 8.1 Muscular Dystrophy 217 By Sharron E. Guillett, PhD, RN Case 8.2 Cerebral Palsy 225 By Sharron E. Guillett, PhD, RN Case 8.3 Osteomyelitis, Decubitus Ulcer, and Paraplegia 235 By Linda Royer, PhD, RN Section 9 Neurological 247 Case 9.1 Brain Stem Infarct 249 By Shelia Spurlock-White, MSN, RN Case 9.2 Multiple Sclerosis 259 By Leslie Neal-Boylan, PhD, RN, CRRN, APRN-BC, FNP Section 10 Maternal Health 267 Case 10.1 Antepartum Care 269 By Ruth Smillie, RN, MSN Case 10.2 Postpartum Care following Uncomplicated Delivery 281 By Ruth Smillie, RN, MSN Case 10.3 Postpartum Care following Complicated Delivery 291 By Ruth Smillie, RN, MSN Section 11 Pediatrics 299 Case 11.1 Premature Infant with Apnea and Reflux 301 By Teresa LaMonica, PhD, MSN, RN, CPNP Case 11.2 Asthma 311 By Teresa LaMonica, PhD, MSN, RN, CPNP Case 11.3 Adolescent with Neurodevelopmental Disability 319 By Teresa LaMonica, PhD, MSN, RN, CPNP Section 12 Pediatric Intensive Care 329 Case 12.1 Alpha-Thalassemia X-Linked Mental Retardation Syndrome 331 By Lannette Johnston, RN, BSN, MS, CPST Case 12.2 Anoxic Brain Damage/Achondroplasia 341 By Lannette Johnston, RN, BSN, MS, CPST Case 12.3 Cerebral Palsy/Acute Respiratory Failure 353 By Lannette Johnston, RN, BSN, MS, CPST Section 13 Infectious Disease 365 Case 13.1 Clostridium difficile-Associated Disease (CDAD) 367 By Debra Riendeau, MN, APRN, BC, PMHNP-BC Case 13.2 Community-Associated, Methicillin-Resistant Staphylococcus aureus (MRSA) 377 By Debra Riendeau, MN, APRN, BC, PMHNP-BC Case 13.3 Influenza 387 By Sharon D. Martin, RN, MSN, PhD(c) Section 14 Endocrine 399 Case 14.1 Diabetes Mellitus Type 1 401 By Caryl Ann O’Reilly, CNS, CDE, MBA Case 14.2 Diabetes Mellitus Type 2 411 By Caryl Ann O’Reilly, CNS, CDE, MBA Section 15 End-of-Life Care 421 Case 15.1 Grief 423 By Debra Riendeau, MN, APRN, BC, PMHNP-BC Case 15.2 Palliative Care 437 By Susan Breakwell, APHN-BC, DNP Case 15.3 Hospice 447 By Susan Breakwell, APHN-BC, DNP Case 15.4 Amyotrophic Lateral Sclerosis 459 By Susan Breakwell, APHN-BC, DNP Index 467
Leslie Neal-Boylan, PhD, RN, CRRN, APRN-BC is a certified family nurse practitioner, rehabilitation nurse, and home health nurse. She developed the Neal Theory of Home Health Nursing and has published and presented widely on issues related to rehabilitation, disability, chronic illness, home health, and nurse workforce. Dr. Neal-Boylan has edited four books, one of which won the American Journal of Nursing Book of the Year Award. She was also the consulting editor for the 2010-2011 edition of the Visiting Nurse Associations of America's Nursing Procedure Manual.
