In general, home care is indicated when the patient needs monitoring, drug adjustment, bandage changes, and limited physiotherapy. Home care is often used
After hospital discharge (post-acute episode care), although hospitalization is not a prerequisite, particularly in the elderly
Home care can also be used in:
- Patients with diseases that require several days of hospital care per year (complex cases)
- Patients with stable disease but with serious functional compromise (long-term care)
- Sometimes in patients with acute or chronic problems
- Sometimes, terminal patients (terminal care)
Home care is used with increasing frequency to meet the demands of chronic care. This type of hospitalization can reduce the need for hospitalization in nursing homes by 23% and is less expensive than institutional care when home visits and specialist visits are scheduled appropriately.
There are philadelphia corporation for aging agencies responsible for home care that have different owners, sizes and locations and provide different services. Some are certified. To get certified, the agency must meet state requirements for obtaining a license and federal conditions to participate in Medicare (partial health insurance program with federal support for the elderly). These agencies provide skilled nursing care under the direction of the doctor who refers the patient. Nurses perform their tasks under the supervision of a doctor, who consults with them when they must implement changes in care. Home care requires communication between members of the health team to ensure that the patient maintains his function and progresses as expected.
There are many benefits that home care offers, and can be divided into health aspects, social aspects and scientific-technical aspects.
Individualized care: when being treated in your own home and in a personalized way, the healthcare professional deals exclusively with the patient, being able to devote all his effort and knowledge to the greatest
Speed and ease in recovery: reversible diseases recover more quickly if the dependent is in your home, as it is in your environment giving you a large dose of psychological positivity.
Increased life expectancy: being in their own environment and surrounded by people of trust and affection, the elder feels accompanied, feels that he is not alone, so that problems derived from income such as depressions are avoided.
Routine creation: certain diseases need to perform daily movements, both to improve health and to remain active and independent. With a professional at home, it is guaranteed that you have full availability to do these activities and not be aware of whether or not you can attend to the elderly that day.
Stay at home: the relocate to a residence or hospital makes the elderly experience outside their environment and insecure, creating psychological problems that worsen their health. This allows an improvement in the communication between the patient and the professional, since a much closer and human link is established.
Lower cost: compared to residences, home care is much cheaper, both in the services received and in the transfers of the elderly or relatives, since they do not have to perform them.
Greater privacy: when living in residences, the elderly may feel that they are deprived of the privacy they may have in their home, both for hygiene, rest or communication.