Home Care is a growing trend in the United States and around the world. Home health care is basic health care or skilled care given by a caregiver at the patient’s home, rather than primary care given in nursing homes or hospitals. Home healthcare is also sometimes referred to as domiciliary housekeeping, social care, or domiciliary medical care. There are several types of home care services available:
Adult daycare provides supervision, interaction with other adults, and guidance with activities of daily living. Caregivers are trained to provide basic assistance with activities of daily living. These may include helping with bathing, dressing, and eating. Adult daycare provides many benefits such as boosting self-confidence, promotion of socialization, development of independence, and improvement of functional outcomes.
Some agencies provide direct supervision and coaching services to patients. Most agencies have between two to five registered nurses on staff. These agencies train their staff to become skilled care providers. They offer intensive training to their nurses in areas such as geriatric care, substance abuse and management, preventative services, nutrition, and weight loss. These agencies also hire licensed vocational nurses ( LVN’s) to provide direct patient care supervision, as well as routine medical care including medications and psychotherapy.
Telecare has changed the way in which patients in the community receive care. Home health care clinicians communicate with the patient using a PDA, radio, or telephone. The patient has a choice between receiving care in person or having their condition evaluated by a licensed professional via the Internet, phone or DVD. Telecare is most commonly used in rehabilitation settings for patients who have undergone cardiopulmonary resuscitation or respiratory arrest. A patient can be monitored 24 hours a day and seven days a week by their assigned nurse or other trained health professionals.
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Quality improvement encompasses a number of activities and focuses on improving the practice as a whole, rather than one aspect. The focus of quality improvement is to ensure that medical devices, equipment, and procedures are safe, effective, and efficient for the patient. It also involves making sure that all staff involved in a patient’s care meet recognized standards of professional conduct. This includes nurses, physician assistants, physical and occupational therapists, and other staff members. It also includes the quality of patient care received by patients.
There is still much research needed to understand why quality-of-life improvements occur among home health care patients. However, this research has revealed some factors associated with greater improvement: nurse professionalism, physician education and training, and hospitalization. Nurse professionalism includes being a competent and skilled professional in order to provide appropriate care for residents. Physician education and training include training in various fields such as anatomy and physiology. Hospitalization includes staying in good health condition while staying in a hospital. While these factors cannot be changed completely, they can be improved through training, supervision, and monitoring.
There are several ways to improve hospitalization and nursing standards in nursing homes across the country. Some nurses and agencies are working together to improve standards and professionalism in this field. The National Association of Home Care Agencies and other organizations have formed a committee to identify areas for improvement. Many state agencies offer certification for nurses who want to become home health aides. The certification program is designed to train nurses to provide services to older individuals in their homes instead of sending them to hospitals or other long-term care facilities.
Home health care nursing work environment improvement practices are based on numerous studies focusing on the improvement of patient outcomes. These include the improvement of bedside manner, enhancing environment and communication skills, and enhancing staffing. Studies have been done to determine the best methods by which to implement changes. One such study determined that putting patients at ease and promoting positive relationships between staff and patients improved patient outcomes. Other studies focused on the risk factors in relation to staffing, patient safety, communication skills, environment, and medication management.