Home Care


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Home Care

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Home Care

  1. 1. http://familymedicine.page.tl
  2. 2. <ul><li>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 </li></ul>
  3. 3. <ul><li>More than home visits </li></ul><ul><li>More people oriented </li></ul><ul><li>Challenge/burden </li></ul>
  4. 4. <ul><li>Patients who have chronic illnesses </li></ul><ul><li>Acute episodic illness </li></ul><ul><li>Patients discharged from the hospital who still require medical supervision or rehabilitation </li></ul><ul><li>Terminally ill patients or </li></ul><ul><li>Patients being assessed for admission to the hospital </li></ul>
  5. 5. <ul><li>Medical care, Nursing care </li></ul><ul><li>Rehabilitation </li></ul><ul><li>Counseling and health education </li></ul><ul><li>Wellness program </li></ul><ul><li>Diagnostic and therapeutic procedures </li></ul><ul><li>Spiritual care </li></ul><ul><li>Support group, community resources, transportation, bereavement and respite care, and first aid </li></ul>
  6. 6. <ul><li>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 </li></ul><ul><li>55 y.o male, maried, sent home after surgery, nurse comes in daily for 5 days to monitor drainage, change of wound dressing </li></ul>
  7. 7. <ul><li>6 year old child, cerebral palsy, seizure disorder, tube fed, requires total care, nursing, and PSW for medical technology, care, parent relief </li></ul>
  8. 8. <ul><li>Overall manager of the patient’s medical and psychosocial care </li></ul><ul><ul><li>Develops plans in cooperation with the patient and other team members </li></ul></ul><ul><ul><li>As a manager, coordinates all aspects of care </li></ul></ul><ul><ul><li>Adequately trained to practice effective home care </li></ul></ul>
  9. 9. <ul><li>Acquisition of appropriate home care assessment skills </li></ul><ul><li>Assessment of adequacy of family caregivers and resources </li></ul><ul><li>Knowledge of community resources </li></ul><ul><li>Knowledge of home care technology </li></ul><ul><li>Integration of home and hospital care or patients </li></ul><ul><li>Ability to lead the home care team </li></ul>
  10. 10. <ul><li>Get manpower </li></ul><ul><li>Train staff </li></ul><ul><li>Prepare a home care program </li></ul><ul><li>Establish networking and linkages </li></ul><ul><li>Implement the program </li></ul><ul><li>Evaluate the program </li></ul>
  11. 11. <ul><li>Prior to home care, select the patient and schedule the visit </li></ul><ul><li>Review the medical records of the patient </li></ul><ul><li>Prepare a home care plan considering all aspects of care—medical, psychosocial, wellness, economic and environmental. </li></ul>
  12. 12. <ul><li>Make sure you have all the instruments </li></ul><ul><li>Establish rapport </li></ul><ul><li>Examine family issues, living condition, and home environment </li></ul>
  13. 13. <ul><li>Write the report of the visit </li></ul><ul><li>Schedule follow up visits to check compliance and render continuing care </li></ul>
  14. 14. <ul><li>LEGAL ISSUES </li></ul><ul><ul><li>Home care policies must be properly drafted to avoid medicolegal risk. </li></ul></ul><ul><ul><li>Documentation of all examinations, conversations and care rendered </li></ul></ul><ul><ul><li>Constant surveillance and attention to quality of care </li></ul></ul>
  15. 15. <ul><li>Ethical Issues </li></ul><ul><ul><li>Must have an informed consent </li></ul></ul><ul><li>Financial Issues </li></ul><ul><ul><li>Prior to entering into a home care agreement, the physician should have discussed with the patient’s family the financial arrangement </li></ul></ul>