The nurse administrating home care services researches quality ...

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The nurse administrating home care services researches quality indicators of home care. What is vital in order for the home care agencies to maintain funding?
 
  A) Avoidance of malpractice lawsuits
  B) Emphasis on safety in the home
  C) Avoidance of rehospitalization of clients
  D) Reliance on clients with private insurance

Question 2

A client has multiple sclerosis and uses crutches to assist with mobility. The client uses a Lofstrand crutch. What is the best explanation of this type of crutch by the student nurse to the nurse educator?
 
  A) Single hand bar for the user to grip and a cuff that fits around the arm
  B) Two bars extending straight down to the floor, connected by a rounded end
  C) Gives more support because it stays in contact with the floor
  D) Reaches from the ground to the client's axillae or forearm

[abro1885]

Answer to Question 1

C
Feedback:
During the 8th Scope of Work (SOW) of the Centers for Medicare and Medicaid Services (CMS), home care agencies were given the directive and responsibility to reduce unnecessary and avoidable rehospitalizations (Approximately one-fifth of clients return to the hospital within 30 days and many have not seen their primary care provider since discharge). Because Acute Care Hospitalization (ACH) is one of the publicly reported measures (PRM) or quality indicators of home care, the avoidance of unnecessary rehospitalizations is vital for the home care agency to maintain its funding.

Answer to Question 2

A
Feedback:
Crutches are walking aids made of wood or metal in the form of a shaft. They reach from the ground to the client's axillae or forearm. The Lofstrand crutch has a single hand bar for the user to grip and a cuff that fits around the arm. People with a permanent disability (e.g., multiple sclerosis or post-polio syndrome) or a long-term disability (e.g., spinal cord injury) often prefer this crutch. The person can drop the hand bar and grasp a handrail or do work without losing the crutch. Although the Lofstrand crutch is more convenient than traditional crutches, it provides less stability. The platform crutch is used in a similar manner. Another type of crutch is called a rocker crutch. This crutch has the two bars extending straight down to the floor, connected by a rounded end or rocker. The rocker end contains a rubber pad, to prevent slipping. This crutch gives more support, because it stays in contact with the floor while the client rocks on the crutch and swings the weight through.

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