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Establishing and Maintaining a Therapeutic Relationship
Published in Danielle L. Terry, Michelle E. Mlinac, Pamela L. Steadman-Wood, Providing Home Care for Older Adults, 2020
Janet Yang, Marc Parker, Carlos Santell
A benefit of home care is that the provider can use the physical environment to understand some of what is meaningful to the patient, and use these observations to help build rapport. In addition, the act of going into another person’s home can also aid in rapport-building, as it necessitates a closeness and comfort, unlike outpatient settings. Consider Mrs. Johns, who indicated that she would not have come to the clinic at the start of therapy. The MH provider may notice personal affects or items in the home that may be meaningful to the patient. They may also notice artwork, greeting cards, or trinkets, and engage the patient in a discussion about those items. As with Mrs. Johns, the provider can comment on, interact with, or (if not allergic) stroke a pet and show pleasure in it.
Disability and rehabilitation for older people
Published in David Beales, Michael Denham, Alistair Tulloch, Community Care of Older People, 2018
Advantages of home care: no uncomfortable travel by the patientgreater flexibility of treatment provisiongreater opportunity for carer involvementgreater likelihood of addressing handicap rather than the disabilitymore integrated programme of carecare and follow up more frequently by the same care workerrelief for the carer.
Home Health and Hospice Care Pharmacy
Published in William N. Kelly, Pharmacy, 2018
Receiving home care from a healthcare system offers several advantages. First, patients' records are more easily available to all healthcare providers, and there is less duplication of services provided. Second, the continuity of care is better, and the care is more efficient and less time consuming for the patient.
Physical therapist clinical reasoning in home care for walking assistive device prescription: A description of practice
Published in Physiotherapy Theory and Practice, 2023
Suzanne R. O’Brien, Meghan Barry, Emily Davidson, Lauren Porzi, Makenzi Spink, Danae Weatherbee
Home care agencies provide nursing, personal care, and rehabilitative therapies in personal residences when the patient is homebound from illness or injury, and under a physician’s care. In the United States (US), it is common for patients with stroke and brain injury to receive home care services after discharge from inpatient rehabilitation, typically managed in inpatient rehabilitation facilities (IRFs) or skilled nursing facilities (SNFs) (Centers for Disease Control, 2016; Jones, Harris-Kojetin, and Valverde, 2012). Home care services often act as a bridge to outpatient services or if the patient has no further impairments, rehabilitative therapies can be discharged completely. In the US, there are approximately 750,000 people diagnosed with stroke and approximately 2.8 million people diagnosed with brain injury (BI) each year (Benjamin et al., 2019; Centers for Disease Control, 2019). Often, home care is needed in these populations because of the complex associated sequelae, such as hemiparesis, sensation loss, and cognitive impairments. Such deficits are detrimental to independent function, and rehabilitative therapies, such as physical therapy (PT), are often indicated beyond the inpatient phase of care (i.e. acute care through inpatient rehabilitation). Home care is a commonly used service in the US. In 2016, there were over 12,000 home care agencies and over 4.5 million Americans received home care services (Centers for Disease Control and Prevention, 2016). Records are not kept of the exact numbers of people with stroke and BI receiving home care services each year.
Locational effects on oral microbiota among long-term care patients
Published in Journal of Oral Microbiology, 2022
Fa-Tzu Tsai, Ding-Han Wang, Cheng-Chieh Yang, Yu-Cheng Lin, Lin-Jack Huang, Wei-Yu Tsai, Chang-Wei Li, Wun-Eng Hsu, Hsi-Feng Tu, Ming-Lun Hsu
We included 40 patients receiving long-term care: 20 from the dental outpatient department (OPD) related to special needs of the hospital of National Yang Ming Chao Tung University and 20 community-dwelling patients who had registered for the dental home-care service in Yilan County. Home-care patients were those who had disabilities and needed long-term care, but they could not visit the hospital for treatments. Hospital patients were those who also had disabilities but could visit the hospital by themselves. Before sample collection, patients were requested to fill out a questionnaire on basic clinical-demographic information, including age, sex, systemic diseases, nasogastric tube indwelling, history of pneumonia, and eating habits. Informed consent was obtained from all patients. The oral characteristic of the patients was recorded by the dentist before the tongue swab. Next, a cotton swab was used to collect their tongue plaque samples on the surface of the tongue, and NGS was used to analyze the microbiota composition in each sample. This study was approved by the Ethics Committee of the hospital of National Yang Ming Chiao Tung University, Taiwan (2020B002).
Community paramedicine to support palliative care
Published in Progress in Palliative Care, 2022
A. Rosa, M. Dissanayake, D. Carter, S. Sibbald
Canadians are living longer with more chronic and complex conditions, which can often be effectively monitored and managed in the home where a majority of patients wish to remain.1 Recently, there has been an increased demand for healthcare delivery at home.1 In 2016, approximately 730 000 Ontarians received over 39 million hours of publicly funded home care services.1 It is estimated 150 000 Ontarians purchase 20 million hours of home care services each year.2 Increased access to home care services can facilitate independence, improve quality of life, and increase satisfaction with care.2 Simultaneously, there are health system advantages to decreasing acute healthcare costs since the average cost per day of home care is $42 versus $842 in a hospital.2. The demand for home care is expected to rise due to the aging population; it is projected that by 2026, 2.4 million older adults will require home care.3