HOME CARE

PGI RAMOS, RAMIL AND DE JESUS

Fatima University Medical Center
FMCH Department
 HOME CARE
It is the provision of comprehensive health services
to individuals and families in their own residence for
the purpose of promoting, maintaining and restoring
health or minimizing the effect of illness and
disability.
 Services
Services
Medical care Spiritual care

Rehabilitation Support group

Counseling and health Community resources

education
Transportation
Wellness program
Bereavement and respite care
Diagnostic and therapeutic
procedures First aid

Nursing care
 Equipment and modifications

Wheelchair
Commode
Incontinence supplies
Bath aids
Nebulizers
Pressure mattresses
Hand rails and ramps
 Role of the Physician
Overall manager of the patient's medical and
psychological care

Develops plan with the patient and the other

team members
Goals to be achieved by the physician
Acquisition of appropriate home care assessment skills
Assessment of the adequacy of family caregivers and
resources
Knowledge of community resources
Knowledge of home care technology
Integration of home and hospital care for patients
Ability to lead the home care team
Physical functioning must be improved prior to
discharge
Preparations for Home Care
Assessment and preparation of both patient and
home environment

Sharing information about the diagnosis

Discussion of treatment plans and options

Evaluation of the patient's physical condition,

functioning of extremities, sensory components,
excretory functions and social factors
Preparations for Home Care
Preparation of the physical environment in the
home should be done through the help of the
caregivers

Safety measures and mobility should be

planned
 Organizing Home Care Program

Get manpower

Train staff

Prepare a home care program

Establish networking and linkages

Implement the program

Evaluate the program

 Guidelines for Home Visit
Prepare, plan and coordinate

Select the patient and schedule the visit

Prepare a home care plan considering all

aspects of care

During the visit, necessary instruments must

be complete
 Guidelines for Home Visit
Establish rapport with the patient and family.

Examine their living condition.

Select a primary caregiver and appraise his

capabilities.

During post-visit, write the report of the visit.

Schedule follow-up visits.

Refer if necessary.
 Common Home Care Procedures and
Interventions
NGT Insertion

Mechanical ventilation

Tracheostomy tube Suctioning and Cleaning

Catheter Insertion

IV insertion

Nursing care
 Common Home Care Procedures and
Interventions
Exercises

Immunizations

Wound dressing

Laboratory Screening

Ancillary procedures

Caregiver Training
 Issues in Home Care
Legal Issues
Home care policies must be drafted
Documentation is very important
Constant surveillance and attention to quality
of
care to reduce liability
 Issues in Home Care
Ethical Issues
Informed consent on the concept of home
care
All risks must be explained
All procedures must be consented
 Issues in Home Care
Financial Issues
The physician must discuss to the patient's
family the financial arrangement.
 Criteria for admission

1.Medical Merit
– Chronicity
– Diagnostic Dilemma
– Inadequate knowledge about health and disease
– Psychiatric Rehabilitation

2. Cooperation and Willingness

3. Accessibility
4. Economic Stability
5. Not a member of other organization
providing same project
 Criteria For Discharge
1. Resolution
2. Change in location
Thank You For Listening Doctors!
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