Compare and contrast the types of services that can be delivered in the home
Compare and contrast the types of services that can be delivered in the home - Compare and contrast the types of services that can be delivered in the home introduction. What are the advantages and disadvantages of delivering nursing care in the home?
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Home Health Services – Compare and contrast the types of services that can be delivered in the home. What are the advantages and disadvantages of delivering nursing care in the home?
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Home health services or ‘in-home services’ is healthcare which is provided to people who have the special requirement of staying at home. Some of the conditions in which home care is required include:-
Elders who are very ill
Chronically ill patients
Severely disabled people
People recovering from surgery
Palliative care treatment
Some of the various skilled types of services that can be provided under home care include:-
Physician care – Physicians are able to diagnose and treat illnesses at home. The physician would not be spending much time with the patient compared to other healthcare professionals such as nurses and assistants. From time to time, the services of specialists including surgeons may be required for a very short duration (specific treatment and evaluation)
Nursing care – A nurse would be spending huge amount of time with the patient requiring home care. In certain situations, a nurse may be required round-the clock to meet the needs of the patient. Several services such as injections, intra-venous drug administration, wound care, education and motivation, nursing diagnosis and assessments, etc, may be required under nursing home care.
Physiotherapy – Following a surgery or injury physiotherapy may be required to restore mobility and strength. They can potentially teach the patient how to walk and return to functioning at home.
Dietician – They would help evaluate the nutritional needs of the patient and according plan an appropriate nutrition program. Evaluation of the diet history is also required.
Speech therapist – Patients recovering from a problem involving the throat, upper respiratory and digestive tract, etc, may require the services of a speech therapist. Such services are usually required following a surgery, stroke, or trauma.
Some of the services that are provided under home care include:-
Personal care (such as washing, bathing, etc)
Homemaking (such as cleaning, laundry, etc)
Food and nutrition (including cooking, diet planning, etc)
Companion therapy (for patients who are sick and are alone)
Today several insurance companies cover for home care services for patient in need of them. Home care services can be provided through several financial schemes including:-
Medicare (for patients who are disabled and bed-ridden)
Medicaid (for old and chronically ill patients)
Old Americans Act (federal/state programs meant to support elders)
Advantages of home care:-
A range of services can be provided
Patients who are bed-ridden, severely disabled, dying, too old, etc, can be effectively helped
Several health problems can be managed through home care
Modern technology is helping to improve the quality and range of services under home care
Several healthcare professionals can work together to provide comprehensive home care to the patient
Disadvantages of home care:-
Several advanced forms of treatment cannot be performed under home care
Home care may be costly and unaffordable for some
Critical and emergency care cannot be provided
Many healthcare providers may be reluctant to provide home care
Mayo Clinic Staff (2007). Home care services: What services do you need?, Retrieved on October 3, 2008, from Mayo Clinic Website: http://www.mayoclinic.com/print/home-care-services/HA00086/METHOD=print
Medline Plus (2008). Home care Services, Retrieved on October 3, 2008, from Medline Plus Website: http://www.nlm.nih.gov/medlineplus/homecareservices.html