Home care is being considered for a young child who is ventilator dependent. Which factor is most important in deciding whether home care is appropriate?
a. Level of parents' education
b. Presence of two parents in the home
c. Preparation and training of family
d. Family's ability to assume all health care costs
C
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A The amount of formal education reached by the parents is not the important
issue. The determinant is the family's ability to care adequately for the child in
the home.
B At least two family members should learn and demonstrate all aspects of the
child's care in the hospital, but it does not have to be two parents.
C One of the essential elements is the training and preparation of the family. The
family must be able to demonstrate all aspects of care for the child. In many
areas, it cannot be guaranteed that nursing care will be available on a continual
basis, and the family will have to care for the child.
D Few families can assume all health care costs. Financial planning, including
negotiating arrangements with the insurance company and/or public programs,
may be required.
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