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Discharge Practices for Children with Home Mechanical Ventilation across the United States. Key-Informant Perspectives

Rationale: In 2016, the American Thoracic Society released clinical practice guidelines for pediatric chronic home invasive ventilation pertaining to discharge practices and subsequent management for patients with invasive ventilation using a tracheostomy. It is not known to what extent current U.S. practices adhere to these recommendations. Objectives: Hospital discharge practices and home health services are not standardized for children with invasive home mechanical ventilation (HMV). We assessed discharge practices for U.S. children with HMV.

Thu, 01/05/2023 - 15:20

Training Needs Among Family Caregivers Assisting During Home Health, as Identified by Home Health Clinicians

Objectives: To estimate the proportion of family caregivers assisting older adults during Medicare home health who have an identified need for activity-specific training and identify characteristics associated with caregiver training needs. Design: Nationally representative retrospective cohort study. Setting and Participants: 1758 (weighted n = 8,477,990) Medicare beneficiaries who participated in the National Health and Aging Trends Study (NHATS) and received Medicare-funded home health care between 2011 and 2016.

Tue, 04/13/2021 - 13:11

Caregivers' Experiences Regarding Training and Support in the Post-Acute Home Health-Care Setting

Background: Post-acute home health-care (HHC) services provide a unique opportunity to train and support family caregivers of older adults returning home after a hospitalization.

Mon, 11/23/2020 - 12:49

Caregiver Experiences of Care Coordination for Recently Discharged Patients: A Qualitative Metasynthesis

Caregivers of patients often provide key support for patients after hospitalization. This qualitative metasynthesis describes caregiver perspectives about care coordination for patients discharged from the hospital. A literature search of Ovid Medline and CINAHL completed on May 23, 2018, identified 1,546 studies. Twelve articles were included in the final metasynthesis. Caregiver perspectives about care coordination were compiled into overall themes. A subanalysis of studies in which patients were discharged with home health services was completed.

Mon, 11/23/2020 - 12:07