Integrated Home care

Integrated Home care in my country over the past 15 or 20 years, became more and more important in terms of support to the traditional health care system. It is a system of interventions and health services offered at home, characterized by the integration of services designed and managed by multidisciplinary professionals (doctors, nurses, social workers, physiotherapists, pharmacists, psychologists, etc.) and services offered by these professionals, linked to the nature and needs of the patient, who is the center of assistance care.

Homecare is a viable alternative to hospitalization as it meets the health-related needs, the elderly, the disabled, patients with chronic diseases or patients having various degrees of dependency (temporary / permanent, partial / total). The home nurse acts similarly to colleagues in hospitals and has overall responsibility for nursing care (planning, management, and evaluation of the nursing care intervention). As for the action activities, the home nurse has full technical and functional autonomy, and also ensures the correct application of diagnostic and therapeutic prescriptions.

The areas of intervention are: prevention, treatment, rehabilitation and education; while the nature of nursing interventions are: technical, relationship and educational.

The main nursing interventions are:

Professional assessment of the person’s nursing care needs based on the management of the user at home and not in the hospital.

Planning of nursing care (quantitative and qualitative) and the frequency of nursing interventions.

Execution and evaluation of both direct (assistance, education, relationship) and indirect (organizational management) home nursing interventions.

The main areas practice of nursing home residents are:

Therapeutic complex interventions: infusion therapy, pain management, nutrition, artificial injection therapy.

Healthcare situations related to the management of ostomies: urostomies, nasogastric tube, PEG, tracheostomies, ostomies of the digestive tract.

Situations at risk of infections: presence of intravascular devices (central and peripheral venous catheters), indwelling bladder catheters, skin lesions (surgical wounds, vascular and neuropathic lesions, burns, bedsores).

Situations of incontinence (urinary and / or fecal) and irregularity of the alvo.

Situations of medium and high risk for the onset of pressure injuries. Situations of risk of immobilization syndrome.

Situations of lack of information of the user and his family.

Educational Intervention: education for the bureaucratic management of care practices entrusted to the family; education in the use of aids, aids, and other devices provided; education in the correct application of the therapeutic and / or pharmacological indications entrusted to the family.

While in the hospital setting there is a clear stratification of staff duties, this does not happen in the home environment where, given the complexity of the work, the boundaries of those who work are blurred. In the home environment, not only the professionalism of the worker counts, but also the relationship that is established between the health worker and the patient/family unit. The nursing care that is offered at home is aimed at both the patient and the caregiver.

The difficulty of those who work in this area is also to find an immediate and effective resolution to situations that often involve them and that appear without a degree of predictability. The home nurse is a mix of professionalism and humanity at the full service of the patient who is the focal point of all his work.

The post Integrated Home care Integrated Home care in my country over the past appeared first on PapersSpot.