Home Health Aide On-The-Go In-Service Lessons: Vol. 2, Issue 2: Urinary Tract Infections

Home Health Aide On-The-Go In-Service Lessons: Vol. 2, Issue 2: Urinary Tract Infections
Author:
Publisher: Beacon Health, a Division of Blr
Total Pages: 0
Release: 2007-12-31
Genre:
ISBN: 9781601464811

This lesson on Urinary Tract Infections includes a complete training packet. Each in-service packet takes approximately one hour to complete and fully meets the Medicare in-service training requirements. As aides need training, you can make as many copies as you want - there's no restriction when used with aides assigned from your office location. Remember that Home Health Aides must have 12 hours of in-service training every year. LESSON OBJECTIVES Upon completion of this program, the home health aide will be able to: * Name two predisposing factors for development of UTI * Describe three symptoms of UTI *List four measures for preventing UTI * Identify two observations that should be reported to the supervisor OVERVIEW One of the most important infection prevention strategies in homecare should focus on prevention of urinary tract infections. This recommendation has been made by several notable infection control reports. Infections in homecare were addressed in the Centers for Disease Control and Prevention (CDC) plan, "Addressing Emerging Infectious Diseases: A Strategy for the 21 st Century," which identified urinary tract infections as an inherent risk for patients receiving home health services. The population served by homecare includes more females than males and most patients have advanced age and debilitation, all of which appear to increase the risk of developing UTIs. The aged and debilitated patients are also more likely to receive assistance from home health aides, so increasing aides' knowledge about recognizing and preventing UTIs could result in a reduction in the number of such infections. Development of UTI is reported on the Adverse Event Outcome Report for homecare agencies, and Improvement in UTI is measured on the Outcome-based Quality Indicator (OBQI) Risk Adjusted Outcome Report. Quality improvement activities designed to reduce the incidence of UTI almost certainly would include education of all caregivers in the home, especially those who provide personal care.

Home Health Aide On-The-Go In-Service Lessons: Vol. 2, Issue 6: Urinary Incontinence

Home Health Aide On-The-Go In-Service Lessons: Vol. 2, Issue 6: Urinary Incontinence
Author:
Publisher: Beacon Health, a Division of Blr
Total Pages: 0
Release: 2007-12-31
Genre:
ISBN: 9781601464859

This lesson on Urinary Incontinence includes a complete training packet. Each in-service packet takes approximately one hour to complete and fully meets the Medicare in-service training requirements. As aides need training, you can make as many copies as you want - there's no restriction when used with aides assigned from your office location. Remember that Home Health Aides must have 12 hours of in-service training every year. LESSON OBJECTIVES Upon completion of this program, the home health aide will be able to: * Define urinary incontinence (UI) * List four causes of urinary incontinence * Name three basic components of a bladder re-training program * List four key points in caring for patients with urinary incontinence OVERVIEW Urinary incontinence is a widespread problem. The prevalence among older adults living in the community is estimated at 20% to 38% for women and 10% to 19% for men. Over half of the institutionalized older adults have urinary incontinence. Given the census of the average homecare agency, it is not surprising that many of the patients have some degree of urinary incontinence, particularly those who receive home health aide services. In addition to the psychosocial issues surrounding urinary incontinence, the condition is a contributing factor in several adverse events reported for home health agencies. There is an increased likelihood of falls which may lead to an increase in emergent care for falls. Incontinence predisposes a person to development of skin breakdown and urinary tract infections. In addition, one of the most commonly listed reasons for nursing home placement is urinary incontinence. Therefore, unresolved urinary incontinence could result in an unexpected nursing home admission as well. There are two Outcome-Based Quality Improvement reports (Improvement in Urinary Incontinence, Emergent Care) that could be negatively affected by the presence of urinary incontinence. Home health aides play a crucial role in helping patients improve in urinary incontinence. They also may be important in identification of patients with this condition. Since many patients are very reluctant to discuss incontinence with physicians and nurses, it may be the home health aide, assisting the patient with hygiene, who first identifies the problem. The purpose of this in-service program is to provide information that will enhance the ability of the home health aide to help patients with urinary incontinence.

Home Health Aide On-The-Go In-Service Lessons: Vol. 9, Issue 2: Infection Control

Home Health Aide On-The-Go In-Service Lessons: Vol. 9, Issue 2: Infection Control
Author: Laurie Salmons
Publisher: Beacon Health, a Division of Blr
Total Pages: 0
Release: 2010-01-06
Genre:
ISBN: 9781601466907

Preventing the spread of infection in the home setting is essential. The home health aide must be familiar with all agency practices and procedures affecting day-to-day tasks of infection control. To effectively prevent and control infection, home health aides must be vigilant about following standard and additional precautions when appropriate. This in-service lesson presents an overview of the techniques for infection control and the important role home health aides play by providing care to patients who have, or are at risk for, an infection. LESSON OBJECTIVES After completion of this program, the home health aide will be able to: Name the primary cause of infection Name the two main types of infection Name the single most effective way to prevent infection List three home health aide responsibilities that support infection control Contents of this lesson: A clearly written fact sheet A 10-question post-test to measure understanding of the subject matter An answer sheet with a place for the instructor's comments and signature An illustrative, homecare-specific case study Suggested supplemental learning activities An attendance log and certificate of completion

Home Health Aide On-The-Go In-Service Lessons: Vol. 9, Issue 8: Catheter Care

Home Health Aide On-The-Go In-Service Lessons: Vol. 9, Issue 8: Catheter Care
Author: Bobi Rose
Publisher: Beacon Health, a Division of Blr
Total Pages: 0
Release: 2010-04-15
Genre:
ISBN: 9781601466822

Observe and report potential catheter-related problems early, and prevent the patient from experiencing significant complications. Urinary catheters in the home setting can be used to monitor urinary output in postoperative or severely ill patients, manage incontinence in terminally or severely ill patients, and provide short-term relief to patients suffering from pressure ulcers. This in-service module provides an overview of the types of urinary catheters, explains complications associated with catheter use, and describes the role of the aide in providing physical care and emotional support. LESSON OBJECTIVES After completion of this program, the home health aide will be able to: Identify three types of urinary catheters Describe three signs and symptoms of a catheter-associated urinary tract infection List three things that should be considered when performing catheter care Contents of this lesson: A clearly written fact sheet A 10-question post-test to measure understanding of the subject matter An answer sheet with a place for the instructor's comments and signature An illustrative, homecare-specific case study Suggested supplemental learning activities An attendance log and certificate of completion

Home Health Aide On-The-Go In-Service Lessons: Vol. 3, Issue 12: HIV Infection

Home Health Aide On-The-Go In-Service Lessons: Vol. 3, Issue 12: HIV Infection
Author:
Publisher: Beacon Health, a Division of Blr
Total Pages: 0
Release: 2007-12-31
Genre:
ISBN: 9781601465047

This lesson on Renal Disease includes a complete training packet. Each in-service packet takes approximately one hour to complete and fully meets the Medicare in-service training requirements. As aides need training, you can make as many copies as you want - there's no restriction when used with aides assigned from your office location. Remember that Home Health Aides must have 12 hours of in-service training every year. LESSON OBJECTIVES After completion of this program, the home health aide will be able to: * Describe two major functions of the kidneys * Name the two leading causes of kidney failure * Identify two observations home health aides should report, and * List two treatment options for patients with end-stage renal disease. LESSON OVERVIEW About 7.4 million adults in the United States have physiological evidence of kidney disease. Nearly 100,000 of them are diagnosed with renal failure each year. Diabetes mellitus is the most common cause of renal failure, with more than 40% of new cases attributable to diabetes. Hypertension causes more than 15,000 new cases of kidney failure each year, making it the second most common cause. Both diabetes and hypertension are common among homecare patients so it is not surprising that home health aides are often assigned to patients with renal failure. The purpose of this in-service is to educate home health aides about renal disease and to provide information about caring for affected patients.

Home Health Aide On-The-Go In-Service Lessons: Vol. 10, Issue 2: Preventing Hospitalization/Emergent Care

Home Health Aide On-The-Go In-Service Lessons: Vol. 10, Issue 2: Preventing Hospitalization/Emergent Care
Author: Paula Long
Publisher: Beacon Health, a Division of Blr
Total Pages: 0
Release: 2011-01-19
Genre:
ISBN: 9781601468413

Home Health Aide On-the-Go In-service Vol 10, Issue 2, Preventing Hospitalization/Emergent Care OVERVIEW The transition of care between homecare and the hospital must be seamless, as flaws in this process lead to expensive rehospitalizations, frustrated patients, and poor public perception of an agency's quality of care. Home health aides play a vital role in this process and can impact the success of the transition. This in-service defines the aide's role in managing the complications associated with patient transition from the hospital to homecare. Aides will learn how they can help prevent rehospitalization by recognizing patient risk for falls, pressure ulcers, and other conditions. LESSON OBJECTIVES After completion of this program, the home health aide will be able to: Discuss the prevention of hospitalization/emergent care in homecare patients Discuss risk assessment for hospitalization, falls, and pressure ulcers Define and discuss the home health aide's role in preventing rehospitalizations and emergent care Understand the role and importance of risk assessment, patient education, disease and medication management, prevention of falls and pressure ulcers, and effective care transitions in reducing rehospitalizations Discuss the importance of effective communication techniques Contents of this lesson: A clearly written fact sheet A 10-question post-test to measure understanding of the subject matter An answer sheet with a place for the instructor's comments and signature An illustrative, homecare-specific case study Suggested supplemental learning activities An attendance log and certificate of completion

Home Health Aide On-The-Go In-Service Lessons: Vol. 2, Issue 3: The Patient with Bowel Incontinence

Home Health Aide On-The-Go In-Service Lessons: Vol. 2, Issue 3: The Patient with Bowel Incontinence
Author:
Publisher: Beacon Health, a Division of Blr
Total Pages: 0
Release: 2007-12-31
Genre:
ISBN: 9781601464828

This lesson on Patients with Bowel Incontinence includes a complete training packet. Each in-service packet takes approximately one hour to complete and fully meets the Medicare in-service training requirements. As aides need training, you can make as many copies as you want - there's no restriction when used with aides assigned from your office location. Remember that Home Health Aides must have 12 hours of in-service training every year. LESSON OBJECTIVES Upon completion of this program, the home health aide will be able to: * Define bowel incontinence * Name two predisposing factors that may lead to bowel incontinence * List two goals of a bowel training program * List three components of a bowel training program OVERVIEW Fecal incontinence affects more than 6.5 million Americans. It is more common in women than in men, and its prevalence increases in older individuals. Fecal incontinence, along with its toll on caregivers is a major factor in the decision to place a family member in a nursing facility. Bowel incontinence frequency is a data element in the OASIS(tm) data collection requirements for patients receiving skilled care. Incontinence that occurs at least once per week increases points in the clinical severity dimension for determining Medicare episode payments. Improvement in bowel incontinence is one of the outcomes reported in the Outcome-based Quality Improvement (OBQI) reports that homecare agencies should use to guide performance improvement activities. Activities designed to decrease the incidence of bowel incontinence (demonstrating improvement) must include home health aides, since incontinence is one of the reasons for providing home health aide services to patients. Thus it is very important that aides have an understanding of bowel incontinence and the components of bowel training.

Home Health Aide On-The-Go In-Service Lessons: Vol. 12, Issue 2: Observing and Reporting

Home Health Aide On-The-Go In-Service Lessons: Vol. 12, Issue 2: Observing and Reporting
Author: Laura More
Publisher: Beacon Health, a Division of Blr
Total Pages: 0
Release: 2013-02-26
Genre:
ISBN: 9781601469793

Observing and reporting are vital to the health and safety of the patient in home health care. Because the patient is at home, the HHA may be the first person to notice the signs of a serious health problem. Careful observation and prompt reporting are an important part of the HHA's responsibilities. LESSON OBJECTIVES After completion of this program, the home health aide will be able to: Describe the difference between a sign and a symptom List three signs that require an immediate report to the nurse Describe observations needed for one body system, such as circulatory List nonverbal signs of pain Contents of this lesson: A clearly written fact sheet A 10-question post-test to measure understanding of the subject matter An answer sheet with a place for the instructor's comments and signature An illustrative, homecare-specific case study Suggested supplemental learning activities An attendance log and certificate of completion

Home Health Aide On-The-Go In-Service Lessons: Vol. 2, Issue 12: Protecting Patients' Rights

Home Health Aide On-The-Go In-Service Lessons: Vol. 2, Issue 12: Protecting Patients' Rights
Author:
Publisher: Beacon Health, a Division of Blr
Total Pages: 0
Release: 2007-12-31
Genre:
ISBN: 9781601464910

This lesson on Protecting Patients' Rights includes a complete training packet. Each in-service packet takes approximately one hour to complete and fully meets the Medicare in-service training requirements. As aides need training, you can make as many copies as you want - there's no restriction when used with aides assigned from your office location. Remember that Home Health Aides must have 12 hours of in-service training every year. LESSON OBJECTIVES Upon completion of this program, the home health aide will be able to: * Describe two methods of protecting patient records * Name three ways to show respect for patient's property * List two ways of allowing patients to assist in care planning. OVERVIEW The Conditions of Participation (COP) outline specific rights that all patients must be granted. The information about patients' rights must be given in writing. Most professional clinicians are well informed about these rights. However, many home health aides are not aware of all components comprising patient rights. Many states have additional requirements about patients' rights, and the Health Insurance Portability and Accountability Act (HIPAA) privacy rule places special emphasis on protection of health information. Home health aides need to know about these rights and how to make certain they are not violated. The purpose of this in-service program is to provide information to home health aides regarding the rights of all patients, and how they can help to protect patients' rights.

Home Health Aide On-The-Go In-Service Lessons: Vol. 2, Issue 8: Dealing with Behavior Problems

Home Health Aide On-The-Go In-Service Lessons: Vol. 2, Issue 8: Dealing with Behavior Problems
Author:
Publisher: Beacon Health, a Division of Blr
Total Pages: 0
Release: 2007-12-31
Genre:
ISBN: 9781601464873

This lesson on Dealing with Behavior Problems includes a complete training packet. Each in-service packet takes approximately one hour to complete and fully meets the Medicare in-service training requirements. As aides need training, you can make as many copies as you want - there's no restriction when used with aides assigned from your office location. Remember that Home Health Aides must have 12 hours of in-service training every year. LESSON OBJECTIVES Upon completion of this program, the home health aide will be able to: * Identify three behaviors that may reflect alterations in cognitive or emotional status * List two warning signs of impending physical aggression * Name three measures to take when dealing with patients with behavior problems * Name two reasons for behavior problems. OVERVIEW Mental disorders causing behavior problems are very common. The National Institute of Mental Health (NIMH) estimates that one in five adults in the United States suffers from a diagnosable mental disorder in a given year. Of the ten leading causes for disability, four of them are mental disorders. In addition to the diagnosable mental disorders, patients may suffer acute anxiety following surgery or a major illness. Therefore, many homecare patients have some degree of alteration in mental processes or behaviors that may interfere with the goals of the medical and nursing treatment. Often the behavior problems diminish the patient's ability to achieve optimal day-to-day functioning. Working with patients with behavior problems is challenging to home health aides. While their basic curriculum included emotional needs and ways to work with patients, they often feel somewhat ill-at-ease when patients display inappropriate or hostile behavior. Many aides are fearful of saying or doing the wrong thing. The fact that they are often alone with patients in their homes can add to the discomfort in working with patients who have behavior problems. This in-service is designed to explain some common behavior problems encountered in homecare patients. It provides tips for dealing with these patients with the goal of increasing the aide's comfort level.