Home Care Services in Bloomfield Hills, MI

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On February 11, 2013, Posted by , In Home Care, By ,,, , With Comments Off on Home Care Services in Bloomfield Hills, MI

Is Home Care Right for You?

Home care is especially useful for patients who have one or more of the following characteristics:

  • mobility problems that make transportation to the office difficult
  • disruptive behaviors
  • terminal illnesses
  • multiple medical, psychiatric, and social problems
  • either not responding to therapy or responding inconsistently.

Home care and house calls from a physician are needed for some patients for a limited amount of time, but others require house visits on an ongoing basis.

To qualify for Medicare home care benefits, a person must prove their homebound status. Whether you qualify for benefits or not depends on if the person fits the following description:

  1. The person should be home nearly all the time. He or she is allowed to be away from home for reasons other than medical treatment up to three times per month. An exception is if the person is out of the house for only short periods of time.
  2. Leaving home must require considerable effort on the part of the patient, the caregiver, or both. Examples are people who are bed-bound or who have severely impaired mobility.

 

Limitations of Home care

Most older adults prefer to remain in their own home. However, situations and conditions may come up that make care in an institution or facility more appropriate. For example, caregivers may not be available to adequately address the needs of the older person. Similarly, caregiver burnout and stress may prevent continued safe care for the older person in the home.

Some serious medical situations that require frequent testing, breathing treatments, or intravenous medications also may make care in an institution a better choice than home care. In some cases, the home setting itself may be a barrier to continuing home care. Unsafe neighborhoods, household troubles from alcohol or drug use, and not enough room for equipment or environmental modifications may make home care a poor or risky option.

Finally, home care is not always the least expensive choice, and out-of-pocket costs may make ongoing home care unaffordable. Insurance coverage is more likely to cover care that is given in a nursing facility or other institutional setting.

 

Home Assessment & Modification

Homebound patients often have health problems or disabilities in one or more areas of their health and functioning. Comprehensive geriatric assessment is particularly valuable in this situation. A comprehensive assessment can be used to establish the initial level of health and functioning, monitor the course of illness, and evaluate effects of treatments. Also, assessment in the home has some important advantages over office-based assessment.

 

Advantages of Home Assessment
The healthcare professional can see how the patient functions in their actual home environment.

This helps the healthcare professional determine if the home is safe and appropriate for the patient’s particular abilities and disabilities, or if changes need to be made. For example, the health care provider can assess the practical aspects of performing activities of daily living (ADLs) such as bathing or dressing. The healthcare professional can also evaluate the caregiver’s abilities to address the needs of the older person. The caregiver’s needs for counseling, training, support, and education can also be identified and addressed.

There are two types of changes (modifications) that can be made to ensure that the home is safer for the older adult.

  • Environmental modifications can be recommended to improve function.
    For example, a hand-held shower, a shower seat, bathtub grab-bars, or a bedside commode might improve the patient’s quality of life and ability to function. Barriers to wheelchairs and walkers (such as door sills) can be identified and removed. Chair lifts and outdoor ramps can be recommended to help patients manage stairs. The assessment might also include an occupational therapy consultation. This can be useful in identifying other personal care and assistive devices for performing ADLs and housekeeping chores. A number of home safety checklists are also available to help with home assessment.
  • Assistive Technology to improve home safety can also be considered.
    These include necklace or wrist radio devices to call for help. There are also emergency response systems that require a person to push a button by a specified time each day to avoid triggering an emergency response or checkup phone call.

    Healthcare professionals are finding that portable or mobile testing technology (home diagnostics), including x-rays and electrocardiograms (ECGs), are available in most areas. Hand-held laboratory devices are also becoming more common. These home diagnostics allow for a much more comprehensive medical evaluation to be done in the home.

 

Source:  http://www.healthinaging.org/

Contact Pure Home Care Services at (586) 293-2457 today!  If you live in Bloomfield Hills or the surrounding area, we can help you care for your loved ones.

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