Clinical Case Studies in Home Health Care

ABOUT THE EDITOR: Leslie Neal-Boylan, PhD, RN, CRRN, APRN-BC, FNP, is a certified family nurse practitioner, rehabilitation nurse, and home health nurse. She developed the Neal Theory of Home Health Nursing and has published and presented widely on issues related to rehabilitation, disability, chronic illness, home health, and nurse workforce. Dr. Neal-Boylan has edited four books, one of which won the American Journal of Nursing Book of the Year Award. She was also the consulting editor for the 2010-2011 edition of the Visiting Nurse Associations of America’s Nursing Procedure Manual.

• Contributors ixPreface xiiiAcknowledgments xviiSection 1 Introduction 3Chapter 1 Theoretical Frameworks That Support Home Care 5By Leslie Neal-Boylan, PhD, RN, CRRN, APRN-BC, FNPChapter 2 Managing the Complexities of Home Health Care 13By Mary Curry Narayan, MSN, RN, HHCNS-BC, COS-CChapter 3 Transitioning 23By Jeanie Stoker, MPA, RN, BCChapter 4 The Home Visit 33By Pamela Teenier, RN, BSN, MBA, CHCE, HCS-D, COS-C, and Lelah R. Marzi, RN, MBA, BSN, COS-C, HCS-DSection 2 Cardiac 43Case 2.1 Congestive Heart Failure 45By Jeanie Stoker, MPA, RN, BCCase 2.2 Atrial Fibrillation 55By Jeanie Stoker, MPA, RN, BCCase 2.3 Wound following a Coronary Artery Bypass Graft (CABG) 65By Jeanie Stoker, MPA, RN, BCSection 3 Peripheral Vascular Disease 75Case 3.1 Peripheral Vascular Disease 77By Linda Royer, PhD, RNSection 4 Pulmonary 87Case 4.1 Chronic Obstructive Pulmonary Disease (COPD) 89By Lisa A. Gorski, MS, HHCNS, BC, CRNI, FAANCase 4.2 Pneumonia 99By Leigh Ann Howard, RN, MSNCase 4.3 Tuberculosis 107By Leigh Ann Howard, RN, MSNSection 5 Gastrointestinal 113Case 5.1 Stomach Cancer 115By Sharron E. Guillett, PhD, RNCase 5.2 Malnutrition/Anemia 123By Linda Royer, PhD, RNSection 6 Genitourinary 135Case 6.1 Neurogenic Bladder 137By Kathleen Francis, RN, MSN, CWOCNCase 6.2 Urostomy Care 151By Kathleen Francis, RN, MSN, CWOCNCase 6.3 Urinary Tract Infection and Functional Incontinence 163By Kathleen Francis, RN, MSN, CWOCNSection 7 Psychiatric/Mental Health 173Case 7.1 Bipolar Disorder 175By Joanne DeSanto Iennaco, PhD, PMHCNS-BC, APRNCase 7.2 Personality Disorders 185By Debra Riendeau, MN, APRN, BC, PMHNP-BCCase 7.3 Schizophrenia 195By Joanne DeSanto Iennaco, PhD, PMHCNS-BC, APRNCase 7.4 Schizoaffective Disorder 203By Joanne DeSanto Iennaco, PhD, PMHCNS-BC, APRNSection 8 Musculoskeletal 215Case 8.1 Muscular Dystrophy 217By Sharron E. Guillett, PhD, RNCase 8.2 Cerebral Palsy 225By Sharron E. Guillett, PhD, RNCase 8.3 Osteomyelitis, Decubitus Ulcer, and Paraplegia 235By Linda Royer, PhD, RNSection 9 Neurological 247Case 9.1 Brain Stem Infarct 249By Shelia Spurlock-White, MSN, RNCase 9.2 Multiple Sclerosis 259By Leslie Neal-Boylan, PhD, RN, CRRN, APRN-BC, FNPSection 10 Maternal Health 267Case 10.1 Antepartum Care 269By Ruth Smillie, RN, MSNCase 10.2 Postpartum Care following Uncomplicated Delivery 281By Ruth Smillie, RN, MSNCase 10.3 Postpartum Care following Complicated Delivery 291By Ruth Smillie, RN, MSNSection 11 Pediatrics 299Case 11.1 Premature Infant with Apnea and Reflux 301By Teresa LaMonica, PhD, MSN, RN, CPNPCase 11.2 Asthma 311By Teresa LaMonica, PhD, MSN, RN, CPNPCase 11.3 Adolescent with Neurodevelopmental Disability 319By Teresa LaMonica, PhD, MSN, RN, CPNPSection 12 Pediatric Intensive Care 329Case 12.1 Alpha-Thalassemia X-Linked Mental Retardation Syndrome 331By Lannette Johnston, RN, BSN, MS, CPSTCase 12.2 Anoxic Brain Damage/Achondroplasia 341By Lannette Johnston, RN, BSN, MS, CPSTCase 12.3 Cerebral Palsy/Acute Respiratory Failure 353By Lannette Johnston, RN, BSN, MS, CPSTSection 13 Infectious Disease 365Case 13.1 Clostridium difficile-Associated Disease (CDAD) 367By Debra Riendeau, MN, APRN, BC, PMHNP-BCCase 13.2 Community-Associated, Methicillin-Resistant Staphylococcus aureus (MRSA) 377By Debra Riendeau, MN, APRN, BC, PMHNP-BCCase 13.3 Influenza 387By Sharon D. Martin, RN, MSN, PhD(c)Section 14 Endocrine 399Case 14.1 Diabetes Mellitus Type 1 401By Caryl Ann O’Reilly, CNS, CDE, MBACase 14.2 Diabetes Mellitus Type 2 411By Caryl Ann O’Reilly, CNS, CDE, MBASection 15 End-of-Life Care 421Case 15.1 Grief 423By Debra Riendeau, MN, APRN, BC, PMHNP-BCCase 15.2 Palliative Care 437By Susan Breakwell, APHN-BC, DNPCase 15.3 Hospice 447By Susan Breakwell, APHN-BC, DNPCase 15.4 Amyotrophic Lateral Sclerosis 459By Susan Breakwell, APHN-BC, DNPIndex 467