Home Nursing At Its Best
The term ‘HOME CARE’ itself denotes that the care which is given to a person who is terminally ill or temporary sick which is increasing in number and need continuous professional medical help when they return home after their course in the hospital. In terms of medical, nursing, social, or therapeutic treatment and/or assistance with essential activities of daily living.
Home care services are typically provided by home care organizations. There are a variety of home care organizations in India; say India Home Health Care, Portea Medical services, Health above 60 etc.
HOME NURSING INCLUDES:
• Rehabilitation therapies
• Physical, occupational & speech-language
• Pain management
• Hospice and palliative care
• Assisting in patient’s Activities of daily living(ADL)
• Wound care management
• Providing medications in time
NEED OF HOME HEALTH CARE:
1. Patients of all ages who return to home after surgery, and in need of care, supervision or assistance.
2. Patients who have complex treatments that require medical equipments for monitoring
3. Mothers and newborns, after coming from the hospital that are in need of further education, support and clinical assessment by a trained nurse
4. Young adults, recovering from accidents or injuries(Post-trauma injuries)
5. Mentally ill adults who need support to remain in the mainstream of their community
6. Adults who want their parents to have a quality care at home.
7. Old aged ailment such as Alzheimer’s disease, Parkinsonism, Diabetes Mellitus, end stage kidney disease etc.
8. Prolonged wound care ( Diabetic wound dressing, post-operative dressings)
SELECTING THE BEST HOME HEALTH CARE PROVIDER:
There are many important factors to consider in choosing the best agency to meet your needs, most important of which is to assess what types of services you or your loved one will need;
When selecting an agency, the factors should include :
• How many years has the agency been serving the community?
• Does the agency offer printed material describing its services and costs?
• Is there a written plan of care for the patient’s treatment that the patient, physician and family participate in developing?
• Is this plan updated over the course of the treatment?
• Does the agency staff educate the family members on the care being administered to the patient and ways they can assist?
• Is the patient’s course of treatment documented, detailing the specific tasks to be carried out by each professional? (i.e. medicines, exercises, daily activities)
• Are supervisors assigned to oversee care to ensure that the patient receive quality treatment?
• Are agency caregivers available seven days a week?
• Does the agency have a nursing supervisor on call and available 24 hours a day?
• Does the agency ensure patient confidentiality? How?
• How are agency employees hired and trained?
• Does the agency require criminal record background checks and communicable disease screens for its employees?
• What is the procedure for resolving issues that may arise between the patient/family and home healthcare staff?
A caregiver is a paid person who helps another individual with impairment with his or her activities of daily living. Based upon the proficiency care givers are categorized into three:
• Registered Nurse
• Associate nurse
• Medical care takers
A Registered nurse (RN) is a nurse who has graduated from a nursing program and has passed a national licensing exam to obtain a nursing license. An RN’s scope of practice is determined by local legislation governing nurses, and usually regulated by a professional body or council.
An Associate nurse (AN) is a tertiary education nursing degree which typically take 2 years to complete. Usually this type of degree is usually awarded by community colleges or similar nursing schools.
MEDICAL CARE TAKER:
Medical caretakers are part of the team who provide care to patients who are elderly, mentally or physically disabled, ill, recovering from surgery, or otherwise unable to care for themselves or unable to perform the activities of daily living(ADL). But restricted to access medicines.
Based upon the need of the client, the Client Care Coordinators (CCC) after assessing the patient’s condition will be able to provide the apt type of care giver. The best home nursing care can be delivered only through frequent observation of the response of the client and how far the care giver can be able to perform.
Health care costs continue to rise resulting in shorter hospital stays and increased demand for community based health care. Health care needs reflects that realities of home care nursing practice. Families can represent on invaluable resource to home care nurses. Mining this largely under used resource can help us provide home care in our new century and in out centuries yet to come.