RESUMO
Perinatal home care for women experiencing a high-risk pregnancy often requires the use of technologies for safe home management. Home care professionals need to integrate high technology with high touch to ensure the best results.
Assuntos
Enfermagem em Saúde Comunitária/normas , Relações Enfermeiro-Paciente , Assistência Perinatal/normas , Família , Feminino , Monitorização Fetal/enfermagem , Monitorização Fetal/psicologia , Terapia por Infusões no Domicílio/instrumentação , Terapia por Infusões no Domicílio/normas , Humanos , Gravidez , Ultrassonografia Pré-Natal/enfermagem , Ultrassonografia Pré-Natal/psicologia , Estados Unidos , Monitorização Uterina/enfermagem , Monitorização Uterina/psicologiaRESUMO
In recent years, hospitals have established home-care programs to provide care on a continuum, meeting needs in the hospital and home setting, whichever is most appropriate and efficient in response to defined patient needs. Hospital-based home-care programs with specialization in perinatal nursing have been established to meet the care needs of patients and their families during antepartum, postpartum, and neonatal periods. One of the greatest advantages of a hospital-based program is the internal availability of highly knowledgeable and skilled nursing staff. Physicians are more likely to refer patients to a program that is staffed with nurses they know and trust from the hospital setting. More cost-effective and coordinated care is achieved through the appropriate use of resources across the continuum.
Assuntos
Enfermagem em Saúde Comunitária/organização & administração , Serviços Hospitalares de Assistência Domiciliar/organização & administração , Enfermagem Materno-Infantil/organização & administração , Análise Custo-Benefício , Necessidades e Demandas de Serviços de Saúde , Humanos , Seleção de Pacientes , Perinatologia , Encaminhamento e ConsultaRESUMO
Homecare for the high-risk antepartum client is a rapidly growing specialty of perinatal nursing. In a tertiary care center, a homecare component staffed by specially trained obstetric nurses with fetal monitoring expertise provides for comprehensive home visits. Home visits by nurses enable the client to remain safely in her own environment during the experience of a high-risk pregnancy. Nursing care for this population includes the provision of physical care, home fetal monitoring, education, and support throughout the pregnancy.