Nursing Home Care In An In Home Setting

When your senior loved one leaves the hospital and needs nursing care in a home setting, you will need a solid plan of care to help you and your senior loved one. A plan of care is a daily record of the care and treatment a person may need after a hospital stay. The discharge planner, when you leave a hospital, will provide the caregiver with a copy of the physician’s orders and a summary of the instructions for care. They may also help you find a homecare professional to help care for your senior loved one.

The home care service will provide a nurse that will evaluate the person’s needs and supply them with equipment, personal care services, or they may help with prescriptions. They will ultimately help you and your loved one develop a detailed plan of care. The plan of care includes: the diagnosis, the medications, functional limitations, equipment needs, special diet requests, detailed care instructions, and services the home care agency provides. This information is presented in a particular order so that the process of care is repeated until it becomes a routine. When the plan is kept up-to-date, it provides a specific record of events that helps avoid problems in the future. With a plan of care, you will not have to rely on memory to ensure your senior loved ones health, and it will allow another person to take over if the caregiver needs respite care.

You will need a notebook to record the plan of care. You should place the physicians orders, comments, and instructions in the front of the binder. You will need to make changes to the plan of care in order to specify the direct needs of the senior. As your senior loved ones needs change, make sure to mark these changes in permanent ink. You and your home care nurse will need to record: skin color, warmth of skin, tone of skin, pressure areas where bedsores may develop, breathing, temperature, pulse, blood pressure, circulation, fingernail appearance, toenails, mobility, eyes, swelling of hands/feet, appetite, body posture, and bowl/bladder function.

You may want to select your own home care helper, or home care nursing professional to help you or your loved one. To select an agency, you will need to know some information about them, and you will want to make a checklist of services you need and ask the agency what the costs will be. You can ask the agency: the steps in the care planning process, how long the assessment will take, find out when you can contact the care manager, if they have a substitute caregiver if the regular cannot show-up, will they replace the caregiver if there are any personal issues, ask about training and skills, and how they keep track of the quality of services.

The senior care professional will know how to maintain their own plan of care records, but having your own plan of care will help you as your loved one progresses. You may want to talk with a geriatric care manager to find a home health care agency and to determine what care your loved one may need. Always get second-opinions on all of your decisions to ensure the safety and well-being of your aging loved one.

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