This book offers convenient access to information about the benefits, drawbacks and challenges of importing high-technology medical care into the home care programs. It is both a descriptive report of research-based observations, and an interpretive analysis of major issues and policies in the delivery of technology-enhanced care. The authors bring to the forefront evidence-based current home care practices, such as ventilator therapy and artificial nutrition infusion pumps, and develop them through complete discussions of legal, ethical and administrative issues they entail. Agency administrators as well as in-home direct service providers like nurses and social workers, will find essential information on a critical home care delivery issue presented with clarity and accessibility.
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This volume offers the reader convenient access to much needed information about the unique benefits, drawbacks and challenges of importing high-technology into the homes of the elderly and disabled. It is a unique combination of both a descriptive report of research-based observations from the frontlines of home health agency operations and interpretive analyses of major issues, policies, and practices informing the delivery of high tech-home health services. Content will be relevant to those agency planners and administrators, managers, and supervisors who are considering engaging in or have recently implemented a high-tech service program in their organization as well as in-home direct service providers like nurses and social workers.
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List of Tables ix Acknowledgments xi PART I SETTING THE SCENE 1(34) Introduction 3(11) The Evolution of In-Home Technologies 14(21) PART II OBSERVATIONS FROM THE FIELD: NATIONAL AND LOCAL PERSPECTIVES 35(58) Profiling the Providers and Consumers of High-Tech Home Health Care 37(14) The Experience of Providing High-Tech Home Care 51(14) The Experience of Receiving High-Tech Home Care 65(7) The Rights of Patients 72(8) The Impact of High Technology on the Agency 80(13) PART III SPECIAL PRACTICE ISSUES AND APPLICATIONS 93(138) Legal Aspects of High-Tech Home Health Care 95(26) Raymond L. Albert Ethical Issues in High-Tech Home Health Care 121(26) The Challenge of Providing High-Tech Care: Reimbursement Issues 147(16) Taking the Plunge into High-Tech Care: Guidelines for Providers 163(21) Guidelines for Serving Consumers 184(16) Conclusions and Recommendations: Gazing into the Future of High-Tech Care 200(31) References 231(14) Appendixes Study Methodology Details 245(18) Sources for More Information on High-Tech Home Health Care 263(14) Currently Available In-Home High-Tech Treatments 277(6) Index 283
Lenard W. Kaye, DSW, PhD, is professor of social work at the University of Maine School of Social Work and Director of the University of Maine Center on Aging.
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