Home care nursing is a fast-growing sector of the healthcare ...

[jeatrice]

Home care nursing is a fast-growing sector of the healthcare system. Which of the following factors have contributed to the growth of home health care?
 
  1. The need for custodial care.
  2. Third-party payers who support cost-control measures.
  3. The increase in the older adult population.
  4. The decreasing need for acute care.
  5. A decrease in hospital-based services.

Question 2

An elderly client is being discharged home after a short illness and stay in acute care. The physician has written an order for home health follow-up.
 
  In order to better understand the need for any assistive devices, the home health nurse makes an assessment:
  1. At the initial home visit, in order to see the client in the home environment
  2. While the client is still a patient in the acute care hospital
  3. After the client has been home a few days and can help the nurse decide what is needed
  4. When the spouse is available to assist in the assesssment

[lindahyatt42]

Answer to Question 1

Correct Answer: 2,3
Rationale 1: A common misconception about home health nursing is that it is custodial in its scope of practice.
Rationale 2: Factors that have contributed to the growth of homecare services include third-party payers who favor home care to control costs.
Rationale 3: Factors that have contributed to the growth of homecare services include the increase in the older population.
Rationale 4: Acute care has not decreased, but the length of stay in acute care has.
Rationale 5: Hospital-based services, while increasing in cost, have not decreased in availability.

Answer to Question 2

Correct Answer: 2
Rationale 1: Once the client is at home, the need for the devices will be immediate and the client may have to wait unnecessarily for the required items.
Rationale 2: Assessment for the elderly client being discharged to home health should be initiated while the client is in the hospital to determine the need for assistive devices or environmental changes before the client returns home.
Rationale 3: Waiting a few days is a delay that is not beneficial for the client who requires these items upon arriving home.
Rationale 4: Waiting until the spouse is able to help is a delay that is not beneficial for the client who requires these items upon arriving home.

[jeatrice]

Both answers were spot on, thank you once again

[lindahyatt42]

Great! Please up vote