HLT 300: Issues in Home Care Nursing

Course Description

This course will provide an overview of the characteristics of the evolving home healthcare environment with a particular focus on the role of the home care nurse in the delivery of care. The essential concepts, and skills required of care givers practicing in the home care environment will be discussed and applied to the care of patients and families in a virtual community. The impact of federal and state healthcare programs and reimbursement systems on the delivery of home care services will be examined. Nurses and other healthcare professionals who anticipate employment in home care will find this course valuable preparation for their new role.

Prerequisite(s)

Senior student or new graduate status in a nursing program, or licensure as a registered nurse (other health professionals may participate with consent of the instructor)
ENG 101: English Composition 1
ENG 102: English Composition 2

Student Learning Outcomes (SLOs)

Students who successfully complete this course will be able to:

Describe the continuing evolution of home care nursing services since their origin in this country to the present day and beyond
Distinguish the knowledge and skill set required for practice in the home care environment
Differentiate the primary payers of home care services and their eligibility requirements
Analyze the impact of federal and state legislation/regulations, and quality control and accreditation guidelines on the delivery of care in the home care environment
Examine the purposes of, and strategies for conducting an OASIS (Outcome Assessment Information Set) assessment
Integrate the components of the plan of care and the role of the healthcare team in designing comprehensive care for patients in the home care environment
Differentiate the purposes, principles and practices of home health, palliative, and hospice care in the home
Examine legal and ethical issues unique to the home care environment and strategies to employ for their resolution
Integrate the principles of home care assessment, planning, intervention, evaluation, and documentation in designing care for patients in a virtual community

Course Activities and Grading

Assignments	Points	Weight
Discussions/Case Studies (Weeks 1-15)	100 each/AVG	60%
Major Assignments:
Neighborhood Windshield Assessment (Week 5)	100	20%
Teaching Project (Week 11)	100	20%
Total	300	100%

Required Textbooks

(Available through Charter Oak's online bookstore)

Giddens, Jean. The Neighborhood Access Card (six month subscription). Pearson Publishers, 2010. ISBN-10: 0-13-253983-7 or ISBN-13: 978-0-13-253983-8
Rice, Robyn. Home Care Nursing Practice: Concepts and Application. 4th ed. Mosby, 2006.

Course Schedule

Week	SLOs	Readings and Exercises	Assignment(s)
1	2,9	Topics:Community/ Family Concepts and Introduction to “The Neighborhood” Readings: Chapter 4 Articles/Web resources as described in the Lecture	Read assigned chapters Review the Lecture material and associated web links Participate in the Class Introductions on the Discussion Board (graded) Practice Assignment to the Grade Book: Scavenger Hunt in “The Neighborhood” (graded)
2	1,9	Topic: The Evolving Home Care Environment Readings: Chapter 1 Resource Chapter for Case Study Patient: 12 Articles/Web resources as described in the Lecture	Read assigned chapters Review the Lecture material and associated web links Participate in the Discussion (graded) Case Study assignment in The Neighborhood (graded)
3	2,9	Topic: Role of Home Care Nurse – Knowledge and Skill Set Readings: Chapters 3, and 5 (pp 49-55) Resource Chapter for Case Study Patient: 11 Articles/Web resources as described in the Lecture	Read assigned chapters Review the Lecture material and associated web links Participate in the Discussions/Case Studies (graded)
4	2,9	Topic: Role of Home Care Nurse - Infection Control Readings: Chapter 6 Resource Chapters for Case Study Patient: 14 and 15 Articles/Web resources as described in the Lecture	Read assigned chapters Review the Lecture material and associated web links Participate in the Discussions/Case Studies (graded)
5	2,9	Topic: Role of Home Care Nurse – Patient Education Readings: Chapter 7 Articles/Web resources as described in the Lecture	Read assigned chapters Review the Lecture material and associated web links Participate in the Discussion/Case Study (graded) Written Assignment: Community Windshield Assessment (graded)
6	3	Topic: Home Care Payers Readings: Chapter 1 (pgs 7-11) Articles/Web resources as described in the Lecture	Read assigned chapters Review the Lecture material and associated web links Participate in the Discussions/Case Studies (graded)
7	4	Topic: Conditions of Participation, State Licensure Regulations, and Accreditation Readings: No Chapter assignment in the text Articles/Web resources as described in the Lecture	Read assigned chapters Review the Lecture material and associated web links Participate in the Discussions/Case Studies (graded)
8	5,9	Topic: OASIS/OBQI -Outcomes Assessment Information Sets (OASIS) and Outcome Based Quality Improvement (OBQI) Readings: Chapter 10 Articles/Web resources as described in the Lecture	Read assigned chapters Review the Lecture material and associated web links Participate in the Discussion/Case Study (graded)
9	5,6,9	Topic: OASIS - Plan of Care and Documentation Requirements Readings: Chapter 5 Articles/Web resources as described in the Lecture	Read assigned chapters Review the Lecture material and associated web links Participate in the Discussions/Case Studies (graded)
10	2,9	Topic: Role of the Home Care Nurse – Technology and Specialty Practice Readings: Chapters 11 (pgs176-84), 22, 23, 24, 28 Articles/Web resources as described in the Lecture	Read assigned chapters Review the Lecture material and associated web links Participate in the Discussions/Case Studies (graded)
11	6,9	Topic: Case Management and Interdisciplinary Communication Readings: Chapters 9, 20 & 21 Articles/Web resources as described in the Lecture	Read assigned chapters Review the Lecture material and associated web links Participate in the Discussion/Case Study (graded) Written Assignment: Teaching Project (graded)
12	8,9	Topic: Ethical/Legal Issues in Home Readings: Chapter 8 Articles/Web resources as described in the Lecture	Read assigned chapters Review the Lecture material and associated web links Participate in the Discussions/Case Studies (graded)
13	7,9	Topic: Palliative Care/Hospice Readings: Chapter 26 Resource Chapters for Case Study Patient: 18 and 19 Articles/Web resources as described in the Lecture	Read assigned chapters Review the Lecture material and associated web links Participate in the Discussions/Case Studies (graded)
14	7,9	Topic: Palliative Care/Hospice (cont) Readings: Chapter 26 Resource Chapters for Case Study Patient: 18 and 19 Articles/Web resources as described in the Lecture	Read assigned chapters Review the Lecture material and associated web links Participate in the Discussions/Case Studies (graded)
15	8,9	Topic: Ethical/Legal Issues in Home Care and Hospice Readings: Chapter 8 Articles/Web resources as described in the Lecture	Read assigned chapters Review the Lecture material and associated web links Participate in the Discussions/Case Studies (graded)

COSC Accessibility Statement

Charter Oak State College encourages students with disabilities, including non-visible disabilities such as chronic diseases, learning disabilities, head injury, attention deficit/hyperactive disorder, or psychiatric disabilities, to discuss appropriate accommodations with the Office of Accessibility Services at OAS@charteroak.edu.

COSC Policies, Course Policies, Academic Support Services and Resources

Students are responsible for knowing all Charter Oak State College (COSC) institutional policies, course-specific policies, procedures, and available academic support services and resources. Please see COSC Policies for COSC institutional policies, and see also specific policies related to this course. See COSC Resources for information regarding available academic support services and resources.