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OASIS-E M1306 Pressure Ulcers: Home Health Careplan & Teaching

Any person who is in a bed or chair for 8 hours or longer is at risk for pressure ulcers. Pressure ulcers - also known as bed sores, decubitus ulcers, pressure sores and skin ulcers - often develop in patients with the following conditions: diabetes mellitus, deep venous thrombosis,...

Posted by Melissa Cott on Jan 25, 2024

Guidance for OASIS M1041/6 Flu Vaccine

Medicare added the status of a patient's vaccination for influenza (as M1040) in 2009. The answer to "Influenza Vaccine Data Collection Period" (now M1041) is collected at transfer/discharge and discharge but many EMRs - home health software - capture the data on admission, resumption...

Posted by Melissa Cott on Jan 2, 2024

Long-Term Anti-Coagulation Therapy? Monitor 2 things...

Home health care patients with atrial fibrillation, deep vein thrombosis, pulmonary embolism and/or artificial heart valves will likely be placed on maintenance anticoagulation therapy to reduce/eliminate blood clots. 

Posted by Joy Joan E. De Castro, RN, MSN on Dec 12, 2023

Do Not Resuscitate - 4 Keys to Effective Patient Communication

The patient's physician writes a do-not-resuscitate (DNR) order when cardiopulmonary resuscitation (CPR) should not be attempted. Because CPR will not be attempted, other resuscitative measures that follow it (tracheal intubation, cardiac monitoring, cardiac defibrillation etc) will...

Posted by Melissa Cott on Dec 11, 2023

Treating Insomnia in the Elderly: Home Health Careplan

Insomnia, aka 'interrupted nighttime sleep', is a persistent problem in the elderly. Age-related sleep problems are frequently and mistakenly considered to be a normal part of aging. It's been reported that more than 50% of people over 65 experience regular insomnia.

Posted by Melissa Cott on Nov 16, 2023

Home Health Ethics: Explaining Patient Rights on Admission

In the healthcare setting, ethical behavior includes

      1. respecting patient choice,
      2. protecting patient confidentiality, privacy, and security, and
      3. administering health care services according to professionally-accepted standards of practice.

Posted by Melissa Cott on Nov 9, 2023

OASIS M1720: Help Patients Manage Anxiety

If the patient reports anxiety and its noted on the OASIS assessment, make sure you include anxiety management in your careplan.

Your patient may be anxious and/or depressed because illness prevents participation in activities. While anxiety is an understandable response to illness it...

Posted by Melissa Cott on Nov 7, 2023

OASIS M1330 Stasis Ulcers: Which Type are You Documenting?

There are four (4) common types of skin ulcers: venous stasis ulcers, arterial ulcers, diabetic neuropathic ulcers and pressure ulcers.

Posted by Melissa Cott on Oct 31, 2023