Comm Health CH. 37 Flashcards
Services of home health care include:
Skilled nursing Physical therapy Psychiatric therapy Pain education and management Speech language therapy Occupational therapy Social services Intravenous therapy Nutritional support Respiratory therapy Acquisition of medical supplies and equipment Home health aid Homemaker and companion care
Home health care
Service enable individuals of all ages to remain in the comforts and security of their homes while receiving health care
OFFICIAL home care perspective
Individuals and their facilities receive services in their place of residence for the purpose of promoting, maintaining, or restoring health, or of minimizing the effects of illness and disability
PATIENT home care perspective
Skilled and compassionate care provided on a one to one basis in the comforting and familiar surrounding of the home
FAMILY home care perspective
To keep the family of ether as a functioning integrated unit
PROVIDER Home care perspective
Challenges all disciplines involved to provide excellent care in often less than excellent conditions and surrounding
What was home care formerly defined as?
Providing physical care to the sick in their homes
The first home health care program in the U.S. was organized WHEN? And as WHAT?
1796
The Boston dispensary
The first visiting nurse service in the U.S. Was formed where and when??
1886
Philadelphia
Lilan wald and Mary Brewster developed a visiting nurse service for the poor in WHAT CITY and WHEN at WHERE?
NY city
1893
Nurses’ settlement house on Henry street
When was the visiting association formalized, and public health departments became widespread?
1800’s and early 1900’s
Types of home care agencies
The a fence typically has to comply with the federal, state, and local laws and regulations via the following :
Licensure by the state
Certification by state certifying body that the federal government designated
Certificate of need
Accreditation
Licensure
Gives legal permission to operate within the state only
Certification
Federal government set of rules governing certification (a process in which the government evaluates and recognizes an individual, institution, or educational program as meeting certain standards)
Only certified agencies are permitted to receive Medicare payment
Accreditation
A process whereby a professional association or nongovernmental agency grants recognition to a school or institution for demonstrating ability in a special are of practice or training) from the national league of nursing community health accreditation program, joint commission, commission on accreditation or rehabilitation facilities (CARF)
Changes in home health care
Medicare is reimbursing psychiatric nurse clinicians for home visits
Social workers are taking a more active role in home health care
Most agencies are obtaining a separate Medicare certification to provide hospice care
Pet care programs
Electronic home visits
Infusion therapy is one of the most rapidly growing segments in home health care
Skilled nursing
Provided and directed by RN
LPN/LVN is permitted to provide basic nursing services under the supervision of the RN
Service goals of a skilled nursing services
Restorative: return to previous level of functioning
Improvement: achieving better health
Maintenance: maintain current level of health
Promotion: teach healthy lifestyle
Role of the LVN/LPN
Independent practice NOT allowed, but self- direction Motivation Creativity Clinical proficiency flexibility Compassion Empathy And patience are essential
Physical therapy
Goal of treatment must be restorative for Medicare reimbursement but may be maintenance or preventive for other payer sources
Speech- language therapy
Therapy goals include minimizing:
Communication disorders
Physical, emotional, and social impact
Independent functioning and maximum rehabilitation of speech and language abilities are primary treatment goals
Occupational therapy
Deal with life's practical tasks Assist to restore functional level Services include: Techniques to increase independence Design, fabrication, and fitting orthotic or self-help devices Assessment for vocational training
Medical social service
Services are provided by social workers prepared at the master’s level
Focus is on EMOTIONAL AND SOCIAL aspects of illness
The care plan includes education, counseling, payment source identification, and referrals
Homemaker- home health aide
Provides the basic support services that can enable an elderly individual, disabled adult, or dependent child to remain at home.
3 categories:
Personal care
Physical assistance
Household chores
