Table Of Content

subject Index A Ask Home Healthcare Nurse, Infusion Therapy, LA rn frequently asked questions Gorski, 342 Accreditation accreditation in about OASIS, 229 Clinical Dimensions of the new millennium, 34 Assessment Anticipatory Mourning: new Joint Commission home establishing a bond with Theory and Practice in care standards and clients of different cul- Working With the Dying, changes for 2000, 63 tures,4 5 Their Loved Ones, and organizational improvement integrating OASIS data Their Caregivers, TA data aggregation and collection into a compre- Rando (ed), 556 analysis, 438 hensive assessment, 249 Drug Information Handbook data collection in home in pain management, 648 for Advanced Practice care, 359 pediatric assessment in the Nursing, B Turkoski, B designing home care home, 639 Lance, M Bonfiglio, 341 processes for, Joint Com- skilled nursing services, 297 A Handbook for the Home mission standards, 292 Care Aide (3rd ed.), M Bar- teaching the older patient in leaders’ role in performance nette, 621 the home, 374 improvement planning, 199 Handbook of Hospice when to do an OASIS performance improvement: Policies and Procedures, assessment, 238 the final phase of an orga- MD Harris, ED Monica, Autonomy, 309 nization’s performance, P Boyd, 205 905 Health Reference Series: Acupuncture, pain management, B Diet and Nutrition Source- 648 Back injury book, 2nd ed., K Bellenir Adaptation, teaching the older (ed), 342 back-saving tips, 137 patient in the home, 374 Home Care Nursing occupational low back Advance care planning, 532 Delegation Skills, R injury, influence of organi- Advanced practice nursing, in Hansten, M Washburn, zational factors, 463 home care, 22 V Kenyopn, 206 Balanced Budget Act of 1997, Advocacy, when your patient Home Telehealth in the 21st 116 is enrolled in a research Century: A Resource Book Behavioral health, 24 study, 660 About Improved Care Ser- Behavior modification, American Nurses Association, vices That Work, 557 wound healing and, 579 Code for Nurses with Interpre- Home Therapy OASIS Beneficence3,09 tive Statements, 309 Assessment Forms: OASIS when your patient is Analgesics, what’s new in Integrated Documentation enrolled in a research pain management, 648 Records for Physical Ther- study, 660 Anemia, chemotherapy- apy, Occupational Ther- related fatigue and, AS3-15 Bisphosphonates, pain apy, Speech-Language Antiretroviral therapy, is the management, 648 Pathology, 140 cost of home care greater, Blood pressure Infection Control in the 988, 595 accurate assessment Home, E Rhinehart, M Anxiety, guided imagery for, suidelines, 608 Friedman, 139 524 isolated systolic Mosby’s Textbook for the Arab-American population, hypertension, 606 Home Care Aide, J home healthcare and Body mass index, 570 Birchenall, E Streight, 557 the Arab-American client, Book reviews No Time to Teach? 189 Best Practices in Home F London, 556 Note: JS = January supplement; AS = April supplement. vol. 18 «no. 10 + Nov./Dec. 2000 http://www.nursingcenter.com Home Healthcare Nurse 677 Nutrition Resource Guide 288, 354, 426, 498, 568, 632 Internet, 666 for the Health Care Setting, Code for Nurses with Confidentiality, 161, 309 PS Arcement, K MacArthur, Interpretive Statements, 309 Congestive heart failure, 621 Commentary home care, 404 Pain—Clinical Manual (2nd “going crazy!” An ode to Continuing education test ed.), M McCaffery, C Pasero, home care, 208 alternatives to restraints, 556 home care in the new 403 Rehabilitation Nursing in millenium, 144 answers to frequently asked the Home Health Setting, home care nursing: the goid questions about proposed Glenview, IL, Association mine and the cash cow of home care PPS, 331 of Rehabilitation Nurses, the ‘80s4,8 8 chemotherapy-related 205 OASIS—our agency’s anemia and fatigue, AS13 Tears in God’s Bottle, experience, 280 clinical pathway for deep W Ewing, 621 prospective payment will vein thrombosis, 462 Touched by a Nurse: Special change the “focus” of fo- elder suicide: a gatekeeper Moments That Transform cused medical review, 560 strategy for home care, Lives, J Kane, CG Warner, the times really aren't 188 341 changing...just us, 344 establishing a bond with Boundary setting, 478 “What a long, strange trip clients of different cul- it’s been,” 72 tures,52 what’s home care?, 416 future of home and hospice U Communication, the Kitchen care: linking interventions Calcitonin-salmon, pain Table Discussion: creative to outcomes, 450 management, 648 way to discuss end-of-life heart failure, 171 Cancer pain, assessment and care issues, 532 home care and hospice management, 648 Community-based research, ethics, 317 Cardiac events when your patient is enrolled Home Talk'™/Healthy Talk: automated external in a research study, 660 improving patients’ health defibrillators used in the Competency, critical status with telephone tech- community, 615 competencies for nurses in nology, 62 depression and, 572 the new millenium, 17 impact of Medicare heart failure, 164 Complementary/alternative reimbursement on home Case management, using M&E therapies healthcare: a nursing per- and telephonic case man- guided imagery, 524 spective, 123 agement in PPS, 541 pain management, 648 improving infection control Case-mix system, 27 Compliance in home care, 106 Certification, hospice and corporate compliance and Kitchen Table Discussion: palliative nursing: the the hospice nurse, 290 creative way to discuss NBCHPN certification exami- designing home care end-of-life issues, 540 nation, 155 processes for organiza- OASIS data collected, now Chemotherapy, anemia and tional improvement, Joint what, 266 fatigue from, AS3-15 Commission standards, risk for isolated systemic Clinical pathways, deep vein 292 hypertension, 614 thrombosis, low molecular how will surveyors evaluate teaching the older patient in weight heparin therapy, 451 OASIS compliance?, 549 the home: assessment and Clinicians’ forum is the cost of home care adaptation, 387 diabetes: a Cuban-American sreater?, 588, 595 treating deep venous perspective, 635 Computer technology. See thrombosis at home with importance of setting also Internet low molecular weight he- boundaries in home care computer viruses and what parin, JS14 and hospice nursing, 478 to do about them, 435 using behavior modification Internet support groups, 333 home health and hospice to promote wound healing, Clipboard, 10, 82, 152, 218, use of computers and the 987 678 Home Healthcare Nurse http://www.nursingcenter.com vol. 18 + no. 10 + Nov./Dec. 2000 using guided imagery to use of restraints, 395 management, 648 reduce pain and anxiety, 531 Drug therapy, medication Emergency medicine, what’s new in pain counseling1,57 automated external defibril- management?, 648 lators used in the con:mu- when to do an OASIS nity, 615 > assessment, 248 & End-of-life care. See Terminal Coordination of care, the Economic issues care lived experience of the visit- benefits and potential Ergonomics, OSHA ing nurse, 301 savings in rural home ergonomics rule, 220 Counseling, effective telemedicine, case study, Ethics medication counseling, 26 124 confidentiality in home and steps, 157 is the cost of home care hospice nursing, 161 Cox-2 inhibitors, pain greater, 588, 595 using Code for Nurses as a management, 648 numbers count...or do guide, 309 Cross-cultural assessment, 45 they?, 567 when your patient is en Cultural sensitivity Prospective Payment rolled in a research study, establishing a bond with System (See PPS) 660 clients of different cul- two ways to avoid denials, Evidence-based practice tures,4 5 481 evidence-based practice and home healthcare and the Editorial HHNA’s Research Commit- Arab-American client, 189 being independent, 353 tee, 620 home care—nursing’s home healthcare nursing in Rodney Dangerfield, 151 the 21st century, 33 D it’ summer vacation—NOT, Evidence-based research, Data collection 425 normative treatment guide- integrating OASIS data numbers count...or do lines: building the case, 574 collection into a compre- they?, 567 hensive assessment, 249 OASIS and OBQI—a special organizational performance issue indeed, 217 t improvement, 359 prospective payment from a Fatigue, chemotherapy- Decision making, integrated clinical perspective, 81 related, AS3-15 thinking, 19 a toast to the new year and Fentanyl citrate, pain Deep vein thrombosis, low the new millenium, 9 management, 648 molecular weight heparin we re working hard to get Fentanyl transdermal, pain for, JS3-15 you the information you management, 648 clinical pathway, 451 need, 497 Focused medical review, 560 Defibrillator, automated what should National Nurses Food & Drug Administration, external defibrillators used Week mean to you?, 287 use of restraints in home in the community, 615 Education care, 395 Depression, cardiac event home health and hospice depression, 572 use of computers and the Diabetes mellitus, Cuban- Internet, 666 G American perspective, 635 learning home telehealth, Gatekeeper approach, in Disease management 507 elder suicide prevention, 180 carpe diem home care, 15 luau at the OASIS—PPS Geriatric population normative treatment training, 511 elder suicide: a gatekeeper guidelines: building the Mind Map®, 318 strategy for home care, 180 case, 574 skilled nursing services, 297 isolated systolic Documentation tools (See Book reviews; hypertension, 606 corporate compliance and Video reviews) teaching the older patient in the hospice nurse, 290 use of restraints in home the home, assessment and home care for congestive care, 395 adaptation, 374 heart failure, 404 Electroacupuncture, pain Guided imagery vol. 18 + no. 10 + Nov./Dec. 2000 http://www.nursingcenter.com Home Healthcare Nurse 679 pain management, 648 low back injury, 463 HPNA news. See Hospice and to reduce pain and anxiety, impact of PPS, 94 Palliative Nurses Associa- 524 major home health tion regulatory changes in 2000, Human dignity, when your 27 patient is enrolled ina H PPS operational readiness research study, 660 Healthy Talk, improving checklist (May 2000), 336 Hypertension, isolated patients’ health status with quality improvement (See systolic, 606 telephone technology, 53 Organizational improve- Hypnosis, pain management, Heart failure, 164 ment) 648 Heparin, low molecular Home Talk™, improving weight, for deep vein throm- patients’ health status with bosis, JS14 telephone technology, 53 clinical pathway, 451 Hospice Immunization, websites, 436 HHNA news confidentiality, 161 Infection control, improving, creating a local HHNA corporate compliance and 99 chapter, 339 the hospice nurse, 290 Information, are patient evidence-based practice and ethics, using Code for information materials too HHNA’s Research Commit- Nurses as a guide, 309 difficult to read, 107 tee, 620 hospice and palliative Integrated thinking, 18 Home Healthcare Nursing nursing: the NBCHPN certi- Internet Association update, 275 fication examination, 155 computer viruses and what home health PPS—our new hospice nursing—taking to do about them, 435 challenge4,8 3 charge of our future, 13 home health and hospice from OASIS 101 to 102—the importance of setting use of computers and the next lesson, 412 boundaries, 478 Internet, 666 Telehealth Special Interest improving infection control Internet support groups, 333 Group, 548 in home care, 99 Hispanic population, linking interventions to é diabetes: a Cuban-American outcomes, 442 J perspective, 635 meaning of home: how it Joint Commission on HIV/AIDS, is the cost of home shapes care, 388 Accreditation of Healthcare care greater, 588, 595 OSHA ergonomics rule, 220 Organizations (JCAHO). See Home, meaning of home: how palliative research: is it also Accreditation it shapes practice of home worth the effort?, 618 new home care standards and hospice care, 388 storytelling: sharing the and changes for 2000, 63 Homecare: No Boundaries, 69 specialness of what we do, Justice, 309 Home care today, take a 4ll when your patient is reality check on telehealth: use of computers and the enrolled in a research the nurse IS in the picture, Internet, 666 study, 660 89 Hospice and Palliative Nurses Home healthcare nursing Association if challenges in the 21st first joint hospice and \ century, 38 palliative clinical confer- Kitchen Table Discussion, impact of PPS, 94 ence a success, 428 creative way to discuss end- Home Healthcare Nursing things to know about HPNA, of-life care issues, 532 Association. See also HHNA 913 news Hospice and palliative information update, 275 nursing, NBCHPN certifica- L Home healthcare tion examination, 155 Legislative/regulatory update organization Hospitalization, repeat, home are you Y2K ready?, 67 impact of organizational care for congestive heart keeping you informed, 371 resources on occupational failure, 404 momentum builds on 680 Home Healthcare Nurse http://www.nursingcenter.com vol. 18+ no. 10 + Nov./Dec. 2000 Capitol Hill for legislation reimbursement issues, 296 from OASIS 101 to 102—the on 15% reduction, 477 Medication counseling, 157 next lesson, 412 Omnibus Consolidation Mental illness, telephone our agency’s experience Appropriation Act of 2000, support for patients with (Commentary), 280 84 chronic mental illness, 172 unexpected benefits, 155 OSHA ergonomics rule, 220 Mind Map®, new way to teach using OASIS for OBQI, 232 presidential election and patients and staff, 318 when to do an OASIS healthcare, 203 Models/modeling, assessment, 238 tobacco settlement and determining if PPS will pro- Obesity, 570 home care, 673 vide adequate resources for Observation, skilled nursing unresolved Medicare your population, 363 services, 297 reimbursement issues, 296 Morphine, pain management, Omnibus Consolidation vote, 573 648 Appropriation Act of 2000, Letters 84 home care is nursing, too, Oncology nursing, what’s new hi 3o7 id in pain management, 648 looking for home care NMDA antagonists, pain Opioids, pain management, cardiac guidelines, 358 management, 648 648 question about the Nonadherence, is the cost Organizational improvement appropriate nursing ap- of home care greater, 588 data aggregation and proach, 357 Nonmalfeasance, 309 analysis, 438 transcultural nursing article Normative treatment data collection in home praised, 358 guidelines, 574 care, 359 Lice infestation, don’t bug NSAIDs, pain management, designing home care me, 484 648 processes for organiza- Lidocaine transdermal, pain Nurse-patient relationship, tional improvement, Joint management, 648 establishing a bond with Commission standards, Literacy, are patient clients of different cultures, 292 information materials too 45 leaders’ role in performance difficult to read, 107 Nutrition improvement planning, obesity in older adult, 570 199 to salt or not to salt, 87 performance improvement: M the final phase of an orga- Magnet therapy, pain nization’s performance, 505 management, 648 U OSHA, ergonomics rule, 220 Managed care, is the cost of OASIS Oster maneuver, 609 home care greater?, 588 data set: illustrative OBQI Management & evaluation outcome and case mix re- Outcome-based quality case Management in PPS, ports, 258 improvement (OBQI), 267 941 frequently asked questions helpful OASIS and OBQI skilled nursing services, 297 about OASIS, 229 resources2,25 Medicare helpful OASIS and OBQI OASIS and OBQI—a special how will surveyors evaluate resources, 225 issue indeed, 217 OASIS compliance?, 549 how will surveyors evaluate unexpected benefits, 155 impact of Medicare OASIS compliance?, 549 using OASIS for OBQI, 232 reimbursement changes on integrating OASIS data Outcomes, normative home healthcare: a nursing collection into a compre- treatment guidelines: build- perspective, 116 hensive assessment, 249 ing the case, 574 Prospective Payment major home health Outcomes research, linking System (See PPS) regulatory changes in 2000, interventions to outcomes, skilled nursing services 27 442 categories, 297 OASIS and OBQI—a special Oxycodone, pain unresolved Medicare issue indeed, 217 management, 648 vol. 18+ no. 10 + Nov./Dec. 2000 http://www.nursingcenter.com Home Healthcare Nurse 681 agency and your practice’?, changes in healthcare P 94 delivery and financing sug- Pain management, 648 luau at the OASIS—PPS gested to meet the unique guided imagery, 524 training, 511 needs of older women with Palliative care, 32 major home health chronic conditions, 221 hospice and palliative regulatory changes in 2000, self-management program research: is it worth the 27 helps chronic disease pa- eifort, 618 operational readiness tients improve health & de- Patient education checklist (May 2000), 336 crease costs, 221 are patient information proposed PPS and the final studies explore the impact materials too difficult to rule: what’s the difference, of medication use on cog- read, 107 900 nitive functioning among effective medication prospective payment from a community-dwelling el- counseling, 26 steps, 157 clinical perspective, 81 derly, 222 home care for congestive using M&E and telephonic use of age as a threshold for heart failure, 404 case management in PPS, recommending prenatal di- is the coast of home care 941 agnosis is questioned, 222 greater, 595 what to do before PPS hits Resources Mind Map®, 318 you: advice for clinicians, helpful OASIS and OBQI teaching the older patient in 431 resources, 225 the home, assessment and Product information organizational resources for adaptation, 374 First Step® Advantage, 340 occupational low back in- juries, nurses’ perceptions, Pediatric population, Traxlt continuous-reading 463 pediatric assessment in the Precision Phase-change home, 639 wearable thermometer, safety for home caregivers, Percutaneous electric nerve 340 996 Restraints, alternatives to, stimulation, pain manage- 395 ment, 648 Rural healthcare, benefits Performance improvement 0 and potential savings in linking interventions to Qigong, pain management, rural home telemedicine, outcomes, 442 648 case study, 124 organizational (See Quality improvement. See Organizational improve- also Outcome-based quality ment) improvement Point of care (POC) outcome enhancement for S technology, nurses’ and rehospitalization: VNA Safety issues managers’ attitudes and ex- Health Care, 267 occupational low back pectations, 514 injury, influence of organizational factors, 463 PPS (Prospective Payment System) R violence and home care, 596 answers to frequently asked Research SANE, teaching the older questions, 323 evidence-based practice and patient in the home, 374 behavior modification to HHNA’s Research Commit- Short & sweet promote wound healing, tee, 620 adhesive emergency, 276 979 hospice and palliative back issues, 137 determining if PPS will research: is it worth the ef- back rub backlash, 204 provide adequate re- fort, 618 don’t bug me, 484 sources for your popula- the “R” word and the new go with the Flo, 555 tion, 363 millennium, 35 I see it your way, 624 focused medical review, 560 when your patient is un-home nursing, 337 home health PPS—our new enrolled in a research Skills, critical competencies challenge4,83 study, 660 for nurses in the new mille- how will it impact your Research briefs nium, 17 682 Home Healthcare Nurse http://www.nursingcenter.com vol. 18 + no. 10 + Nov./Dec. 2000 Sodium intake, 87 learning home telehealth, V Strontium chloride SR89, pain 907 Veracity, 309 management, 648 lessons learned from a pilot Video reviews Suicide, elder suicide: a study, 470 Beyond Death’s Door: Help gatekeeper strategy for take a reality check on home care, 180 telehealth: the nurse IS in for the Grieving Process After Someone You Love Support groups, Internet the picture, 89 Has Died, 139 support groups, 333 Telehealth Special Interest At Death’s Door: Facing the Support network Group, 548 Terminal [liness of a Loved HIV/AIDS, 595 telephone support for One, 139 telephone support for patients with chronic men- Violence, workplace violence patients with chronic mental illness, 172 and home care, 596 tal illness, 172 Telephonic case Visiting nurse management, in PPS, 541 coordination of care: The Terminal care T the Kitchen Table lived experience of the vis- Tai Chi, pain management, Discussion: creative way to iting nurse, 301 648 discuss end-of-life care is- outcome enhancement for Telehealth Special Interest sues, 532 rehospitalization, 267 Group, 548 video contact at end of life, VNA Health Care, 267 Telehome health 449 Voices from the field, outcome enhancement for benefits and potential Transcutaneous electric savings in rural home nerve stimulation, pain man- rehospitalization: VNA Health Care, 267 telemedicine, case study, agement, 648 124 Transtheoretical Model Home Talk'™/Healthy Talk: of Readiness for Change, improving patients’ health behavior modification W status with telephone tech- to promote wound Wound healing, behavior nology, 53 healing, 579 modification in, 579 STATEMENT OF OWNERSHIP, MANAGEMENT, AND CIRCULATION (Act of August 12, 1970; Section 3685; Title 39 United States Code) Date of Filing—October 1, 2000. Title of Publication—Home Healthcare Nurse; Frequency of Issue—Monthily; Annual Subscription Price—%$43.00; Location of Known Office of Publication—Lippincott Williams & Wilkins, Inc., 16522 Hunters Green Parkway, Hagerstown, MD 21740-2116; Location of the Heaaquar- ters or General Business Offices of the Publisher—Lippincott Williams & Wilkins, Inc., 530 Walnut Street, Philadelphia, PA 19106; Publisher—Lippincott Williams & Wilkins, Inc., 530 Walnut Street, Philadelphia, PA 19106; Editor—Carolyn J. Humphrey, MS, RN, 3904 Therina Way, Louisville, KY 40241; Managing Editor—Karyn Crislip; Lippincott Williams & Wilkins, 530 Walnut Street, Philadelphia PA 19106; Owner—Wolters Kluwer, Sta- douderskade 1, 1054 FS Amsterdam, The Netherlands; Known Bond Holders, Mortgagees, and other security holders owning or holding 1 percent or more of the total amount of bonds, mortgages, or other securities— None. A. Total no. of copies printed (net press run), average 11,081, actual 10,000. B. 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E. 388 588 U 353, 425, 497, 567, Crisler, K.S., 232, Pfaadt, M.J., 301 Ungvarski, P.J., 595 630 249, 258 Plotkin, K., 442 Hunter, E.F., 172 Poleto, M.A., 513 V D Pschorr, T., 416 Vogelzang, J.L., 87, Davidson, L., 541 970 Ismeurt, R.L., 435, Dezzani, M. S., 333 R 666 Dimmick, S.L., 124 Rhinehart, E., 99 W Donelson, S,M., 363 Richard, A.A., 232, Walsh, A., 579 Duffy, B., 25 J 249, 255 Welsh, T., 124 Durkin, N., 478 Jitramontree, N., Wilson, A.A., 574 116 9 Wilson, F.L., 107 t Jones, S., 53, 514 Salvatore, T., 180 Fitzwater, E., 596 Shaughnessy, P.W., Y Frantz, A., 15, 548 K 258 Youngren, K.B., 333 Friedman, M.M., 34, Kinsella, A., 89, 507 Shaul, M.P., 470 63, 99, 199, 292, Krulish, L.H., 144, Sienkiewicz, J., 208, l 399, 438, 505 238, 267 323, 541 Zuber, R.F., 549 684 Home Healthcare Nurse http://www.nursingcenter.com vol. 18 + no. 10 *«N ov./Dec. 2000 ayae ebe , pice a gf bt a, iG orms 8 ee ae