In the United States, health care devices, technologies, and practices are rapidly moving into the home. The factors driving this migration include the costs of health care, the growing numbers of older adults, the increasing prevalence of chronic conditions and diseases and improved survival rates for people with those conditions and diseases, and a wide range of technological innovations. The health care that results varies considerably in its safety, effectiveness, and efficiency, as well as in its quality and cost. Health Care Comes Home reviews the state of current knowledge and practice about many aspects of health care in residential settings and explores the short- and long-term effects of emerging trends and technologies. By evaluating existing systems, the book identifies design problems and imbalances between technological system demands and the capabilities of users. Health Care Comes Home recommends critical steps to improve health care in the home. The book's recommendations cover the regulation of health care technologies, proper training and preparation for people who provide in-home care, and how existing housing can be modified and new accessible housing can be better designed for residential health care. The book also identifies knowledge gaps in the field and how these can be addressed through research and development initiatives. Health Care Comes Home lays the foundation for the integration of human health factors with the design and implementation of home health care devices, technologies, and practices. The book describes ways in which the Agency for Healthcare Research and Quality (AHRQ), the U.S. Food and Drug Administration (FDA), and federal housing agencies can collaborate to improve the quality of health care at home. It is also a valuable resource for residential health care providers and caregivers.

The rapid growth of home health care has raised many unsolved issues and will have consequences that are far too broad for any one group to analyze in their entirety. Yet a major influence on the safety, quality, and effectiveness of home health care will be the set of issues encompassed by the field of human factors research-the discipline of applying what is known about human capabilities and limitations to the design of products, processes, systems, and work environments. To address these challenges, the National Research Council began a multidisciplinary study to examine a diverse range of behavioral and human factors issues resulting from the increasing migration of medical devices, technologies, and care practices into the home. Its goal is to lay the groundwork for a thorough integration of human factors research with the design and implementation of home health care devices, technologies, and practices. On October 1 and 2, 2009, a group of human factors and other experts met to consider a diverse range of behavioral and human factors issues associated with the increasing migration of medical devices, technologies, and care practices into the home. This book is a summary of that workshop, representing the culmination of the first phase of the study.

Individuals with disabilities, chronic conditions, and functional impairments need a range of services and supports to keep living independently. However, there often is not a strong link between medical care provided in the home and the necessary social services and supports for independent living. Home health agencies and others are rising to the challenges of meeting the needs and demands of these populations to stay at home by exploring alternative models of care and payment approaches, the best use of their workforces, and technologies that can enhance independent living. All of these challenges and opportunities lead to the consideration of how home health care fits into the future health care system overall. On September 30 and October 1, 2014, the Institute of Medicine and the National Research Council convened a public workshop on the future of home health care. The workshop brought together a spectrum of public and private stakeholders and thought leaders to improve understanding of the current role of Medicare home health care in supporting aging in place and in helping high-risk, chronically ill, and disabled Americans receive health care in their communities. Through presentations and discussion, participants explored the evolving role of Medicare home health care in caring for Americans in the future, including how to integrate Medicare home health care into new models for the delivery of care and the future health care marketplace. The workshop also considered the key policy reforms and investments in workforces, technologies, and research needed to leverage the value of home health care to support older Americans, and research priorities that can help clarify the value of home health care. This summary captures important points raised by the individual speakers and workshop participants.

This book is designed to foster quality care to home care recipients. It is written for companions, home health aides, and other care givers who deliver non-medical home care. Prieto provides information, tips, and techniques on personal care routines as well as additional responsibilities that are often necessary in this work, including home safety and maintenance, meal planning, errand running, caring for couples, and making use of recreational time. Going beyond standard nurses' aide training manuals, the book focuses on the psycho-social needs of home care recipients, stressing the need to maintain the house as a home and sustaining the recipient's way of life throughout caregiving situations. Prieto stresses interpersonal skills that benefit recipient and caregiver, creating a systematic, easy-to-follow plan for delivering quality service and maintaining, or improving, quality of life.

The second edition of Providing Home Care: A Textbook for Home Health Aides, the accompanying workbook, and the instructor?s guide are now available!This book will help your aides master what they need to know to provide excellent, compassionate care to clients with very different needs.This book is organized around learning objectives with colored tabs for easy location of material.The second edition contains new and/or updated information on: HIPPA and protecting a client's privacy MRSA and VRE Care for the client with COPD Cultural sensitivity Hip replacement care Mercury-free thermometers Disinfection and sterilization NEW two-step procedure for taking blood pressure We also condensed and made the anatomy and physiology chapter more basic, added chapter review questions, and updated the design and many of the illustrations.

Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition. Handbook of Home Health Care, Fifth Edition has been completely revised and updated to provide up-to-date, specific, authoritative guidance for the successful administration and management of home health care agencies. An excellent, comprehensive text, this Handbook addresses detailed legal and legislative issues, case management processes, and state-of-the-art technology.