Home care allows the patient and family to maintain dignity and independence. According to the National Association for Home Care , there are more than 7 million people in the United States requiring nursing care home health due to illness, Acute Health Long Term Disability standing illness or terminal.
Fundamentals of Health Care
Nurses practice in several places: hospitals , nursing homes , assisted living facilities , and home health care . Nursing home care is a growing phenomenon as more patients and their families want to receive care in their homes. The history of health care nursing home public health in which public health nurses make home visits to promote health education and provide treatment as part of awareness programs community visits. Today academic programs train nurses in agencies and home care nurses provide medical care at home with sick people and their families depending on the experience and qualifications of the nurse. In many cases, there is a shared relationship between the agency and the educational institution.
Many changes have occurred in the field of health care in the home. These include Medicare and Medicaid, and Long Term Care insurance reimbursement and documentation. It is important that the nurse manager and the nurse to be aware of the many factors involved with these rules and regulations resulting from these organizations. Population and demographic changes taking place as well. Baby boomers nearing retirement and will present new challenges for the industry of health care in the home. Technology and health care in hospitals has led to shorter hospital stay and rehabilitation of housing . The increase in medical outpatient procedures are also underway with follow-up care at home. This was reflected in the decrease in the mortality rate of these technologies and medical care has led to an increase in morbidity and chronic disease that causes the need for home health care nursing a greater priority.
Home Health Nurse Job Description
With a wide range of skills and experience , nurses home health care specialize in a wide range of care , emotional support, education for patients recovering from illness and injury for young children and adults , women who experienced recent childbirth , the elderly who need palliative care for chronic diseases.
A nurse practitioner must have the skills necessary to provide care in a unique environment , such as someone's home . The nurse works with the patient and family, and include communication skills of this dynamic . The report is clear in all nursing positions , but working in their own living space of a patient who requires a different level of skill and understanding. Is the autonomous decision-making as the nurse is no longer working as a team with other nurses in a structured environment , but now as a team member " of the family. " Host family has cultural values that are important and are different for each patient should be treated with extreme sensitivity . Other skills include critical thinking , coordination, assessment , communication and documentation .
Health care centers also specialize in the care of children with disabilities who require additional skills such as patience and understanding of the needs of the family. Children living with disabilities today that would have resulted in mortality only last twenty years. Genetic disorders , congenital physical disabilities and injuries are just a few. Many families are familiar with the management needs of the child, but still need just a medical specialist care in the nursing home can provide. It is important for the health of nursing home care recognizes the experience of the family with the child's condition for proper care of the child. There is a lot of complexity, but more importantly , a positive attitude and positive reinforcement is important for children's development .
Coordination between health nurse home drug , doctor, pharmacist , ensures proper management of the exact science behind giving the patient the correct dose, time of administration , and combinations. Health care centers should be familiar with pharmacology and taught in training of medicines used by patients in clinical practice .
Many nurse practitioners are familiar with the advanced regiments drugs. They attended graduate programs. Home care agencies believe that health nurse must have at least one year of clinical experience before entering home health care . Advanced nurse practitioners can accelerate training by helping new nurses understand the health care market at home and education.
Employment and wages
According to the Ministry of Labor of the United States, there were 2.4 million nurses in the United States , the largest healthcare occupation , however , many academic and hospital organizations can believe that there is a severe shortage of nurses. The shortage of nurses was 6% in 2000 and should be 10% in 2010. The average salary for hospital care is $ 53,450 with May 3 nursing jobs are in the hospital. For health care in the home, the salary is $ 49,000. For nursing, which were the lowest of $ 48.200 .
Training and Continuing Education
More home health nursing earn his studies at accredited nursing schools throughout the country with an associate degree in nursing (ADN ) , a Bachelor of Science in Nursing ( BSN ) or a Master's degree in nursing ( MSN). According to the Ministry of Labor of the United States in 2004 there were 674 BSN nursing programs , 846 programs of DNA. Moreover, in 2004 , there were 417 degree management programs , 93 doctoral programs and 46 programs common BSN- PhD . The associate degree program takes 2-3 years to complete, while singles have 4 years to complete . Nurses can also earn specialized professional certificates online or in geriatric care planning for life care.
In addition , for nurses who choose to continue the progress of administrative positions or research, consulting and education, often a bachelor's degree is required. A bachelor's degree is also important to become a clinical nurse specialist , nurse anesthetists , midwives and nurse practitioners (Department of U.S. Labor , 2004).
All nursing home health supervised clinical experience during their training , but nurses as stated earlier advanced have master and unlike bachelor and associate degrees , have a minimum of two years ' post clinical experience. The course includes anatomy , physiology , chemistry, microbiology , nutrition , psychology and behavioral sciences and liberal arts . Many of these programs have training in home nursing care services, public health agencies home health and outpatient care . ( U.S. Department of Labor , 2004).
If a nurse is training in a hospital, nursing home or home care , continuing education is required. Health care is changing rapidly and to keep abreast of the latest developments enhances patient care and procedures in health . Universities , training programs and websites offer all continuing education. An organization that provides continuing education is the American Nurses Association ( ANA ) and the American Nurses Credentialing Center ( ANCC) .
conclusion
There are many rewards to becoming a care home health nurse . Some rewards include the relationship with the patient and family , autonomy , independence and engage in critical thinking. The 21st century brings many opportunities and challenges. We must respond to these challenges - there is an aging population of baby boomers , a factor of increased morbidity due to increased medical technology and patient care , and the growing shortage of nurses.
Becoming a home health care nurse today is exciting and an opportunity to make a difference one life at a time . With clinical experience and a good education, nursing care at home will lead to health care in the future.
By Michael V. Gruber , MPH is an author My nursing online, providing articles and resources for nurses looking for continuing education online. With a Masters in Public Health and two years of medical school , Michael brings a unique perspective on the current crisis of the shortage of nurses Nursing Job Blog and full articles on nursing education and advancement.
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