In Home Care

Home health care is defined as rendering predominantly medically-related services to patients in a home setting (home bound) rather than in a medical facility. The definition of homebound is that the patient is not able to leave the home or requires a taxing and considerable effort with assistance of others and /or supported devices to do so. Basically, the home care practitioner will help patients increase their ability to tend to their everyday needs at home. Home health care many include skilled nursing in addition to speech, occupational and physical therapy. It does not include assistance with cooking and other household chores. Admission indicators for home health care the following:

Wound Care

  • Teach Patient/PCG on dressing
  • Monitor wound progress
  • Wound V.A.C. treatment
  • IV antibiotics for wound infection

Ask for our Wound Specialty Team

Infusion Therapy

  • Antibiotics
  • TPN
  • Hydration

Enteral Therapy

  • Instruction in bolus feedings
  • Instruction continuous feedings
  • Nutritional assessment

CVA Stroke

  • Post stroke dementia
  • Anti-coagulant therapy
  • Gait disturbance
  • Dysphasia or Aphasia
  • Medication management
  • Enteral therapy
  • Decreased nutritional status

Debility Unspecified

  • Exacerbation of multiple co-morbidities
  • Decreasing nutritional status
  • Multiple weaknesses, unsteady gait
  • Multiple ER visits/hospitalizations

Renal Disease

  • Signs of uremia (confusion, nausea pruritus, restlessness)
  • Intractable fluid overload
  • Decreased urine output
  • Diet instruction
  • Disease instruction

Pulmonary Disease-COPD

  • Recurrent pulmonary infections
  • Increased ER visits/hospitalization
  • Requires disease instruction

Heart Disease-CHF

  • Requires medication management
  • With diuretics and/or vasodilators
  • Arrhythmias
  • History of cardiac arrest
  • Decreased ejection fraction
  • Cardiogenic brain embolism
  • Unexplained syncope
  • Anticoagulant therapy

Orthopedic

  • Fractures
  • Joint Replacements
  • Gait disturbance
  • Abnormal gait
  • ADL/IADL improvement
  • Instruction for safe ambulation/transfers

Diabetes

  • Diet/medication instruction
  • Requires disease instruction
  • Skin care
  • Teaching use of glucometer
  • Wound Care/ Amputation

Urinary Disease

  • New catheter
  • Bowel/bladder training
  • Recurring UTI’s
  • Neurogenic bladder

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