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Senior home healthcare: what it consists of
Home care for the elderly is often an essential part of their life balance. Healthy aging is an integral part of healthy lifestyles and has a significant effect on people's health. As we get older, the financial situation, the availability of health care and community services, as well as infrastructures such as transportation and appropriate housing, are factors that affect health.
Senior home healthcare : what it consists of
The home care provides a medical, nursing and rehabilitative support for non-self-sufficient people, and integrates the services offered through the general practitioner, the family pediatrician, the medical guard, and other local representatives.
The services and services that are provided through home care are many, from specialist medical visits, such as cardiac or nephrology, to rehabilitative physiotherapy sessions, up to more complex and delicate interventions, which lead to what is defined home hospitalization.
Home care is a care pathway that includes a series of medical, nursing and rehabilitation treatments, necessary to stabilize the clinical picture, limit the functional decline and improve the quality of life.
What kind of home care does my loved one need?
About the patient's health needs and the level of intensity, complexity, and duration of the care intervention, some types of home care can be distinguished:
1. Home care service
The home care service aims to help people with their daily activities by partially relieving the family of the burden of care (e.g., room hygiene, laundry service, meal preparation, personal hygiene, commission handling, transport, etc.).
The service is available to a person who is physical, socially or socio-medically disabled. The request for activation of the service should be addressed to the social worker in charge for the municipality of residence. The intervention project is prepared and agreed with the person and his/her family.
The home care service can also be activated temporarily, to support or train the private caregiver or family members on essential services (e.g., sponges in bed, assisted bathroom, transfers bed/wheelchair, use of equipment and aids).
2. Integrated home care
Integrated home care is a service that allows patients to be assisted at home with personalized programmes; this makes it possible to avoid, where possible, being hospitalized or in a nursing home for longer than necessary. The service is aimed at people in situations of fragility, without limitations of age or income, wholly or partially dependent or a condition of non-dambulability and nontransport to outpatient health facilities.
In the case of inpatient patients, this may be either the doctor in the hospital ward or the doctor in charge of the residential facility. In some territories, the request may be made to the hospital directly by the patient or a member of his or her family.
The health services are entirely free and financed by the Health System. As far as social and welfare services are concerned, each Region operates autonomously at the local level.
The services are provided directly by the health authorities or municipalities or entrusted to management bodies accredited to the Region and the City, with characteristics and procedures that sometimes vary significantly.
3. Planned home care
Planned home care is a useful service to prevent the use of more complex forms of concern for the elderly who are immobile, suffering from chronic illnesses and subject to decompensation. With the patient and his family, home care is studied and planned with defined hours and times. This activity is carried out by ensuring the periodic presence (weekly, fortnightly, monthly) of the General Practitioner at the patient's home.
4. Home hospitalization
Finally, home hospitalization is a type of home care that allows you to guarantee the patient some of the services that are typically provided in the hospital, but at home. Unlike integrated home care, the responsibility for the patient's treatment does not lie with the general practitioner, but with the hospital division that keeps him in charge. Diseases for which hospitalization at home is most appropriate are chronic brain diseases, cancer, cardiac ischemias, diseases of peripheral blood vessels, complications of prolonged states of immobility.
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