Home Care Flashcards
A collection of services brought into the home singly or in combination. Done in order to achieve and sustain the optimum state
of health, activity and independence
Home care
is referred to as home health
care or formal care
In-home medical care
Recepients of Home care
Old people and those with chronic illness
the extent of an individual’s ability to move from one position to another and walk independently
Ambulating
CONTENTS OF A HOME CARE VISIT BAG (G2k)
• Stethoscope • Sphygmomanometer with at least 2 different cuffs (regular and large) • Funduscope and otoscope • Thermometer • Disposable gloves and lubricant • Prescription forms • Notepad to write instructions for the patient and caregiver • Advance directive forms • Venipuncture set • Sharps container • Disposable plastic containers for urine or stool samplers • Wound dressing supplies • Glucometer • Pulse oximeter • Portable hearing amplification device
To assess patient’s ability to perform basic activities of
daily living and instrumental activities of daily living
FUNCTION
Commonly used cognitive screening tool
Folstein Mini-mental State Examination
Clock drawing test
If there is concern regarding the ability of the
patient to care for self or if abuse or neglect
is suspected, decision-making capacity
assessment should be performed.
are present in persons with
vascular dementia. The deficits are global in
persons with Alzheimer dementia.
Patchy defects
What test in the folstein method is only maxed at 3?
Registration, Recall
What test in the folstein method is only maxed at 2
Language
is a nonverbal screening
tool in which the patient is asked to draw a clock.
The Clock Drawing Test (CDT)
The test also assesses long-term attention, memory,
auditory processing, motor programming, and
frustration tolerance
The Clock Drawing Test (CDT)
- A three-word recall test that is added to the CDT
* Haas the advantage of also assessing memory.
MINI-COG
4 Common acute conditions include
→ Infection
→ Abdominal conditions
→ Cardiac symptoms
→ Behavioral problems
Staff must be trained in assessing
hazards in the home,
conducting functional assessment
monitoring medications,
assessing caregivers
The source of referrals for the home care program may either be from an
outpatient clinic or hospital
COMMON HOME CARE PROCEDURES AND
INTERVENTIONS (G2K)
- NGT insertion
- Mechanical ventilation
- Tracheostomy Tube suctioning and Cleaning
- Urinary catheter insertion
- IV insertion
- Nursing care
- Exercise
- Immunization
- Wound dressing
- Laboratory screening
- Ancillary procedures using mobile x-rays or ultrasound
- Caregiver training
ADVANTAGES OF HOME CARE
- Wounds heal faster
- Patients feel and eat better
- Patients and families take more responsibility
- Costs less
- Less disruption of usual activities
Example of legal issue in home care
Malpractice
best preventive measures to reduce liability
Constant surveillance and attention to quality of
care
best preventive measures to reduce ethical issues
All risks pertaining to a procedure to be done must
be explained to the patient or his caregiver