Home_based patient care: special aspects of organization and nursing work

Abstract

Patient care was provided by specifically trained nurses since the early 19th century. A lot of Roman-Catholic and Protestant sisters in many cities of the United States joined this movement and provided home nursing services wth the supervision of the church. It was very important because they were trying to fulfill the need in high quality patient care outside the hospital walls. A lot of chronic conditions in patients require huge financial and human resource need as well as medical system overload. Provision and financing of home-based care services are important considerations for decision-making in the field of health care policies and practices. The aim of the study is to study the management of nursing process in home-based care provided to patients with various health problems, including chronic disease; to identify the principles of individual approach to patients in a home setting and the challenges in the nursing process; and to define the staging of chronic disease compensation as a method to evaluate treatment and care outcomes in a home setting. Study objectives. 1. To study the historical aspects of home-based care. 2. To determine the role of nurses in home-based health services. 3. To determine the nursing work in conditions requiring home-based extended care. 4. To study the principles of individual approach to patients in a home setting. 5. To determine the problems occurring in the nursing process. 6. To investigate the staging of chronic disease compensation in nursing care. 7. To evaluate home-based treatment and care based on the phases of chronic disease compensation. The object of research. Patients with chronic disease of different etiologies and compensation phases in a setting of home-based nursing care. The subject of research. Nursing management in a home-based care setting, and evaluation of home-based treatment and care based on chronic disease compensation. The methods of study: standard clinical methods, collecting the history of disease and health history, patient observation, physical examination, appraisal of the patient’s general health status, collection of information regarding the patient’s principal complaints, the specific aspects and the analysis of chronic disease compensation, data comparison, laboratory tests, diagnostic imaging; the analytical method; and the statistical methods