Safety in the home5
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This document discusses considerations for home health nurses to keep clients safe. As more care is shifting to home settings, home health nursing is one of the fastest growing fields. However, many nurses do not have experience with home care. Some safety concerns in the home include medication management and errors, falls related to environmental hazards and sensory changes, pressure ulcers, and self-care abilities. The document recommends nurses conduct safety assessments in clients' homes to identify hazards, develop safety plans, and ensure quality of life and function for clients.
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Safety in the home5
- 1. How to Keep Clients Safe at Home Considerations for the Home Health Nurse 09/21/131 Safety In the Home
- 2. Introduction 09/21/132 By 2016 Home Health Nursing will be growing faster than any other nursing field Population is Ageing and care is shifting from hospitals to homes Many current RNs have not been exposed to nursing in the home setting
- 3. Considerations at Home 09/21/133 Patients at home may receive care from untrained caregivers or family Patients and families administer medications Limited resources Unique environment
- 4. Areas of Safety Concern at Home 09/21/134 Medication Management Polypharmacy Adverse Drug Reactions and Overdoses Medication administration errors How can medication administration be made safer in the home?
- 5. Safety Concern: Falls 09/21/135 Environmental Hazards Impaired gait and balance Age related sensory changes Fall prevention strategies at home
- 6. Safety Concerns: Pressure Ulcers 09/21/136 Pressure reduction and skin care Nutrition management Proper staging and treatment Family education
- 7. Functional Outcomes 09/21/137 Quality of Life Preserving function and preventing hospital readmissions Interdisciplinary teams and referrals
- 8. Work Environment of the Nurse 09/21/138 Reducing stress at work Personal Safety at home Discussion: What are strategies to enhance personal safety and prevent injury to the nurse while in clients homes?
- 9. Ethical Concerns in Home Care 09/21/139 Potential for Abuse Lack of Supervision Patient Autonomy and Privacy Meaning of the home Confidentiality Vulnerable Populations Activity: break into small groups and prepare a case study surrounding a possible ethical dilemma in the home. Discuss ethical principles and propose different solutions to the dilemma. Prepare to share your scenario with the class.
- 10. Home Safety Assessment 09/21/1310 Complete the online interactive home safety assessment. Please follow the link below to view home safety: http://www.redsevendev.com/ear/hsa/homesafety.html Using a standardized assessment tool, conduct a home assessment for safety in the home of a friend, relative or neighbor Develop a plan to increase safety in that person’s home after completing your safety assessment
- 11. References 09/21/1311 Miller School of Medicine. (2006). Home safety assessment learning object [Interactive learning tool download]. Available from https://www.mededportal.org/publication/378