Practical interventions to prevent or lower emergent care and rehospitalization: patient education for home care patients with COPD.
This article discusses the nursing process in action. For best development of a plan with practical interventions for Mr. D. M., the admitting nurse completed a comprehensive assessment and used the home health agency's (HHA) checklist to assess for risk factors associated with rehospitalization. After Mr. D. M. was found to have met the criteria (5 or more risk factors), nursing diagnoses were identified and a high-risk clinical pathway was initiated. Interventions including patient education were implemented and evaluated at subsequent home visits.
Finlandia University, USA. gladys.polzien@finlandia.edu
Gladys
G
Polzien
D000368:Aged; D003152:Community Health Nursing / Q000458:organization & administration*; D019091:Critical Pathways; D004630:Emergencies / Q000451:nursing; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D015577:Geriatric Assessment; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D008297:Male; D024802:Nurse's Role; D009730:Nursing Assessment; D009733:Nursing Diagnosis; D009736:Nursing Process; D010347:Patient Care Planning; D010353:Patient Education as Topic / Q000458:organization & administration*; D010359:Patient Readmission / Q000706:statistics & numerical data; D029424:Pulmonary Disease, Chronic Obstructive / Q000209:etiology / Q000451:nursing / Q000517:prevention & control*; D018570:Risk Assessment; D012307:Risk Factors; D017751:Safety Management; D012648:Self Care / Q000379:methods