Because Life: A Case Study

Effective June 1, 2012, Hillsboro County Home Health Agency (HCHHA) will be launching a new division offering Hospice services to Middleboro and surrounding community residents. This hospice center will provide end-of-life care in the form of medical, psychological, social and spiritual support for the terminally ill and their families. Hospice care services are typically structured according to the needs and wishes of each patient and their family. These may change over time and during the different stages of care (the last phases of an illness, the dying process and the

Each staff member should display a high echelon of outstanding care due to their impressionable experience levels and infinite amount of training. The majority of them will have advanced credentials in specialty areas. The nurses and other staff members emphasize family and patient education to increase the possibility of independence.

Caring Hospice is a company that will provide nursing care to patients that are terminally ill. The ultimate goal is to insure the patient is kept as comfortable as possible while maintaining dignity during the dying process. This company will send registered nurses to the patient’s home for routine physical assessments, medication teaching and administration, education about terminal diseases and the dying process. The nursing staff will also create and maintain appropriate plans of care for the multi-disciplinary team to provide holistic care to the patient.

Medicare, the federal governments health insurance program, finances acute medical care for nearly all elderly Americans over the age of sixty-five. However, very few long-term care services are covered. Medicare finances long-term care only partially through it’s limited skilled nursing facility (SNF) and home health benefits. “Despite recent growth in spending on these benefits, much of the SNF and home-care paid for by Medicare remains short-term rehabilitative care, often related to a hospital stay or outpatient procedure. Medicare covers SNF care for up to 100 days following a hospital stay of at least three days. For homebound persons needing part-time skilled nursing care or therapy services, Medicare pays for home health care, including personal care services provided by home health aides.” (Feder, Komisar, and Niefeld) All that is not covered, the elderly are expected to cover with savings, private insurance policies, and financial support

The aim of a hospice is to improve the quality of life of the dying

Medicare will pay for some of the cost for 100 days. First 20 days they pay the full amount and from 21 days to 100 the individual pays $140 of expenses.

Home health care is also a service provided within a health care system. Home health is a wonderful option for patients who are not able to leave the house but need nursing care, physical therapy, and assistance with activities of daily living such as eating, bathing, meal preparation, and some house cleaning. Health care systems have created their own home health care agencies to help with the continuity of care and the ease for case management to setup a patient within their own system are great benefits on both sides of the spectrum.

The patient also pays 20% of the Medicare-approved amount for most doctor services (including most doctor services while patient is hospital inpatient), outpatient therapy, and durable medical equipment. Under Medicare Part B, the patient would be responsible to pay: 40% of the Medicare-approved amount for most outpatient mental health care (Medicare Part B (Medical Insurance), 2012).

Our elderly population is living longer than ever before and not all of them are entering into a nursing home. They are choosing to stay in their own home or their caregiver is choosing it for them. Some caregivers are choosing to move their ageing love one in the home with them. Whatever the case may be, there is an increased need for some type of home health as it applies to the elderly population. “Medicare will pay the full cost of professional help only if the physician

Home health care is taking care of an individual medically at their residence. Usually, there is a home health aide that comes to the house that provides the medical care for the patient.

MSW discussed and educated Pt and husband about the hospice process and services offered. Husband decided he was interested in starting hospice services for the Pt, the Pt verbelized the same. MSW also offered the husband a booklet of overall community resources within the county that can be some assistance if needed in the future. MSW notifed Donna, RN about them being interested in hospice servies and made a referal to Conunim Home Hospice to go evluaate the Pt for hospice services. MSW will continue to provide community resource planning and emotional counseling as needed. Pt to possiblity e discharaged for Home Health to Hospice services. Alzhemers, Stage

At Central Coast VNA and Hospice, we provide King City, CA residents with the ability to return home from the hospital earlier. In addition to letting patients live at home longer, our home health care options can prevent return hospitalizations. With home health care services, patients have access to our trained staff members, therapists and nurses. We provide ongoing support for loved ones and care with dignity. Our home health care services include dietary counseling, a cardiac program, skilled nursing services, wound care, a certified diabetic educator, rehabilitation services, palliative care and medical social

Medicare provides financial assistance to eligible people who incur medical expenses in respect of professional services rendered by eligible qualified medical practitioners, participating optometrists eligible dentists and eligible allied health workers. Medicare benefits are paid based on 85 per cent of the Medicare Schedule fee.

Regardless of which form of care, weather home health care or adult day care, how the service is payed for depends largely on the services offered. Adult day care is normally payed for out of pocket with help from government programs like the Veterans Health Administration, the Old American Act, and Medicaid (Department of Health and Human Services, 2015). The more medically geared the day care, and the more medical attention the patient needs, the more likely privet insurance, Medicare and or Medicaid will help with reimbursement (DHHS, 2015). Home health care can be paid

Seeks to maximise quality of life for individuals and their families facing life threatening illnesses.