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Biomedical subjects

Y Baginski

Publications and source records attributed to Y Baginski.

16 recordsLinked to original sources
PubMed1994

Roadblocks to home care.

Inadequate or lack of Medicaid or private insurance reimbursement for needed services, lack of social and emotional support for families in certain communities, poor teaching, lack of continuity of treatment at home and communication breakdowns between key providers are just a few of the problems pointed out by discharge planners and pediatric home care nurses when transferring medically fragile children to the home. Although many children are successfully transferred and cared for in the home, problems continue to revolve around money, resources, and time, which stand in the way of an optimal success rate.

Caregivers↗
PubMed1993

Caregiver ethics. Walking the fine line.

Caregivers for AIDS patients find themselves drawn in to their patients' lives--sometimes inappropriately. Others find that to avoid this situation, they must maintain a distance they might not prefer. The difficulty in defining boundaries points out the need for support and counseling for this group of professional caregivers.

Acquired Immunodeficiency Syndrome↗
PubMed1993

Earthquake!

Who in their right mind would see a natural disaster as an opportunity? One agency does see earthquakes as opportunities to improve its service to rural and hard-to-reach patients. This earthquake preparedness plan is an ongoing process, evaluated and updated even when there isn't a call for true preparedness.

California↗
PubMed1992

A debate on the ultimate self-determination.

An act to be voted on this November in California could set the precedent for the rest of the country: will terminally ill, competent adults legally be able to ask their doctors to help them die? This initiative would allow patients and physicians to take a more active role in deciding the time and place of death.

California↗
PubMed1991

Home is where the heart is. Ministering to homebound patients opens new doors for pastoral care givers.

Today many patients must convalesce or die at home. Thus home healthcare is a growing service. Many home health agencies are finding that caring for patients' spiritual needs can be just as important to their well-being as caring for their physical needs. Four years ago Humboldt Home Health Services (HHHS), Eureka, CA, launched a pastoral care program in response to a growing patient need. HHHS now offers pastoral care free to all its patients. Each certified pastoral care counselor on the staff visits three to five patients each day. They encourage patients to tell their stories, describe adjustments they have had to make to their illnesses, and explore how they are coping emotionally and spiritually with their situations.

California↗
PubMedDate not supplied

A system of values. Values committees help a system preserve its mission.

In response to the challenge of maintaining their Christian values in the face of increasing economic pressures, St. Joseph Health System in Orange, CA, has implemented its VISION program (Values Integration Systemwide in Ongoing Networking). The program consists of values implementation policies, self-assessment, and regular systemwide reporting. The idea for evaluating values implementation took shape in 1987 at a representative task force meeting. After agreeing on a conceptual framework, the group recommended the formation of values committees to assess their organizations' status and develop action plans. The task force provided the first step by identifying nine areas for self-assessment. The committees met in January 1988 to examine their tasks and share ideas. They were encouraged to translate the values concepts into actual attitudes and behaviors that could be applied in their work. Later they gauged the relative stages of their entities' values implementation through surveys, assessments, and interaction.

California↗
PubMedDate not supplied

Bringing home mental healthcare. In-home peer counseling benefits the elderly.

Elderly persons who live alone often feel isolated and depressed, especially when they live in remote rural areas. Humboldt County, CA, is known for its rugged mountain terrain and as much as 39 inches of precipitation each winter. This can lead many homebound elderly to feel isolated. So in 1987 Humboldt Home Health Services, Eureka, CA, together with other county agencies, established a free, in-home peer counseling program for area residents over age 60. After attending a free, five-day peer counseling session, representatives from HHHS and other county agencies discussed which agency would be responsible for certain peer counseling program tasks and began the counselor recruitment process. In June 1989, 12 volunteers attended the first training session. Once they complete their training, the volunteer peer counselors commit to working at least eight hours a week for one year. The eight hours are taken up by counseling sessions, travel time, meetings with supervisors, group discussion, and record keeping. Peer counselors have been trained to listen and respond to calls for help. Unlike professional counselors, however, they do not diagnose and treat complex pathological problems. On the other hand, because they have smaller caseloads than professional counselors, peer counselors are able to spend more time with their clients.

Aged↗