Copyright © 2008 Delmar Learning. All rights reserved. Unit 34 The Organization of Home Care:...

Copyright © 2008 Delmar Learning. All rights reserved.

Unit 34The Organization of Home Care:

Trends in Health Care


Objectives

• Spell and define terms.• Briefly describe the history of home

care.• Describe the benefits of working in

home care.


Objectives

• Identify members of the home health team.

• List guidelines for avoiding liability while working as a home health assistant.

• Describe the types of information a home health assistant must be able to document.


Objectives

• Identify several time management techniques.

• List ways in which the home health assistant can work successfully with families.


Introduction

• Health care of persons in their own homes is an age-old tradition

• Middle of the twentieth century – Massive trend to move patient care out of

the home and into the community health care facility


Providers of Home Health Care

• Because of the increasing demand for home care, there are many different types of home care providers:– Government-sponsored agencies– Private agencies– Hospital-sponsored agencies


Benefits of Working in Home Health Care

• After you have completed your nursing assistant class– You may choose to join a group that

provides home health care



• There are advantages to working for such agencies:– Satisfaction of giving complete care to one

client at a time– Satisfaction of caring for the same client

over a period of time



• There are advantages to working for such agencies:– Opportunity to work with greater

independence– Part-time employment, if desired


Source of Referral

• Most persons using home health care– Patients being discharged from a hospital

or skilled care facility


Source of Referral

• Health care team at the discharging facility – Completes a discharge plan and evaluates

each person’s need for continuing care at home


Payment for Home Health Care

• Home health care may be paid for by:– Medicare– Medicaid– Private insurance companies– Client’s personal funds


The Home Health Care Team

• The home health care team consists of the:– Client– Family– Nursing assistant – Supervising nurse– Physician– Other specialists


The Assessment Process

• Nurse does an assessment of the client during the first visit– Other health care professionals assigned

to the case also complete assessments


Liability and the Nursing Assistant

• You need to be aware of the responsibilities involved in home care – And how to avoid legal problems

associated with caregiving


Recordkeeping

• Be sure you know exactly what documentation you are expected to do– Types of records you should keep– Forms you need to use

• All documentation must be accurate, complete, and up-to-date


Time Management

• As a home health assistant– You are responsible for planning your

assignment and completing the client’s care within a certain amount of time

• You may have several clients to see during your shift– They will be expecting you at a specific

time of day


Working with Families

• Clients may have spouses or other family members who reside in the home

• For other clients– Families may live elsewhere but stop in

periodically


Working with Families

• In some situations– Family members may live so far away that

they can seldom visit

• You must be able to kindly interact with clients’ family members

Copyright © 2008 Delmar Learning. All rights reserved. Unit 34 The Organization of Home Care:...

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Transcript of Copyright © 2008 Delmar Learning. All rights reserved. Unit 34 The Organization of Home Care:...