Home Care

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Home Care
The Filipino Physician Today
2nd Edition

Published in: Health & Medicine
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Home Care

  1. 1. http://familymedicine.page.tl
  2. 2. <ul><li>Provision of comprehensive health services in patient’s own residence </li></ul><ul><li>Purpose: promoting, maintaining /restoring health or minimize the effect of illness & disability </li></ul>
  3. 3. <ul><li>Medical care </li></ul><ul><li>Rehabilitation </li></ul><ul><li>Counseling & health education </li></ul><ul><li>Wellness program </li></ul><ul><li>Diagnostic & therapeutic procedures </li></ul><ul><li>Nursing care </li></ul><ul><li>Spiritual care </li></ul><ul><li>Support group </li></ul><ul><li>Community Resources </li></ul><ul><li>Transportation </li></ul><ul><li>Bereavement & respite care </li></ul><ul><li>First Aid </li></ul>
  4. 4. <ul><li>Patients on enteral nutrition by NGT </li></ul><ul><li>Patients on respiratory therapy </li></ul><ul><li>Patients discharged from the hospital who still require medical supervision or rehabilitation </li></ul><ul><li>Patients on parenteral nutrition </li></ul><ul><li>Patients on renal/ peritoneal dialysis </li></ul>
  5. 5. <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>Coordinates all aspects of care </li></ul></ul><ul><ul><li>Adequately trained to practice effective home care </li></ul></ul>
  6. 6. <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 for patients </li></ul><ul><li>Ability to lead the home care team </li></ul>
  7. 7. <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>
  8. 8. <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 & environmental). </li></ul>
  9. 9. <ul><li>Make sure you have all the instruments </li></ul><ul><li>Establish rapport w/ the patient & his family </li></ul><ul><li>Examine family issues, living conditions, and home environment </li></ul>
  10. 10. <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>
  11. 11. <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>
  12. 12. <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>

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