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Home Care

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Home Care

Home Care

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  • 1. http://familymedicine.page.tl
  • 2.
    • 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
  • 3.
    • More than home visits
    • More people oriented
    • Challenge/burden
  • 4.
    • 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
  • 5.
    • 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
  • 6.
    • 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
  • 7.
    • 6 year old child, cerebral palsy, seizure disorder, tube fed, requires total care, nursing, and PSW for medical technology, care, parent relief
  • 8.
    • 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
  • 9.
    • 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
  • 10.
    • Get manpower
    • Train staff
    • Prepare a home care program
    • Establish networking and linkages
    • Implement the program
    • Evaluate the program
  • 11.
    • 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.
  • 12.
    • Make sure you have all the instruments
    • Establish rapport
    • Examine family issues, living condition, and home environment
  • 13.
    • Write the report of the visit
    • Schedule follow up visits to check compliance and render continuing care
  • 14.
    • LEGAL ISSUES
      • 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
  • 15.
    • 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
  • 16.