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Home Health Care:. By: Lu’Keitha Satterfield & Desiree’ Patton. Home Health Care.
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Home Health Care: By: Lu’Keitha Satterfield & Desiree’ Patton
Home Health Care • Home Health Care agencies are designed to provide care in a patients home. The services are frequently used by the elderly and disabled. Health departments, hospitals, private agencies, government agencies and nonprofit or volunteer groups can offer home care services. • Examples: • Nursing and Personal Care. • Therapy: Physical, Occupational, Speech, Respiratory. • Homemaking: Food preparation, cleaning and other household tasks.
Home Health Care Assistants: • Receive special training to work in the patient’s home. • Perform the same duties as nurse assistants. • May perform homemaking duties such as meal preparation or cleaning.
Home Health Care Facts: • Home Health Care is a rapidly growing field. Diagnostic related groups and shorter hospital stays have created a need for providing care in the home,. Years ago, doctors made house calls such as delivering babies and patients died at home. Home Care is another form of cost containment because it is less expensive to provide this type of care. All aspects of health care can be involved. Nursing care, physical and occupational therapy, respiratory therapy, social services, nutritional and food services, and other types of care can be provided in the home.
DRG Diagnosis-related group (DRG) is a system to classify hospital cases into one of originally 467 groups
What it does? • The Diagnosis Related Groups (DRG) were developed for the Health Care Financing Administration as a patient classification scheme which provides a means of relating the type of patients a hospital treats (i.e., its case mix) to the costs incurred by the hospital. While all patients are unique, groups of patients have common demographic, diagnostic and therapeutic attributes that determine their resource needs. The DRG’s form a manageable, clinically coherent set of patient classes that relate a hospital's case mix to the resource demands and associated costs experienced by the hospital. Each discharge in the UHDDB was assigned into a DRG based on the principal diagnosis, secondary diagnoses, surgical procedures, age, sex, and discharge status of the patient. DRG”s are used in the Inpatient Hospital Discharge and the Emergency Department Encounter Query Modules.
Examples • Code List(last updated July 2008)An * indicates that there has been a change to the definition for that DRG number. The IBIS system uses the most recent definition and lists the codes alphabetically.Number Definition • 1* CRANIOTOMY AGE >17 EXCEPT FOR TRAUMA (prior to 10-1-02) • 1* CRANIOTOMY AGE >17 WITH COMPLICATIONS, COMORBIDITIES (beginning 10-1-02) • 2* CRANIOTOMY FOR TRAUMA AGE >17 (prior to 10-1-02) • 2* CRANIOTOMY AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES (beginning 10-1-02) • 3 CRANIOTOMY AGE 0-17 • 4* SPINAL PROCEDURES (prior to 10-1-03; no DRG 4 beginning 10-1-03 when DRGs 531-532 were added) • 5* EXTRACRANIAL VASCULAR PROCEDURES (prior to 10-1-03; no DRG 5 beginning 10-1-03 when DRGs 533-534 were added) • 6 CARPAL TUNNEL RELEASE • 7 PERIPHERAL & CRANIAL NERVE & OTHER NERVE SYSTEM PROCEDURES WITH COMPLICATIONS, COMORBIDITIES • 8 PERIPHERAL & CRANIAL NERVE & OTHER NERVE SYSTEM PROCEDURES WITHOUT COMPLICATIONS, COMORBIDITIES • 9 SPINAL DISORDERS & INJURIES • 10 NERVOUS SYSTEM NEOPLASMS WITH COMPLICATIONS, COMORBIDITIES
OBRA (Omnibus Budget Reconciliation Act) Has led to the development of many regulations regarding long-term care and home health care. Requires states to establish training and competency evaluation programs for nursing and geriatric assistants.
When was this put in effect? • President Bill Clinton put this act into effect in 1993. • It identifies patients’/residents’ rights, and forces states to establish guidelines to ensure that such rights are observed and enforced.
What’s required? • Requires continuing education, periodic evaluation of performance, and retraining and/or testing if a nursing assistant does not work in a health care facility for more than two years. • As the geriatric care increases, additional regulations may be created.
Health Science 2 • By: Jacob Ragland and Christian Tilley
Geriatric Care Whitney & Caitlin
Geriatric Care • Geriatric Care is the process of planning and coordinating care of the elderly and others with physical & mental impairments to meet their long term care needs, improve their quality of life, & maintain their independence for as long as possible. • The Geriatric patients are cared for by the doctors in the hospitals.
Wellness • Wellness is the quality of being healthy in body & mind especially as a result of deliberate effort. • Wellness can be an approach to healthcare that emphasizes preventing a serious illness and prolonging life, instead of emphasizing treating a disease.
Effleurage • A series of massage strokes used in Swedish massage to warm up the muscle before deep tissue work using petrissage. • It is a soothing, stroking movement used at the beginning & end of the facial or body massage. • It involves circular stroking movement made with the palm of the hand.