Wound Care in Home-Based Settings
Fig. 10.1 McClemont Cone Effect : When a person is lying or sitting, muscle, fat, and skin are sandwiched between bone and the external surface. Prolonged compression of capillaries that…
How to Perform a House Call
General supplies Alcohol swabs Local anesthetic with syringes and needles Topical antiseptic (chlorhexidine or iodine) Sterile and nonsterile gauze pads Sterile and nonsterile gloves Surgical tape Hemostats Sutures Suture and…
Getting Started with Home-Based Medical Care
Pulse oximeter Blood pressure cuff with multiple sizes Digital ear thermometer Portable digital scale Stethoscope Rechargeable otoscope/ophthalmoscope Hemoccult cards and developer Ear curettes Small forceps Bandage scissors Bionex ear irrigation…
Common Cognitive Issues in Home-Based Medical Care
Anticholinergics Antihistamines, including H2 blockers Overactive bladder treatments Antispasmodics Anti-Parkinsonian agents Antidepressants Antipsychotics Benzodiazapines Nonsteroidal anti-inflammatory drugs (NSAIDs) Opioids Sedatives Steroids Table 5.2 Causes of non-AD-related cognitive impairment Type of…
Common Infections
Alternative diagnosis Comments Asymptomatic bacteriuria Consider in patients presenting with delirium who lack the ability to give a urinary ROS Volume depletion Consider in patients presenting with malodorous urine without…
Adult Psychiatric Care in the Home
Over the last 2 weeks, how often have you been bothered by any of the following problems? Not at all Several days More than half of the days Nearly every…
Common Neurologic Issues
Brain region Hemisphere Functional region Stroke symptom Cortex Left Language Speech fluency or language (Aphasia) Vision Visual field defects Sensorimotor Right-sided sensory impairment and/or hemiparesis or hemiplegia Cognition Inability to…
Common Functional Problems
Malignancy (19–36 %) Gastrointestinal: accounts for 50 % Lung, lymphoma, prostate, ovarian, or bladder Nonmalignant gastrointestinal disease (9–19 %) Swallowing and motility disorders Peptic ulcer disease Malabsorption Chronic diseases Endocrine…
Care Planning and Coordination of Services
Home-based medical care • Diagnostic • Urgent care • Hospital at home • Transitional care • Chronic primary care • Palliative care Home health agency • Nursing – Infusion – Wound care – Education – Assessment – Psychiatric nursing • Therapy – Physical – Occupational…
Palliative Care
Fig. 12.1 Homecare medicine and palliative care : skills and settings Table 12.1 Primary palliative care Key components of primary palliative care Pain/symptom assessment and management Social/spiritual assessment Understanding of…
