CORRESPONDENCEpotential difference between the bifrontal recording electrodes resulting in a nearly flat line (isoelectric) tracing. In contrast, the MECTA instrument will show the greatest activity in tracings of asymmetrical aborted seizures (demonstrated as such by standard
Each issue, we usually ask different clinicians a set of questions about an aspect of their practice or a specific problem or disease condition they encounter. This month is a little different as we asked 2 clinicians and 1 parent. This month's topic is From Hospital to Home. Our participants are Robin Shannon, MS, RN, CPNP, Janelle Peterson, RD, LD, CNSD, and Jennie Fisher (parent). Full bios for each of the clinicians can be found at the end of this article. When considering a patient for home enteral or parenteral support, who are the best candidates? Shannon: Ideally, preparation for discharge from the hospital and transition to home care begins when the patient is first admitted. A team approach including the primary nursing staff, attending physicians, community primary care provider, pediatric registered dietician, and social services is needed to properly evaluate the potential for home health care. The family should be motivated and willing to learn. They should be able to demonstrate appropriate care techniques while in the hospital setting. There should be a safe, clean home environment with adequate community support. This includes referral to a home health care agency and close access to community medical services. The best candidates are those with a stable medical condition whose families are willing and capable of learning about medical home care. The home health care agency is pivotal in providing teaching, direct care, and monitoring once the child returns home.
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