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Physical therapy is traditionally practiced in a number of different settings: hospitals, private outpatient clinics and nursing homes, to name a few. The emergence of a new trend in physical therapy now brings physiotherapists directly to the patient’s home to provide treatment. This model entails the physiotherapist traveling to the patient’s home with portable treatment equipment, such as hand held modality equipment.

Studies have shown that the need for home physiotherapy services is increasing. Physiotherapy in the home has been shown to assist clients to gain or re-gain improved strength and mobility, resulting in improved function and a better quality of life. Clients who have had a myocardial infarct and are receiving home care physiotherapy following discharge experience an improved quality of life. Those who have had a stroke benefit from improved mobility, functional capacity, and balance, which in turn reduce the risk of falling.

Although the need for physiotherapy services at home is great, access to quality home and continuing care physiotherapy is limited by the shortage of experienced physiotherapists who provide these services. Patients who received physiotherapy in a hospital setting may not have access to the same services when they are discharged. This can have a significant effect on their ability to achieve optimal function and, in the case of chronic disease, may mean repeated admissions for hospital care.

Benefits to treating patients in their home include:

Many physiotherapists who offer home care treatment have extended hours, allowing for treatment sessions either before or after the patient goes to work. This means that patients don’t need to take time off work in order to receive proper treatment. The physiotherapist evaluates a patient in his or her natural environment. There’s no need for the patient to travel, thus making treatment more time efficient for the patient. Complete privacy for the patient and his or her family. Typically, in home sessions are 1-on-1 with the physiotherapist. This allows for more effective treatment sessions since the physiotherapy performs direct treatment on the client, rather than an assistant. This also gives the patient more time to ask the physiotherapist questions directly.

In-home physiotherapy provides the same quality of treatment that you would receive at a clinic. You don’t have to travel and the home therapist may work around your schedule; In-home physiotherapy will save you time and will be more convenient than going to a clinic.

However, in-home physiotherapy is not for everyone. Before you chose home physiotherapy you should ask yourself several questions:

Are you comfortable with having a stranger coming into your home? Upon the first visit, the physiotherapist will essentially be a stranger coming into your home. The physiotherapist will have experience with home therapy treatments and will try to make the experience as pleasant as possible, but you will be required to divulge some personal information about you and your medical history to the physiotherapist.

Are you capable of concentrating without distractions in your home? Many people have multiple things happening around the home which may lead to distractions during the treatment session. Physiotherapy treatments require your full attention during the treatment session, so you should minimize any possible distractions around your home during the session.

Is my home suitable for home physiotherapy? Physiotherapy can generally be performed in a small area. The physiotherapist will attempt to take advantage of the surrounding environment to administer all the tests and treatment required. Generally, the available space in your home is not an issue; however, your home should have at least a few square feet of open floor space which is accessible to an electrical outlet. The physiotherapist will require an electrical outlet if the use of modalities is required for treatment (i.e. ultrasound). Most of the equipment is light and portable, and will be brought to your home by the physiotherapist.

Is the physiotherapist well trained? Only by utilizing the service from organized home healthcare providers, will ensure quality service to be delivered. The patient should not utilize just anybody but should check with an organization of his or her trust.

Jahangeer Ahmad Beigh – Manager-Business Development & Sales

India Home Health Care – Banglore

This can be provided through pain and symptom management of end stage disease processes; psychological, spiritual, and culturally sensitive care of patients and their families. Qualified and trained staff in this field provide sensitive care and pain relief to patients in the final stages of life. They protect patients from unnecessary, painful therapies, and often provide care at home, in order to maximize meaningful time patients can spend with family and loved ones.

India Home Health Care, offers highly trained and qualified personnel to provide end of life care for terminally ill patients.

What are the benefits that IHHC brings to the patient and family through its hospice care?

1. Patient’s physical needs are met
2. Patient is taken care of in an environment that is pleasant and comfortable in the final stages of life
3. Patient is counseled on the fear of death and how to overcome it
4. Patients are provided with the dignity that they deserve at the end stage of life.
5. Family has the support to cope with the death of their loved one through the nursing team

Home Health care for diabetic patients helps them and their families manage the patient’s complex medical needs, monitor blood sugar level patterns and insulin use, in addition to making them understand the medical regimen involved. The benefits for patients include better access, lesser visits to the doctors and labs, reduced episodes and duration of hospitalizations, reduced travel time and expenses. For hospitals, it offers continuum of care to their patients, better patient compliance to the treatment protocol and overall, better experience for the patients. With efficient home monitoring and communication processes, the physicians will be always be in the loop on patient status, thus helping them understand the his/her needs better. Thus, home health care provides an opportunity to offer a continuum of care that further improves health, wellness, and outcomes.

Amazing Statistics*

According to a recent clinic based survey called Screening India’s Twin Epidemic, one in every three adults living adults living in cities suffers from diabetes. 60% of those studied suffered from hypertension or diabetes or both. According to Dr. Shahshank Joshi, the principal investigator of the study, these numbers only show how uncontrolled the diseases are. He believes that this is due to people not monitoring their sugar or blood pressure regularly. Only 1.9% of those studies had control over these standards.

18.4%, of those tested had a condition called pre-diabetes. Extrapolations from the recent ICMR study say that India has approximately 75 million people suffering from diabetes. But it is estimated that double the number have pre-diabetes. These numbers only show the magnitude of this epidemic facing us.

How Can India Home Health Care Help?

Through it’s highly skilled and trained professionals, India Home Health Care offers the patient, a complete ranage of services that improve the quality of life.

1. Registered Nurses: Our Registered Nurses provide support by working closely with the physician and evaluating the patient’s needs related to Diabetes and any other co-morbid condition. This leads to the development of a cutomized care plan. The nursing care plan helps in gaining control of the disease by monitoring blood sugar levels, ensuring that the patient is taking the medication as prescribed and understanding the lifestyle changes that need to be made.

The nurse visits on a regular basis, depending on the patient requirement, and will also help with procuring the medication and other supplies for care. Through these visits, the nurse develops a good understanding of the patient’s health status and is be able to assess the progress of the disease condition accurately. This in turn helps him/her to review and revise the care plan as per patient’s needs.

The nurse will specifically assess vitals, blood glucose levels; monitor the development of diabetes related complications, including neuropathy, nephropathy, retinopathy, diabetic foot and other comorbid conditions.

2. Care Takers: Care Takers will provide basic personal care on a continuous basis and help the patient with activities of daily living, including bathing, dressing, grooming and mobilising. They can also check the patient’s vitals, monitor the glucose levels etc.

3. Wound Care Nurses: Our Registered nurses provide advanced care for those diabetic patients with diabetic foot, skin infections or other wounds. This specialized care provided by implementing international best practices helps in the patient recovering faster and preventing further complications.

4. Physiotherapist: Musculoskeletal manifestations of diabetes include frozen shoulder, back pain, carpal tunnel syndrome, sciatica or osteoarthritis. Diabetic amyotrophy is a type of neuropathy that involves muscle wasting and weakening, especially in the thighs. In all these conditions, daily physiotherapy can help in returning to normal levels of activity and wellbeing. Our physiotherapist visits you at home, does an assessment and develops an exercise regimen for you that are supervised by him/her on a daily basis.

Case Study 1
Mr. Aravind, (name changed), a 45 year old executive working for a MNC was diagnosed as a borderline diabetes in July 2009. However, he did not take the doctor’s advice to keep the disease in control, at that time, due to lack of time and stress related to work. In June 2011, he realized that he has gained 10 kg in the last two years and that he was not feeling fully fit. On consulting the physician again and after performing a battery of tests, he was diagnosed to have Type 2 Diabetes Mellitus, Hypertension and Hypercholesterolemia. This came as a shock to Mr. Aravind and he was not sure how he could manage his lifestyle and take control of his health, given his hectic lifestyle. The physician after prescribing medication for the conditions diagnosed and counselling him, thought it best to refer him to India Home Health Care (IHHC) to seek the partnership of a Registered Nurse to help Mr. Aravind and his wife on how they could tackle the issues at hand and take control. Together with the physician, THE nurse developed a care plan to manage the disease and the comorbidities. The first month, nurse visited them on a daily basis to understand their lifestyle, to educate them on healthy choices, to teach them how to use a glucometer and to record the readings, to ensure medication compliance, to provide constant feedback to the physician on the blood sugar levels in order to titrate the medicine against the levels. By the end of two months, the sugar levels, BP and cholesterol came within the acceptable range. The patient and his wife were much more confident to handle the situation and the nurse continues to visit them on a weekly basis to ensure that the care plan is followed and the blood sugar levels are in control.

Case Study 2

Mr. Ramakrishna, 80 year old man, living with his 75 year old wife has been a diabetic for the last twenty years. In November 2010, Mr. Ramakrishna met with a road traffic accident and was admitted to a hospital for severe lacerations in his right foot. His fasting blood sugar, at the time of admission, was 200 mg/dl and he was put on insulin to bring down the glucose levels. He had a series of complex surgeries to restore the functions of his foot. However, during the hospital stay, he had developed pressure ulcers and he was apprehensive about using the insulin syringe. Hence, he was discharged to the care of India Home Health Care. IHHC provided him with a 24 hour caretaker to help him with the activities of daily living, a Registered Nurse to visit every day to administer insulin, record his blood glucose levels, dress the pressure ulcers and to watch out for their complications and prevent them and a physiotherapist to visit to get his mobility and strength back. After three months, he was fully mobile and the ulcers were healed. The nurse still visits him every day to administer insulin and check the glucose levels.

Source – * The Times of India, Tuesday Nov 8th 2011

Those where the questions addressed during the panel at the VCCircle Summit on 28.09.2011 in Delhi. The panel headed by Sameer Mehta (Director, Mehta Hospitals) discussed the different challenges the industry is facing. The quest for talent stood at the top of the list. Also the nonexistence of any regulation was addressed, stating that this leaves the unorganized players in the market to operate without ensuring quality results to the patient.

Frank Goller, CEO of India Home Health Care (IHHC), focused on the quality available in India. “The opportunities lie in the ability to provide services above the current quality standard. Also setting standards is not possible overnight, in the long run, the organized play will be benefitting. The run on the NABH accreditation by all major hospitals shows the demand for defined guidelines and service standards. At IHHC we focus on quality. If the patient requires a nurse we differentiate between our different levels of Staff: the Registered Nurse, Associate Nurse and the Personal Care Taker. This is most direct differentiator to our unorganized competitors.”

Frank Goller joined the panel with Ameera Shah (CEO & MD, Metropolis Healthcare Ltd.), Mayur Abhaya Srisrimal (Executive Director, LifeCell International), Sanjeev K Chaudhry (CEO, Super Religare Laboratories) and Anil Maini (Executive Director, Batra Hospital & Research Centre).

India Home Health Care participates at the National Conference Ambulatory Surgery 2011

The first National Conference on Ambulatory Surgery and the launch of the Indian Society of Ambulatory Surgery [ISAS] was held in Bangalore on the 2nd and 3rd of September, 2011. The Conference was organized by Nova Medical Centers, pioneers in standalone Ambulatory Surgery Centers in India. The Conference provided a platform for Surgeons across specialties, Physicians, Nurses, Administrators, Quality Assurance Auditors, Biomedical instrument manufacturers and other Healthcare delivery professionals working in Ambulatory Surgery set-ups to share learnings and discuss cases of interest.

Speaking at the conference, Mr. Frank Goller, Chief Executive Officer, India Home Health Care proposed a model that highlighted how home care nursing can benefit ambulatory surgery patients. He mentioned that home care nurses function as eyes and ears of the surgeon and went on to explain how a patient, discharged after a day care surgery, can be assigned a home nurse who will make a visit to the patient and assess the general status of the patient, check the vitals, examine the wound, review the medication, diet compliance and mobilization instructions. Apart from allaying the patient’s anxiety, the visit by the nurse will ensure that post-operative complications are minimized and dealt with immediately. This was received well by the surgeon community.

The benefits for the surgeon include reduced risk of sub-optimal surgical outcome, more diversity of procedures that can be done in ambulatory set up as monitoring and care at home is assured, providing a supportive, caring, yet professional face, and thereby reducing demands on the surgeon’s precious time, minimal need for unnecessary patient visits to the clinic/hospital. All this results in better surgical experience for the patients.

India Home Health Care will provide professional nursing and physiotherapy services for patients in need at their home or hospital bedside.

Bengaluru, KA, June 29, 2011 /India PRwire/ — Chennai-based India Home Health Care Pvt. Ltd., today announced the launch of “Professional Health @ Home” in Bangalore. Through this service, India Home Health Care will provide professional nursing and physiotherapy services for patients in need at their home or hospital bedside. The service has been initiated directly and through a select group of leading hospitals and doctors in Bangalore and will be expanded within the coming month to cover the entire geography.

Briefing newsmen, Mr Krishna Ulagaratchagan, VP, Sales & Marketing, India Home Health Care Pvt. Ltd., stated that this service is designed in conjunction with leading healthcare providers to extend the care of the hospital or doctor to the patient’s home in a professional manner and to international standards. “The benefits of professional healthcare services at home have been proven internationally and are now available in India. The significant advantages include lower overall costs, higher patient satisfaction and comfort, lower chances of hospital acquired infections and lower inconvenience from travel and waiting lines.” The advantages are not just for the patient; for the hospital a professional home healthcare partner allows the hospital to free up hospital beds sooner, extend monitoring and care services to the home of the patient and thereby increasing patient satisfaction and loyalty.

Dr. Anitha Arockiasamy, Head of Clinical Operations and Head of Bangalore Operations, states that “The patients that we care for include new mothers and their infants who need additional care at home because of a lack of local family support, orthopedic patients that require physiotherapy services after a surgery or injury, diabetic patients that require insulin injections or wound care, and even stroke or other patients with neurological disabilities that need recuperative and monitoring services at home. We have a large team of over 200 Registered Nurses, Physiotherapists and Associate Nurses in Bangalore and Chennai and are recruiting aggressively. We expect that by end of the year we will be more than double that number. In fact, home healthcare is the fastest growing segment of nursing employment in the US and Europe with more than 2 lac nurses working in home healthcare in the US alone. This number is expected to double over the next few years. We are seeing the same level of interest from nurses in India as well, especially amongst those nurses interested in going abroad later in their career.”

Indians are living longer and families are getting nuclear. Old age and diseases go hand in hand. Consequently the pressure on the family is enormous when any one of the members becomes unwell or needs hospitalization. Our service seeks to address the emotional side of the family anxiety. Patients and their families who have experienced our service are delighted with the kind of professional approach and support extended by our team. The doctors to whom our nurses report on patient health and recovery status are quite appreciative of the quality, feedback and documentation. “A service of this nature has long been overdue” she explained.

Please log on to www.indiahomehealthcare.com or call 96866 69538 for more details.

http://www.indiaprwire.com/pressrelease/health-care/2011062990616.htm

Chennai, Dec. 5

India Home Health Care, a Chennai-based provider of care services, is expanding services in the South and tying up with corporate sector to offer a range of healthcare assistance.

India Home Health Care provides professional healthcare assistance at home using qualified nurses. It is floated by private promoters with a presence in IT and healthcare.

Tie-ups

Mr Frank Goller, Chief Operation Officer, IHHC, said the company has also tied up with large IT companies and real estate developers to set up first-aid and emergency care services and pre-employment check up in their facilities and large residential complexes that are coming in most major cities. It is present in Chennai and Bangalore and plans to expand its services to Mumbai, Delhi and Hyderabad in the next six months.

India Home Health Care has set up the first of such facilities at the Shriram Gateway IT special economic zone (SEZ), Mr Goller said.

To reach the corporate clients, it has a subsidiary India Corp Healthcare, and is in discussions with the SriCity SEZ to locate a hospital-on-wheels initially. Mr Goller said it collaborates with leading hospitals in Chennai including Fortis Malar, Hande Hospital, Mehtha Hospital, Billroth and Appaswamy Hospitals.

IHHC has a team of over 150-160 qualified nurses and nursing assistants who provide home healthcare, according to Mr V. Thyagarajan, Director, IHHC, and a promoter. Zymbii Home Healthcare, a US-based service provider, is in technical collaboration for processes and services, he said. IHHC’s staff will work closely with the treating doctor to support the patients, he said.

http://www.thehindubusinessline.in/bline/2010/12/06/stories/2010120650420200.htm

The service is launched in association with select hospitals of Chennai in the initial phase and the same will be rolled out to cover all major hospitals of the city and later to Bangalore. National roll out is expected in the next half year.

Briefing newsmen, Mr V Thyagarajan, Director, India Home Health Care Pvt. Ltd., stated that this service is designed to provide post-operative care for the recuperating / convalescent patient, under the direct and immediate supervision of the doctor involved. “Professionally qualified and trained nurses provide personalized attention to the patient and studies worldwide have established that the rate of recovery for a normal and routine patient is faster at home than in a hospital. Besides it saves the patient’s family enormous hassles on logistics of tending to the patient in a hospital. Hence we believe that our service will be eagerly awaited by the patient community as also their families” he said.

Mr Frank Goller, COO, India Home Health Care observed that the singular benefit of this service is that the patient in a recuperative phase is under individualized attention of a trained nurse, the closest alternative to the personal supervision of the doctor himself.

Lt. Col. (Retd.) Ms Ameerunnisa, Home Health Administrator and responsible for the implementation of the service at home, believes that the patients would welcome such a move.

For more details, www.indiahomehealthcare.com

Sep 11, 2010

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