Author Question: Some of the difficulties families experience when caring for a patient in the home include which of ... (Read 36 times)

a0266361136 · **on:** Jul 16, 2018

Some of the difficulties families experience when caring for a patient in the home include which of the following?

1. Loss of work time
2. Loss of privacy when outside caregivers are in the home 24 hours a day
3. Financial stress
4. Transmission of nosocomial infections from patient to family

a. 1 and 3 only
b. 2 and 4 only
c. 1, 2, and 3 only
d. 1, 2, 3, and 4

Question 2

Follow-up assessment of a patient who is home ventilated on a regular service schedule generally includes which of the following?

1. Vital signs
2. Arterial blood gas (ABG) evaluation
3. Oxygen saturation measured by pulse oximeter (SpO2)
4. Portable chest radiograph

a. 1 only
b. 2 only
c. 1 and 3 only
d. 1, 2, 3, and 4

bob · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

ANS: D
In cases where the patient will be going home, a detailed psychological evaluation may be neces-sary to determine the ability of the patient and family to cope with stress. If the requirements for patient care exceed the family's capabilities, professional assistance is essential. The availability of other support systems such as home health agencies, respite care, and psychological consult-ants are often critical to the success or failure of homecare candidates. The need for support and counseling is assessed before discharge and reassessed periodically while the patient remains on mechanical ventilatory support. It is important to recognize that despite the significant savings accrued when a patient receives ventilatory care in the home, the overall cost can strain family budgets, even for those who are insured.

Answer to Question 2

ANS: C
Evaluations during home visits may include patient assessment parameters such as bedside pul-monary function studies, vital signs, and pulse oximetry. Assessment in the home does not gen-erally include ABG studies.