Which of the following best describes why home health care has ...

[altibaby]

Which of the following best describes why home health care has continued to grow until very recently? (Select all that apply.)
 
  a. Consumers prefer home care, so they will personally pay for it.
  b. Demographicsthere are more elderly persons in U.S. society.
  c. Home care does not cost much more than institutional care.
  d. Insurance companies are encouraging home care.
  e. Medicare is encouraging home care rather than institutional care.
  f.
  Physicians prefer to visit clients in their homes rather than institutions.

Question 2

In which of the following ways is a hospice nurse different from any other nurse who provides care to a client in the context of their family and home environment? (Select all that apply.)
 
  a. Hospice nurses approach care in a holistic fashion.
  b. Hospice nurses continue to support the family after the client has died.
  c. Hospice nurses focus more on care and comfort than cure and control.
  d. Hospice nurses are expert in both physical and psychosocial care.
  e. Hospice nurses are more skilled at pharmaceutical pain management.
  f.
  Some hospice nurses see patients at home and others in institutions.

[aloop]

Answer to Question 1

ANS: B, D, E
Home care is less expensive than institutionalized care. Physicians rarely make home visits. Consumers cannot usually afford to personally pay for home care. The rapid growth of the home health market reflects the increasing proportion of people aged 65 years and older; the lower average cost of home health care compared with institutional costs; active insurer support; and Medicare promotion of home health care as an alternative to institutionalizatio n.

Answer to Question 2

ANS: B, C
Nurses who work with the terminally ill seek to enhance the patient's quality of life by focusing on relieving suffering throughout the illness, supporting the patient and family through the dying process, and providing grief support to the family after the patient has died. When the patient becomes terminally ill, the focus shifts from cure to comfort care. Hospice and palliative nursing care is provided in a variety of settings including hospitals, nursing homes, residential homes, and palliative care clinics. Ideally, all nurses approach care holistically and are expert in pain management and both physical and psychosocial care.