tailieunhanh - Lecture Mosby's paramedic textbook (4th ed) - Chapter 52: Acute interventions for home care

In this chapter you will learn about the following: Describe the basic structure of the legal system in the United States, relate how laws affect the paramedic’s practice, list situations that a paramedic is legally required to report in most states, describe the four elements involved in a claim of negligence, describe measures paramedics may take to protect themselves from claims of negligence. | 9/11/2012 1 Chapter 52 Acute Interventions for Home Care 2 Learning Objectives • Discuss general issues related to the home health care patient. • Outline general principles of assessment and management of the home health care patient. • Describe medical equipment, assessment, and management of the home health care patient with inadequate respiratory support. 3 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 1 9/11/2012 Learning Objectives • Identify assessment findings and acute interventions for problems related to vascular access devices in the home health care setting. • Describe medical equipment, assessment, and management of the patient with a gastrointestinal or genitourinary crisis in the home health care setting. 4 Learning Objectives • Identify key assessments and principles of wound care management in the home health care patient. • Outline maternal/child problems that may be encountered early in the postpartum period in the home health care setting. • Describe medical therapy associated with hospice and comfort care in the home health care setting. 5 Overview of Home Health Care • Home health care began in . in late 1800s as direct result of rapid city growth and an increase in the number of immigrants moving into large cities – Emphasis of home health care at that time was on personal hygiene and preventive care – Health services were provided by visiting nurses • Worked in tenements to assist poor • Cared for wealthy and middle‐class families after births or discharges from hospitals – At first, few physicians were associated with most of these home health care groups 6 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 2 9/11/2012 Overview of Home Health Care • Until mid‐1960s, home health care continued to focus on poor – Rest of population received care in hospitals and doctors’ offices – .