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| Issues of Ethics and Care in Psychiatric Home Care: Multidisciplinary Perspectives Revealed Through Ethnographic Research |
 This article focuses specifically on the ethically related issues that members of a multidisciplinary team at a home health care agency faced in providing care to clients with mental illness. This evidence was obtained through ethnographic research, utilizing the methods of participant observation, interviews, and analysis of agency documents. Findings are discussed in relation to principles of ethics and include the health care providers’ experience of moral distress when acutely ... |
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| Home Health Care After Hurricanes Katrina and Rita: A Report From the Field |
| On August 30, 2005, displaced New Orleanians first learned that the levees of their city had been overtopped and then breached by the storm surge from Hurricane Katrina. New Orleans would soon be 80% flooded. Within a month, Hurricane Rita arrived in New Orleans, making cleanup and recovery an even more difficult process. This article discusses the preparation and follow-up still going on today and the role of health care providers, particularly home care providers, in the aftermath of ... |
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| Ethics in Health Care: Implications for Education and Practice |
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Facing an ethical dilemma in the health care setting can unfortunately be all too familiar. The ways in which a practitioner approaches ethical problem resolution are derived from many sources—including professional codes of ethics, personal values and morals, and employer influences. Pressures resulting from a business-oriented approach to health care delivery are common and can seriously affect patient safety and employee satisfaction. Essential ingredients for a principled approach, ... |
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| The Raval Nord Study: Descriptive Analysis of Survival Rates During 10 Years of Home Care |
| This longitudinal study describes the urban population of chronic patients treated at home and analyzes survival rates of the first 10 years (1992 to 2002) of a primary health care team. Participants included all of the 1,357 home care chronically ill patients registered since the beginning of a home care program (May 1994 to December 2002). The average age was 82 years, 68% were female, 76% lacked elevators, 18% cited loneliness, 11% were totally dependent, and 20% suffered severe ... |
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| The Future of Certificate of Need for Home Health Care and Hospice in Maryland |
| This manuscript provides a look at one state’s certificate of need (CON) process and the controversy regarding whether to eliminate the need for a CON or not. The pros and cons of the process are discussed as well as home health agency closures within the state. In addition, this article summarizes the activities of the Maryland commission and the statistics available regarding utilization for home care as well as the recommendations and findings that were raised during the analysis ... |
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