Home Health/AIDS

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What is the major payer in home health nursing?

Medicare
Medicare Homecare Criteria
- Homebound
- Plan of care
- Skilled Need
- Intermittent and Part-time (limited frequency and duration)
- Reasonable/Necessary (improving...NOT stable, no change, chronic conditions)
Medicare hospice benefit is for patients with a _______ month prognosis

6 months

Typically diagnosed with: CHF, Cancer, COPD
A nurse in an outpatient clinic arranges a referral for home nursing for a patient seen in the clinic who

A) Has recent unexplained dizziness and seizures resulting in falls.
B) Needs additional teaching regarding self-monitoring of capillary blood glucose
C) Has severe multiple sclerosis with an open decubitis ulcer
D) Requires weekly monitoring of prothrombin times as a result of anticoagulant therapy

C) Has severe multiple sclerosis with an open decubitis ulcer

A - skilled need and homebound
B - needs a hospital
C/D - nothing says needs can't be met in a clinical
(this multiple choice question has been scrambled)
When documenting a home visit which of the following statement supports continued eligibility for Medicare reimbursement?

A) Patient's condition stable. No change in last 3 visits
B) PICC dressing changed. No erythema or discharge. Wife demonstrates correct technique to flush line and administer infuesion
C) Patient unwilling to learn how to monitor blood glucose
D) Patient feeling bettery. Able to do own grocery shopping without dyspnea

B) PICC dressing changed. No erythema or discharge. Wife demonstrates correct technique to flush line and administer infuesion

A - Not homebound
C - Stable
D - Making progress toward goal but still in need
(this multiple choice question has been scrambled)
HIV Risk factors
- Unprotected sexual contact (anal, vaginal, oral)
- Blood exposure
- Birth mother with risks
What is the most important factor of the maternal-fetus transmission rate?

Maternal viral load
What is the gold standard for HIV testing?
- ELISA
- Western Blot
(ELISA is run twice and western blot to confirm)
Why is drug adherence critical?

Resistance to it
What is the importance of HLA-B*5701 testing?

Associated to hypersensitivity to abacavir

(If positive = NO abacavir)
CD4 cell count
What are the numbers for low, medium and high risk for opportunistic infections?
- Low > 500
- Medium 500-350
- High < 350
A combination of 3 or more potent antiretroviral agents is:
- HAART
- (prevents HIV replication)
Antiretroviral Medications
Side effects:
- Fat redistribution
- Hypercholesteremia, Hyperlipidemia
- Diabetes
- Lactic acidosis
- Osteoporosis
ACDEFGHI of Prevention:
- Antiretroviral therapy
- Circumcision, Counseling
- Diaphragm
- Exposure prophylaxis
- Female controlled microbicides
- Genital tract infection (STI) control
- HSV-2 suppressive treatment
- Immunization

Author

wiscflor

13712

Card Set

Home Health/AIDS

Description

HHA

Updated

2010-04-09T20:22:19Z

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