Impact of Home Infusion Therapy on the Colorado Medicaid Program Budget

Culbertson, Vaughn L.; Rhodes, Richard S.; Hill, Elaine P.; Rhodes, Pamela J.

doi:10.1093/ajhp/45.6.1346

Cited by 7 publications

(2 citation statements)

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“…Several researchers verified the efficacy and costeffectiveness of home TPN care (Detsky et al, 1983;Culbertson et al, 1988;Johnston, 1981). Growing numbers of patients with a variety of medical conditions such as bowel disorders, malignancies, immune deficiency, and cystic fibrosis require TPN.…”

Section: Literature Reviewmentioning

confidence: 99%

Responsibilities and Reactions of Family Caregivers of Patients Dependent on Total Parenteral Nutrition at Home

Smith¹,

Moushey

Ross

et al. 1993

Public Health Nursing

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This prospective study assessed the caregiving responsibilities and reactions of family members who provide home care to a relative who is dependent on total parenteral nutrition (TPN). A short, semistructured interview based on the Roy adaptation model was used to gather data about the caregiving experiences of 20 relatives of adult TPN-dependent patients. Data were content analyzed, and frequently occurring themes identified. Results indicated that altered family responsibilities as well as negative and positive psychologic reactions to caregiving do occur. The interviews suggested that caregivers master TPN technology but make little use of assistance from extended family or professionals. Although depression and fatigue were reported as common, these family members felt capable and successful in their caregiving roles. Further longitudinal research with larger samples should allow for comparison of caregivers on demographic differences, stress, and other variables pertinent to managing complex home care.

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Section: Literature Reviewmentioning

confidence: 99%

Responsibilities and Reactions of Family Caregivers of Patients Dependent on Total Parenteral Nutrition at Home

Smith¹,

Moushey

Ross

et al. 1993

Public Health Nursing

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show abstract

“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] Since the inception of home TPN in the 1970s, quality of life has been studied from the individual patient's perspective and from an illness/condition perspective. [17][18][19][20][21][22][23][24][25][26][27][28] Problems of depression and health or functional changes in both the patient and spouse have been identified. 21 During the 1980s, researchers added family variables in the study of long-term TPN.3~~8 Recently, problems in the family such as limited coping skills, poor emotional bonding, and stress when the patient's condition deteriorates were found to detract from but not undermine family adaptation and quality of life.39 In (physical and mental health condition, caregiver helping motivation behavior, self-esteem, and change in life satisfaction), family variables (quality in the patient-caregiver relationship, family coping strategies, family adaptability, and cohesion), and the dependent variable (quality of life) for this study.…”

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confidence: 99%

Quality of Life in Long‐Term Total Parenteral Nutrition Patients and Their Family Caregivers

Smith

1993

J Parenter Enteral Nutr

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The purpose of this study was to identify individual and family variables associated with patient and caregiver quality of life. Perceived quality of life has been associated with improved outcomes and compliance. Methods included telephone interviews of 178 families, randomly selected from academic, hospital, and infusion agencies across the United States, with 116 follow-up questionnaires returned. Patients had varied bowel disorders requiring total parenteral nutrition for an average of 4.6 years. Patients were an average of 52.0 years old; caregivers averaged 52.5 years of age. Coded interview data indicated that caregivers assist patients daily (for a mean of 4.2 hours) and provide emotional support. Problems such as loss of friends, loss of employment, and depression were reported in two thirds of the families. Overall low quality of life was associated with length of time on total parenteral nutrition, fewer family coping skills, and inability to get along on income, whereas higher quality of life was associated with higher self-esteem and quality in the relationship. Preparing families for potential social problems or situations related to depression while also enhancing financial assistance, self-esteem, quality in the relationship, and coping skills may increase both patient and caregiver quality of life.

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Home Drug Infusion Therapy Under Medicare

Power¹

1993

JAMA

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Impact of Home Infusion Therapy on the Colorado Medicaid Program Budget

Cited by 7 publications

References 0 publications

Responsibilities and Reactions of Family Caregivers of Patients Dependent on Total Parenteral Nutrition at Home

Responsibilities and Reactions of Family Caregivers of Patients Dependent on Total Parenteral Nutrition at Home

Quality of Life in Long‐Term Total Parenteral Nutrition Patients and Their Family Caregivers

Home Drug Infusion Therapy Under Medicare

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