Home Hospitalization for Nursing

The Professional Master’s Degree in Home Hospitalization for Nursing puts at your disposal the most intensive and complete training in the online teaching market, with a learning system totally adaptable to your needs”

Home Hospitalization is the driving force of change in modern healthcare with care focused on people and their health and social needs.  

Demographic change requires an extreme rethinking of health care, previously focused on acute processes and cure as the primary objective, with hospitals as the center of care. The idea is to lean towards a medicine aimed at care rather than cure and having the person and his or her closest environment, the home where he or she lives, as its center. This is without reducing the quality of care or the use of hospital-intensive resources, but being much more efficient in the use and consumption of both public and private resources. 

Our patients and users, to whom we owe it to ourselves, have already experienced the change that we have been hearing about year after year for decades from the various medical societies and healthcare managers. As we have seen, we have an ageing society with exacerbated chronic problems and out-of-hospital care needs but with the intensity, technology and knowledge that is provided daily in our hospitals. And here, the best prepared to lead this change are the Home Hospitalization Units.  

This program is focused on deepening the understanding of all aspects which make home hospitalization unique and different from other medical specialties. It also demonstrates the weaknesses and future opportunities we have ahead of us, making the most of new educative technology available. 

The content is presented in a rigorous way with the latest scientific evidence and clinical cases which help to increase our knowledge. This is with the aim of sharing experiences and new techniques that are already used by medical colleagues in the various Home Hospitalization Units around the world. 

Everything the nursing professional must master to meet all the needs of the patient in home care in a Professional Master’s Degree of high teaching quality” 

This Professional Master’s Degree in Home Hospitalization for Nursing, contains the most complete and up-to-date scientific program on the market. The most outstanding features are: 

• More than 100 practical cases presented by experts in home hospitalization, complex chronic patient management and palliative care.
• The graphic, schematic, and eminently practical contents with which they are created provide scientific and practical information on the disciplines that are essential for professional practice.
• Latest information on the role of the nursing professional in Home Hospitalization.
• It contains practical exercises where the self-evaluation process can be carried out to improve learning.
• Algorithm-based interactive learning system for decision-making in the situations that are presented to the student.
• With special emphasis on evidence-based Nurses and research methodologies in home hospitalization.
• All this will be complemented by theoretical lessons, questions to the expert, debate forums on controversial topics, and individual reflection assignments.
• Content that is accessible from any fixed or portable device with an Internet connection.

With the most developed learning systems in the educational landscape, to offer you a convenient, simple and stimulating training experience from start to finish”

Its teaching staff is made up of prestigious and renowned Spanish professionals with a long career in health care, teaching and research, who have worked in different hospitals throughout the country, developing a professional and teaching experience that they deliver in an extraordinary way in this Professional Master’s Degree.  

The methodological design of this program, developed by a multidisciplinary team of e-learning experts, integrates the latest advances in educational technology for the creation of numerous multimedia educational tools that allow the professional, based fundamentally on the scientific method, to face the solution of real problems in their daily clinical practice, which will allow them to progress in the acquisition of knowledge and the development of skills that will impact their future professional work. 

It should be noted in this Professional Master’s Degree that each of the contents generated, as well as the videos, self-exams, clinical cases and modular exams, have been thoroughly reviewed, updated and integrated by the professors and the team of experts that make up the working group, to facilitate the learning process in a scaled and didactic manner that allows the objectives of the teaching program to be achieved. 

Put yourself in the hands of the best and bring to your training the knowledge of an expert in this type of health intervention"

Acquires the necessary knowledge to apply all the care that the chronic patient with home hospitalization needs, with the peculiarities of care in their own home"

The teaching program has been created by a group of professors and nursing professionals from various specialties, with extensive clinical, research and teaching experience, interested in integrating the latest and most current scientific knowledge of home hospitalization to ensure professional training and improvement to improve the daily clinical practice of professionals who care for patients or populations in the community. 

The most complete syllabus in this field, to gradually take you through all the learning you need to competently perform your work” 

Module 1. Organization of Home Hospitalization

1.1.    Introduction and Justification

1.1.1.    Introduction
1.1.2.    Justification

1.2.    History of Home Hospitalization

1.2.1.    Historical Recap
1.2.2.    Reference Units
1.2.3.    The Present and Future of Home Hospitalization

1.3.    Organizational Models 

1.3.1.    Hospital-Based Home Care
1.3.2.    Care Based on Primary Care
1.3.3.    Support Service at Home

1.4.    Differences Between HH and Home Care from Primary Care and Other Models of Home Care (HDOM)

1.4.1.    HH
1.4.2.    Home Care Models

1.5.    Evidence-Based Medicine

1.5.1.    Advantages and Disadvantages of the HaD Model in Relation to Conventional Hospitalization

1.6.    Portfolio of Services 

1.6.1.    Early Discharge Scheme.
1.6.2.    High-Tech Scheme.
1.6.3.    Support Function Scheme

1.7.    General Criteria for Inclusion and Exclusion

1.7.1.    Wilfulness
1.7.2.    Social criteria
1.7.3.    Geographical Criteria
1.7.4.    Medical Criteria

1.8.    Integration with Different Care Levels

1.8.1.    Primary Care
1.8.2.    Emergencies
1.8.3.    Conventional Hospitalization
1.8.4.    Social-Health Centers
1.8.5.    Residences

1.9.    Structure and Resources of HH

1.9.1.    Structure of HH
1.9.2.    Resources in HH

Module 2. General Aspects Research and Teaching

2.1.    Process Management

2.1.1.    Pre-Admission Assessment
2.1.2.    Admission
2.1.3.    Discharge and Transfer to Primary Care
2.1.4.    Re-admission
2.1.5.    Case Management

2.2.    Electronic Medical History, Peculiarities of HH (mobility and accessability)

2.2.1.    Telemedicine

2.3.    Legal Framework

2.3.1.    Legal Situation in Spain

2.4.    Quality Indicators

2.4.1.    Management Indicators
2.4.2.    Clincial Indicators

2.5.    Research in HH

2.5.1.    Future and Present Lines of Work in the HaD

2.6.    Undergraduate and Postgraduate Teaching

2.6.1.    Undergraduate Teaching
2.6.2.    Postgraduate Teaching

2.7.    Future Perspectives

2.7.1.    Future Challenges

2.8.    Telemedicine

2.8.1.    Concept and Considerations

2.9.    Case Management 

2.9.1.    Nursing Management of Hospital Cases
2.9.2.    Nursing Management of Community Cases
2.9.3.    Management of Medicine-Based Cases

Module 3. Care for Different Specific Types of Patients

3.1.    Fragile Geriatric Patient

3.1.1.    Peculiarities in a Geriatric Patient
3.1.2.    Relationship Model with Assisted Care Residences
3.1.3.    Treatment of Geriatris Patients

3.2.    Complex Chronic Patient

3.2.1.    Definition
3.2.2.    Management Models for Complex Chronic Patients
3.2.3.    Terminal Criteria

3.3.    Palliative Patient

3.3.1.    Differences Between an Oncologic or Non-Oncologic Palliative Patient
3.3.2.    Terminal Criteria
3.3.3.    Management Models for Palliative Patients

3.4.    Polyfrequency Patients 

3.4.1.    Case Management

3.5.    Home-Based Antibiotic Therapy 

3.5.1.    General Aspects 
3.5.2.    Home Intravenous Antibiotic Therapy

3.6.    Psychiatric Patient

3.6.1.    Peculiarities of Home-Based Mental Health Monitoring

3.7.    Pediatric Patient

3.7.1.    Considerations in a Pediatric Patient

Module 4. Management of Subsidiary Syndromes at Home

4.1.    Heart Failure

4.1.1.    Criteria for Admission and Exclusion
4.1.2.    Management of Treatment and Symptoms in the Home
4.1.3.    Criteria for Discharge

4.2.    COPD

4.2.1.    Criteria for Admission and Exclusion.
4.2.2.    Management of Treatment and Symptoms in the Home.

4.3.    Caring for a Patient Post-Surgery

4.3.1.    Criteria for Admission and Exclusion.
4.3.2.    Management of the Main Symptoms and Complications in Patients Post-Surgery

4.4.    Neurological Patient

4.4.1.    Dementia
4.4.2.    Multiple Sclerosis
4.4.3.    ALS

4.5.    DVT and PE

4.5.1.    Home-Based Diagnosis.
4.5.2.    Treatment Adjusted to the Home.
4.5.3.    Admission Criteria in Conventional Hospitalization

4.6.    Home-Based Rehabilitation Loss of Functionality Fractures

4.6.1.    Scales of Functionality
4.6.2.    Possibilities for Home-Based Rehabilitation

4.7.    Nephrourological Emergencies

4.7.1.    Pyelonephritis
4.7.2.    Urinary tract pathologies
4.7.3.    Prostate Disease
4.7.4.    Acute and Chronic Kidney Disease

4.8.    Patient with Digestive Diseases. 

4.8.1.    Cirrhosis
4.8.2.    Hepatic Encephalopathy
4.8.3.    Short Intestine

Module 5. Management of Infections at Home Criteria for Admission and Exclusion, Management, Discharge Criteria

5.1.    Pneumonia

5.1.1.    Diagnosis
5.1.2.    Home-Based Management
5.1.3.    Bronchoaspirations Prevention and Management

5.2.    Infections of the Urinary Tract

5.2.1.    Pyelonephritis
5.2.2.    Urinary Tract Infections
5.2.3.    Prostatitis

5.3.    Intra-Abdominal Infections

5.3.1.    Liver Abscesses
5.3.2.    Post-Surgery Abscesses
5.3.3.    Cholecystitis and Cholangitis
5.3.4.    Diverticulitis
5.3.5.    Infectious Pancreatitis

5.4.    Abscesses

5.4.1.    General Aspects
5.4.2.    Treatments
5.4.3.    Types of Cure

5.5.    Soft Tissue Infections

5.5.1.    Concept
5.5.2.    Classification

5.6.    Infection of Surgical Wounds

5.6.1.    Concept
5.6.2.    Classification

5.7.    Osteomyelitis

5.7.1.    Concept
5.7.2.    Classification

5.8.    Endocarditis

5.8.1.    Concept
5.8.2.    Classification

5.9.    Prosthesis and Intra-Vascular Devices Infections

5.9.1.    Concept
5.9.2.    Classification

5.10.    Febrile Neutropenia

5.10.1.    Diagnosis
5.10.2.    Therapeutics

Module 6. Palliative Care in Oncological Patients

6.1.    Comprehensive Assessment in Palliative Care

6.1.1.    Medical History Model in Palliative Care
6.1.2.    Anamnesis in Palliative Care
6.1.3.    The Importance of Family and Social Circumstances in a Comprehensive Assessment

6.2.    Assessment Scales in Palliative Care

6.2.1.    ECOG
6.2.2.    Barthel
6.2.3.    Karnofsky
6.2.4.    VAS
6.2.5.    Edmonton Symptom Assessment Scale
6.2.6.    Gijon Scale
6.2.7.    Family Apgar
6.2.8.    Pfeiffer
6.2.9.    Nutritional Assessment

6.3.    Continuous Care Models in Palliative Oncology Patients

6.3.1.    Palliative Patients
6.3.2.    Models

6.4.    Pain Management in Palliative Care

6.4.1.    Analgesic Ladder
6.4.2.    First step
6.4.3.    Second Step
6.4.4.    Third Step
6.4.5.    Coadjuvants

6.5.    Control of Dyspnea

6.5.1.    Diagnosis
6.5.2.    Etiology
6.5.3.    Home-Based Management

6.6.    Delirium Control 

6.6.1.    Diagnosis
6.6.2.    Etiology
6.6.3.    Home-Based Management

6.7.    Nausea and Vomiting Control

6.7.1.    Diagnosis
6.7.2.    Etiology
6.7.3.    Home-Based Management

6.8.    Alterations in Intestinal Rhythm. Diarrhoea and Constipation

6.8.1.    Diagnosis
6.8.2.    Etiology
6.8.3.    Home-Based Management

6.9.    Anorexia-Cachexia

6.9.1.    Diagnosis
6.9.2.    Etiology
6.9.3.    Home-Based Management

6.10.    Anxiety-Insomnia

6.10.1.    Diagnosis
6.10.2.    Etiology
6.10.3.    Home-Based Management

6.11.    Situation in a Patient's Last Days and Palliative Sedation

6.11.1.    Terminal Criteria
6.11.2.    Palliative Sedation vs Passive Euthanasia vs Active Euthanasia
6.11.3.    Home-Based Management

6.12.    Grief and Family Care

6.12.1.    Grief
6.12.2.    Family Circle

6.13.    Spanish and European Legality on Palliative Care

6.13.1.    Legal aspects of palliative care in Europe
6.13.2.    Legal Aspects of Palliative Care in Spain

6.14.    Advance Directives

6.14.1.    Definition
6.14.2.    Most Important Asepcts to Take Into Account

Module 7. Pain Management in Home Hospitalization

7.1.    Pain Management

7.1.1.    General Aspects
7.1.2.    Considerations in the Home

7.2.    Scales and Assessment of Patient in Pain

7.2.1.    Classification
7.2.2.    Patient assessment

7.3.    First-Line Analgesic Treatment

7.3.1.    Therapeutics
7.3.2.    Procedures in the Home

7.4.    2nd Line Analgesic Treatment

7.4.1.    Therapeutics
7.4.2.    Procedures in the Home

7.5.    Third Step Treatment. Opioids

7.5.1.    Therapeutics
7.5.2.    Procedures in the Home

7.6.    Coadjuvants

7.6.1.    Classification 
7.6.2.    Procedures

7.7.    Interventional Pain Management

7.7.1.    Interconsultation
7.7.2.    Procedures in the Home

7.8.    Current Legality in the Management of Opioid Analgesics

7.8.1.    Current Spanish Legal Framework

Module 8. Nutrition in Home Hospitalization

8.1.    Nutritional Assessment. Scales

8.1.1.    MUST
8.1.2.    MNA
8.1.3.    Laboratory Parameters
8.1.4.    Clinical Parameters

8.2.    Dysphagia

8.2.1.    Diagnosis
8.2.2.    Etiology
8.2.3.    Home-Based Management

8.3.    Oncology Patients

8.3.1.    Nutritional Needs in Oncology Patients
8.3.2.    Peculiarities

8.4.    Geriatric Patient

8.4.1.    Nutritional Needs in Geriatric Patients.
8.4.2.    Peculiarities

8.5.    Patient with Infectious Diseases

8.5.1.    Nutritional Needs in Infectious Patients
8.5.2.    Peculiarities

8.6.    Enteral nutrition at home

8.6.1.    Types of nutrition
8.6.2.    Normocaloric- Normoprotein
8.6.3.    Hypercaloric- Hyperprotein
8.6.4.    Hyperprotein- Normocaloric
8.6.5.    Special Supplementation

8.7.    Parenteral Home Nutrition

8.7.1.    Types of Nutrition
8.7.2.    Probes

Module 9. Nursing Care in Home Hospitalization

9.1.    Nursing Assessment. Scales

9.1.1.    Nursing Assessment 
9.1.2.    Scales

9.2.    Nursing Care Plan

9.2.1.    Nursing Care 
9.2.2.    Nursing Care Plan

9.3.    Health Education for the Patient and Their Family

9.3.1.    Health Education for the Patient 
9.3.2.    Health Education for the Family

9.4.    Post- Surgical Care

9.4.1.    How to carry out post-surgical care?

9.5.    Pressure Ulcers

9.5.1.    How to treat pressure ulcers?

9.6.    Special techniques in cures (VAC, fomentation, etc...).

9.6.1.    Main Special Techniques in Cures

9.7.    Nursing Techniques

9.7.1.    PICC, Midline
9.7.2.    PEG
9.7.3.    Tracheostomy
9.7.4.    Bladder catheterisation
9.7.5.    Digestive catheterisation (nasogastric, rectal)
9.7.6.    I/V and S/C Perfusion Pumps
9.7.7.    Urostomy and nephrostomy
9.7.8.    Surgical drainage

9.8.    Serotherapy and Intravenous Medication

9.8.1.    Peripheral Routes
9.8.2.    Central Routes

9.9.    Administration of Blood Products

9.9.1.    Classification
9.9.2.    Procedures

9.10.    Obtaining and Transporting Samples: analytical, cultures, etc.

9.10.1.    Extraction procedures
9.10.2.    Types of tests and samples

Module 10. Pediatric Patient in Home Hospitalization

10.1.    Introduction

10.1.1.    Pediatric Patient Particularities

10.2.    Specific Pediatric Assessment at Home

10.2.1.    Considerations

10.3.    Pediatric Oncology
10.4.    Infections in Pediatrics

10.4.1.    Classification
10.4.2.    Procedures

10.5.    Congenital Diseases

10.5.1.    Classification
10.5.2.    Considerations

10.6.    Legality in Pediatric Patient Care

10.6.1.    Spanish Legal Framework
10.6.2.    Considerations

Module 11. Preventative Medicine in Home Hospitalization

11.1.    Preventative Medicine

11.1.1.    Concepts and Overviews

11.2.    Hygiene

11.2.1.    Considerations
11.2.2.    Procedures in the Home

11.3.    Colonization in Infection by Multiresistant Germs Home Measurements

11.3.1.    Colonization
11.3.2.    Multiresistant Germs
11.3.3.    Actions at home

11.4.    Adequacy of Antibiotic. Treatment at Home.

11.4.1.    Types of Treatment
11.4.2.    Therapeutic Suitability

11.5.    Vaccination in Special Patients

11.5.1.    Vaccines 
11.5.2.    Special Patients

Module 12. Therapeutic Techniques

12.1.    Paracentesis

12.1.1.    Procedure
12.1.2.    Home Paracentesis

12.2.    Thoracentesis

12.2.1.    Procedure.
12.2.2.    Thoracentesis at home

12.3.    Arthrocentesis

12.3.1.    Procedure.
12.3.2.    Arttrocentesis at home

12.4.    Oxygen Therapy

12.4.1.    Procedure.
12.4.2.    Home Oxygen Therapy

12.5.    Aerosol Therapy

12.5.1.    Procedure
12.5.2.    Aerosol therapy at home

12.6.    Mechanical Ventilation

12.6.1.    Procedure
12.6.2.    MV at home

Module 13. Diagnostic Techniques

13.1.    ECG

13.1.1.    Procedure
13.1.2.    ECG at home

13.2.    Ultrasound

13.2.1.    Procedure
13.2.2.    Ultrasound at Home

13.3.    Pusioximetry

13.3.1.    Procedure
13.3.2.    Pusioximetry at Home

13.4.    Analysis

13.4.1.    Procedure
13.4.2.    Blood tests at home

13.5.    Cultures

13.5.1.    Procedure
13.5.2.    Blood tests at home

13.6.    Scales (Functional, Cognitive, Nutritional Assessment)

13.6.1.    Procedure.
13.6.2.    Classification

A unique, key and decisive training experience to boost your professional developmen”