Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

qualify for psychiatric home care ( Jensen & Miller, 2004):others. Medicare requires that the following criteria be met to and community mental health centers. Most often, home care is viewed as follow-up care to inpatient, partial, or outpatient hospitalization.Other sources include Medicaid, private insurance, self-pay, and home health agencies; private hospitals; public hospitals; gov-ernment institutions, such as the Veterans Administration; 1. The client is confi 3. The client must be in need of skilled nursing care on an 4. Services must be reasonable and necessary for treating the 5. Home health psychiatric care must be provided by a skilled Jensen and Miller (2004) reported: 2. The client must receive services under a plan of care estab-or for a short duration, for example, going to church on Sunday. The or skilled nursing facilities. A home health psychiatric care patient ing, adult family homes, or retirement homes, but not in hospitals lished and periodically reviewed by a physician. The majority of home healthcare is paid for by Medicare. intermittent basis.sistance of another person. The patient can leave home infrequently client’s psychiatric diagnosis and/or symptoms.is unable to leave the home without considerable diffipsychiatric nurse.Psychiatric home nursing care is provided through private Care can be provided in one’s own home or residence, assisted liv- ned to the home.Psychiatric Home Nursing Care culty or the as-●^349

2 2506_Ch21_348-357.indd Sec1:349 506 Ch 21 348 - 357 .indd home nursing care and are including it as part of their benefiatric home nursing care. The plan of treatment and subsequent Sor even a specifipackages. Most managed care agencies require that treatment, pression, dementia, anxiety disorders, bipolar affective disorder, (PPOs) are recognizing the cost-effectiveness of psychiatric ganizations (HMOs) and preferred provider organizations and schizophrenia. Psychiatric nurses also provide consultation Homebound psychiatric clients most often have diagnoses of de-ment providers, a growing number of health maintenance or-Data)Symptomatology (Subjective and Objective him or her at home and justify the need for services.charting must explain why the client’s psychiatric disorder keeps ec 1 for psychiatric reasons, such as depression, agoraphobia, paranoia, Although Medicare and Medicaid are the largest reimburse-patient can also go out for medical treatment, partial hospitalization, adult day care, or chemotherapy. A patient can also be homebound or panic disorder (p. 3).: 349 c number of visits, be preauthorized for psychi- t 1 10/1/10 9:38:02 AM 0 / 1 / 10 9 : 38 : 02 AM