Home Health Care PDF

CARE -Home care aides can assist with grocery shopping History of the Home Care or meal preparation, showering or bathing, medication reminders and management, safety checks, or socialization, to name a few. Sometimes, they offer medical services that are performed by a visiting nurse...

CARE -Home care aides can assist with grocery shopping History of the Home Care or meal preparation, showering or bathing, medication reminders and management, safety checks, or socialization, to name a few. Sometimes, they offer medical services that are performed by a visiting nurse. These services could include wound management or injections. RainTree Care Services & Senior Residences operates the Golden Reception and Action Center for the Elderly and Other Special Cases first fully serviced seniors residence for Filipinos in the Golden Acres Home for the Aged. It provides care to senior citizens, 60 years old and above, both male and female, who are unattached, dependent and needy. Philippines. - (Pinky Tobiano) -She has been visiting this home for the last 14 years almost on a weekly basis so that she knows the names of all community in Muntinlupa, Metro Manila, Philippines. Our well the lolos and lolas there.  Our senior living residence provides custodial and rehabilitation nursing care needed temporarily due to an injury or illness. Memory Care services, which include Alzheimer’s care and Dementia care, helps its residents to cope with activities in their daily lives. Many seniors require more services and care than offered in a private home. We provide around-the-clock nursing care in a homelike setting. ◦ Our ancestors most likely never saw a doctor, and rarely went to a hospital until it was a last resort. ◦ Some communities had someone who was–or claimed to be–knowledgeable about the medicinal qualities of plants and other natural Origins of substances, and created tonics to treat Home Health common illnesses and maladies of the day. ◦ -(Tonic was used to describe all sorts of concoctions that were supposed to make you feel better or livelier.) ◦ Others depended upon their family members or neighbors for treatment. Organized Home Health Care  Modern Options Home Health Care in the Philippines Physical Therapies Occupational Therapist ◦ Speech-Language Pathologist ◦ Many individuals require continuing health care. These ◦ Home health aides individuals are frequently elderly. ◦ Social Workers ◦ This is because as people age, their risk of acquiring a chronic ◦ - to improve the quality of life of Patients diseases increases. Persons of any age who are chronically ill may require long-term care. ◦ This care is either provided in the patient’s home or in a long- term care facility. ◦ Caregivers are valuable members of the health team in these facilities. Living arrangements Most older adults prefer living at home over living arrangement. -Approximately 94% of older adults live in the community households, alone or with relative -The remaining 65% live in nursing homes with relatives. or with spouse ages under 85 years old ◦ While it is easy to feel powerless during care transitions Directions and Management of care in and difficult to influence the processes and handoffs transition and Referrals taking place outside your practice’s walls, don’t despair: - ◦ Late life is commonly a period of transitions (eg, ◦ -You can build a rigorous transition of care process that retirement, relocation) and adjustment to losses. can make a difference in how your practice operates. Retirement is often the first major transition faced by older adults. ◦ Care transition ideally should be a value-based, patient- ◦ Its effects on physical and mental health differ from centric event that does not disrupt the continuity of care. person to person, depending on attitude toward and reason for retiring.  The most frequent pitfalls in the transition process are: Consider the Following Case: #1. An 80 year old retired school teacher visited the emergency department four times in a month for exacerbation for a mild heart failure condition. twice requiring hospitalization. When provided with discharge instruction, she is able to repeat then back accurately. However she doesn’t follow through with the instructions after returning home because she has not yet been diagnosed with dementia. ◦ #2. A 68 year old man was readmitted for heart failure only one week after discharged following treatment What is the Problem? treatment for the same condition. He brought all his ◦ These patients left the care setting without the ability to bottle of pills in a bag, all of the bottles were full,,not one care for their conditions due to: was opened. When question why he had not taken his ◦ 1. inadequate risk assessment medication, he began to cry, explaining he had never learned to read and couldn’t read the instructions on the ◦ 2. communication or education breakdown bottle. ◦ 3. false assumptions made by the care providers. Transitions of Care: A set of action designed to ensure the coordination and continuity of health care as patients transfer between different location or different levels of care within the same location It is based on a comprehensive plan of care. Points of Transition: Seamless care: Transitional Care Model is designed to Evidence - Based Care Transitional Model prevent health complications and rehospitalizations of chronically ill, elderly hospital patients by providing them with comprehensive discharge planning and home follow-up, coordinated by a master's-level “Transitional Care Nurse” who is trained in the care of people - Jan 25, 2018  Transitions of Care Today Approximately 75% of hospitalized patients are able to return home following discharge Nurses Role in transitions of Care: Older Persons and Care Transitions: ◦ Nurses play a key role in promoting successful transitions ◦ People are vulnerable when they move between different parts of ◦ -by developing and evaluating the transition plan and identifying and communicating barriers to the plan. health care system ◦ Nurses must engage patients and caregivers as active partners ◦ Hospital Care Transition such as discharge from hospital to some and advocates for their healthcare and community support have been identified as events when seniors are at risk for needs.Sep 22, 2016 medication errors. ◦ Nurses participates in multidisciplinary team approach ◦ Therapeutic errors, and infection that lead to unnecessary hospital readmission ◦ The Transition Care Nurse (TCN ) role is very different from traditional nursing position.  ◦ - exchange and ineffective planning or coordination of care between care providers Family Involvement in Care Transition of Family caregiving and transitional care Older Adults ◦ Family caregivers play a key role in delaying and The patient's journey through the health care system possibly preventing institutionalization of chronically can involve a number of interfaces between primary, ill older patients. community and hospital care. ◦ Although neighbors and friends may help, about ◦ The constant in these transitions is the patient, and their 80% of help in the home (physical, emotional, families and carers social, economic) is provided by family caregivers. ◦ Availability of support from carers and family may inpact quality and effectiveness of transitions of care.  Future Pathways of Transitions of Care for Older Adults Making critical treatment decisions when faced with life-threatening illness is often a very difficult, emotionally charged experience for individuals, families, and health care providers across various settings of care. Patient Self-Determination Act of 1990. Make important treatment decisions, and reviews what is known about health-related decision- - describes the context in which older making processes among older adults adults experience their illnesses The role of family members in the decision-making process and how health care providers and care settings exert influence on these decision Practical Steps for Effective transitions of Care Practical Steps for Effective Transitions of (WHO, 2016) Care ◦ 1. Sharing of tools and developing governance arrangements (across ◦ 2. Using a systema approach health care organizations and system) ◦ - Develop new models of care delivery or adopt available evidence - ◦ - using electronic health records with interoperability across sectors based models and organization ◦ - Push beyond more restrictive settings (acute/ institutional) to less ◦ - Standardizing processes related to Appointments, medical records, restrictive settings( community or home-bsed) test results, information flow and communication ◦ 3. Identifying the most at risk of safety incidents ◦ - Implementing tracking system for diagnostic test, referrals and ◦ - Reaching diverse population group appointments  Priority Areas Future Recommendations: Community-based supports and services Educating the workforce for transition care (CBSS) are designed to help community-dwelling older adults remain safely in their homes and delay or prevent institutionalization. The purpose of home community-based care is to: - maintain the health and well-being of the elderly, prevent them from getting sick, help them care for minor health problems and long-term conditions, Special Care Units: Geriatric Units Types of Elder Care are housing options for seniors that are unable to live 1. Independent Living (Retirement Community) independently, OIndependent living communities focus on letting but do not yet need nursing home care. the resident enjoy retirement and allow them to They are typically congregate housing options that worry less about having to take care of the daily provide services such as meals, housekeeping, laundry responsibilities of home ownership. Residents in and personal care in a home-like setting. these communities are, for the most part, healthy The residents have their own suite or studio apartment. and active. Nursing & Rehabilitation Center or 4. Continuing Care Retirement Nursing Home Communities(CCRC) What is known as a traditional nursing home is a - offer various levels of care that allow an individual facility that provides 24 hour nursing care and to enjoy an active retirement without all the rehabilitative services and assistance to its residents. responsibilities of home ownership. These are for individuals who are unable to safely reside at home or in one of the other levels of care. These also allow residents to make friends and stay Nursing homes provide medically supervised care in their community through the years while they to residents that typically are either elderly, disabled, age, requiring more supervision and medical or chronically ill. attention.  5. Geriatric Care managers 6. Home Care Housekeeping - Assistance with shopping, cooking, Geriatric Care managers are typically registered laundry, cleaning, etc. nurses or licensed social workers with a great deal of In Home Nurse/Personal Care - Assistance with activities of knowledge and experience working with elderly daily living such as bathing, dressing, getting up and down, grooming, medication management, and eating. patients. Respite Care - Provides a caregiver temporary relief from They are very familiar with diseases and health issues the responsibilities of caring for individuals with chronic physical or mental disabilities. of the elderly, as well as services available to help Ancillary Services - Equipment or services which are them. necessary for the health and safety of a person. Adult Day Care References Community centers provide respite to caregivers by offering health, therapeutic and social activities to elderly adults that would otherwise require supervision