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Home Care

Home Care



Home Care

Home Care



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    Home Care Home Care Presentation Transcript

    • http://familymedicine.page.tl
      • Provision of comprehensive health services to individuals in their own residence for the purpose of promoting, maintaining or restoring health or minimizing the effect of illness and disability
      • More than home visits
      • More people oriented
      • Challenge/burden
      • Patients who have chronic illnesses
      • Acute episodic illness
      • Patients discharged from the hospital who still require medical supervision or rehabilitation
      • Terminally ill patients or
      • Patients being assessed for admission to the hospital
      • Medical care, Nursing care
      • Rehabilitation
      • Counseling and health education
      • Wellness program
      • Diagnostic and therapeutic procedures
      • Spiritual care
      • Support group, community resources, transportation, bereavement and respite care, and first aid
      • 86 y.o. widowed woman lives alone, osteoporosis, arthritis, uses walker. PSW twice per week to assist with bathing, some homemaking, gets help from daughter
      • 55 y.o male, maried, sent home after surgery, nurse comes in daily for 5 days to monitor drainage, change of wound dressing
      • 6 year old child, cerebral palsy, seizure disorder, tube fed, requires total care, nursing, and PSW for medical technology, care, parent relief
      • Overall manager of the patient’s medical and psychosocial care
        • Develops plans in cooperation with the patient and other team members
        • As a manager, coordinates all aspects of care
        • Adequately trained to practice effective home care
      • Acquisition of appropriate home care assessment skills
      • Assessment of adequacy of family caregivers and resources
      • Knowledge of community resources
      • Knowledge of home care technology
      • Integration of home and hospital care or patients
      • Ability to lead the home care team
      • Get manpower
      • Train staff
      • Prepare a home care program
      • Establish networking and linkages
      • Implement the program
      • Evaluate the program
      • Prior to home care, select the patient and schedule the visit
      • Review the medical records of the patient
      • Prepare a home care plan considering all aspects of care—medical, psychosocial, wellness, economic and environmental.
      • Make sure you have all the instruments
      • Establish rapport
      • Examine family issues, living condition, and home environment
      • Write the report of the visit
      • Schedule follow up visits to check compliance and render continuing care
        • Home care policies must be properly drafted to avoid medicolegal risk.
        • Documentation of all examinations, conversations and care rendered
        • Constant surveillance and attention to quality of care
      • Ethical Issues
        • Must have an informed consent
      • Financial Issues
        • Prior to entering into a home care agreement, the physician should have discussed with the patient’s family the financial arrangement