Purpose: Although caregivers desire specific information about hospice programs, there is little descriptive information available. We characterized agencies that provide formal or informal hospice care in the United States according to four types of services considered important by caregivers: medications and treatments; rehabilitative care;…

Purpose: This study analyzed the effect of consumer-directed versus agency-directed home care on satisfaction with paid personal assistance services among Medicaid beneficiaries in Washington State. Design and Methods: The study analyzed a survey of 513 Medicaid beneficiaries receiving home- and community-based services. As part of a larger study,…

This self-contained instructional module is designed to help adult caregivers learn how to measure arterial blood pressure in the home. The module includes the following parts: objectives; pretest (with answers); four sections of instructional material covering (1) equipment, (2) cuff placement and locating the brachial artery, (3) measuring blood…

The OEO-funded Sangre de Cristo Comprehensive Health System in Costilla and Conejos Counties, Colorado, and northern Taos County, New Mexico, utilizes medical practitioners who are certified to practice a variety of medical techniques under the supervision of licensed physicians. (JM)

Pressure for greater accountability is being exerted on programs for care of terminally ill and increasing demand for evaluation research. Components, implications, and limitations of evaluation systems are discussed, and their application in the terminal care setting addressed. Buckingham evaluation of hospice home care service is cited as a…

This document contains a task analysis for health occupations (home health aid) in the nursing cluster. For each task listed, occupation, duty area, performance standard, steps, knowledge, attitudes, safety, equipment/supplies, source of analysis, and Illinois state goals for learning are listed. For the duty area of "providing therapeutic…

ALTHOUGH ONLY 36 PER CENT OF OUR POPULATION LIVE IN RURAL AREAS, 52 PER CENT OF OUR POOR RESIDE THERE. RURAL INFANT MORTALITY AND RURAL DEATHS FROM INFECTIOUS DISEASES ARE MUCH HIGHER THAN THE NATIONAL AVERAGE, AND RURAL MIGRATORY FARM WORKERS HAVE SIMILARLY HIGH MORTALITY RATES. RURAL AREAS HAVE SUBSTANTIAL SHORTAGES IN ALL HEALTH SERVICES.…

While many health care delivery systems are criticized for the dehumanizing way they treat patients, hospice care presents a refreshing alternative to health care for the terminally ill. Patients appropriate for hospice care are those with six months or less to live. Interpersonal communication education is an important component of hospice care…

The cost analysis project report is directed towards persons in policy-making and administrative positions at the national, State, and direct service agency levels. Its purpose was to survey the literature and records to identify costs of homemaker-home health aide services and comparative costs of alternative forms of services. Part 1 includes…

The Cost of Care Index (CCI) has been developed as a case management tool to assist professionals in family assessments and to identify actual or perceived problem areas of families in the care of elderly relatives. The 20-item CCI focuses upon five dimensions related to family care of the elderly. (Author/ABB)

Purpose: We estimated the effect of a voucher benefit on the demand for personal assistance by Medicare beneficiaries aged 65 years or older who had functional disabilities. Design and Methods: We performed a secondary data analysis on 645 Medicare beneficiaries from the Medicare Primary and Consumer-Directed Care Demonstration (a randomized…

This presentation outlines the approach to integrated living for severely disabled individuals which was developed by Independent Living for the Handicapped of Brooklyn, New York. After a brief overview of the history and philosophy of this organization, the 'how-to' approach is explained. This program model coordinates services which are…

These two volumes contain research papers and personal reflections developed as culminating projects by adult students involved in workplace literacy classes in nursing homes, hospitals, and home care agencies. The first volume contains 18 papers: "What You Need to Know about Cancer" (Grace Bopst); "What Nursing Assistants Need to Know about Heart…

This document contains the secondary education model curriculum for the secondary education preparation of home health aides in Montana. The document includes: (1) an introduction and a rationale for the program; (2) skills required by programs that meet certification requirements for a long-term care nurse aide (75 hours) and home health aide (an…