A Conceptual-Theoretical-Empirical Structure for the Study of Alzheimer Informal Caregivers and Home Health Care Nursing Services

2019 ◽  
Vol 31 (4) ◽  
pp. 231-238 ◽  
Author(s):  
Joanne M. Garvey ◽  
Joanne Marie Dalton ◽  
Cherlie Magny-Normilus
Keyword(s):  
Health Care ◽  
Alzheimer Disease ◽  
Home Health Care ◽  
Informal Caregivers ◽  
Home Health ◽  
Nursing Services ◽  
Middle Range ◽  
Range Theory ◽  
Roy's Adaptation Model ◽  
Care Nursing

The purpose of this article is to describe the process used to create a conceptual-theoretical-empirical structure for a proposed study of policies for home health care nursing services for informal caregivers of persons with Alzheimer disease. The process consisted of linkage of the Conceptual Model of Nursing and Health Policy with Roy’s Adaptation Model to guide derivation of a middle-range theory of home health care nursing services for Alzheimer disease informal caregiving, and selection of appropriate empirical research methods.

scholarly journals Informal caregivers and persons with dementia’s everyday life coping

2021 ◽  
Vol 8 (1) ◽  
pp. 205510292110009
Author(s):  
Bente Nordtug ◽  
Wenche K Malmedal ◽  
Rigmor Einang Alnes ◽  
Kari Blindheim ◽  
Gunn Steinsheim ◽  
...  
Keyword(s):  
Health Care ◽  
Nursing Home ◽  
Everyday Life ◽  
Home Health Care ◽  
Health Personnel ◽  
Informal Caregivers ◽  
Home Health ◽  
Dementia Prevalence ◽  
Close Relatives ◽  
Home Availability

This qualitative study explores informal caregivers’ experiences of supporting persons with dementia’s everyday life coping. In the future, there will be fewer health personnel, increased dementia prevalence and limited nursing home availability. Accordingly, close relatives may be compelled to assume greater care responsibilities. Knowledge concerning persons with dementia’s everyday coping from the perspective of informal caregivers remains insufficient, despite these people’s importance for those with dementia. This investigation analyses informal caregivers’ perceived challenges and pleasures in providing care, how home health care affects everyday life coping and the factors that are most important to informal caregivers in supporting care receivers.

scholarly journals Exploring Reasons for Delayed Start-of-Care Nursing Visits in Home Health Care: Algorithm Development and Data Science Study (Preprint)

2021 ◽  
Author(s):  
Maryam Zolnoori ◽  
Jiyoun Song ◽  
Margaret V McDonald ◽  
Yolanda Barrón ◽  
Kenrick Cato ◽  
...  
Keyword(s):  
Health Care ◽  
New York ◽  
Language Processing ◽  
Home Health Care ◽  
Data Science ◽  
Home Health ◽  
Free Text ◽  
Large Patient ◽  
Episodes Of Care ◽  
Care Nursing

BACKGROUND Delayed start-of-care nursing visits in home health care (HHC) can result in negative outcomes, such as hospitalization. No previous studies have investigated why start-of-care HHC nursing visits are delayed, in part because most reasons for delayed visits are documented in free-text HHC nursing notes. OBJECTIVE The aims of this study were to (1) develop and test a natural language processing (NLP) algorithm that automatically identifies reasons for delayed visits in HHC free-text clinical notes and (2) describe reasons for delayed visits in a large patient sample. METHODS This study was conducted at the Visiting Nurse Service of New York (VNSNY). We examined data available at the VNSNY on all new episodes of care started in 2019 (N=48,497). An NLP algorithm was developed and tested to automatically identify and classify reasons for delayed visits. RESULTS The performance of the NLP algorithm was 0.8, 0.75, and 0.77 for precision, recall, and F-score, respectively. A total of one-third of HHC episodes (n=16,244) had delayed start-of-care HHC nursing visits. The most prevalent identified category of reasons for delayed start-of-care nursing visits was no answer at the door or phone (3728/8051, 46.3%), followed by patient/family request to postpone or refuse some HHC services (n=2858, 35.5%), and administrative or scheduling issues (n=1465, 18.2%). In 40% (n=16,244) of HHC episodes, 2 or more reasons were documented. CONCLUSIONS To avoid critical delays in start-of-care nursing visits, HHC organizations might examine and improve ways to effectively address the reasons for delayed visits, using effective interventions, such as educating patients or caregivers on the importance of a timely nursing visit and improving patients’ intake procedures.

Home care reimbursement for intravenous ganciclovir therapy

1996 ◽  
Vol 53 (2) ◽  
pp. 161-163 ◽  
Author(s):  
Essy Mozaffari ◽  
Sean D. Sullivan
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Home Care ◽  
Home Health Care ◽  
Home Health ◽  
Fee For Service ◽  
Geographic Variations ◽  
Intravenous Ganciclovir ◽  
Ganciclovir Therapy ◽  
Nursing Services

Variability in reimbursement for home i.v. ganciclovir therapy among three types of payers was investigated. A survey was developed to estimate reimbursement for drug and medical supplies and nursing services associated with preparing i.v. ganciclovir and administering it to persons with cytomegalovirus (CMV)-associated retinitis in the home care setting. The questionnaire was mailed to 45 home health care agencies and 11 nursing agencies. Of the 56 surveys mailed, 26 (46%) were returned and considered usable. Of the 26 respondents, 22 were home health care companies, 4 were nursing ageiicies, 22 served patients covered by managed care or state assistance that reimbursed on a per diem trasis, and 9 did not provide care to fee-for-service patients. The mean total daily-reimbursement rate (for ganciclovir, supplies, and nursing services) from managed care per diem plans was $137.69 per patient, compared with $I29.18 from fee-for-service plans and $72.68 from state assistance per diem plans. The dissimilarity may have been due to geographic variations in reimbursement and different mechanisms of reimbursement. Providers of home i.v. ganciclovir therapy for persons with CMV retinitis received the highest tnean total daily reimbursement from managed care per diem plans, followed by fee-for-service plans and state assistance per diem plans.

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