It's No Place Like Home

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

In these services they would usually be offered help with activities of daily life, such as eating or bathing. Some home services also give them other benefits such as residential services, personal care or case management. To give more open details on experiences of Medicaid beneficiaries who need home and communities based services Musumeci and Reaves discuss nine seniors who are disabled and who live in different states. Those include people with different kind of disabilities which can be either developmental, physical or intellectual and issues such as autism, cerebral palsy, multiple sclerosis and their functional limitations that are there because they aged (Musumeci & Reaves, 2014). Based on interview that were given from these people to the Kaiser Commission in 2013 based on Medicaid and uninsured, these peoples’ profiles clearly show us how beneficiaries funds, well-being, status of their employment are affected by the coverage of Medicaid and the role these services play in their daily lives (Musumeci & Reaves, 2014). In the last years states are trying to work on rebalancing long-term care system by dedicating more spending to home and community care rather than institutional care. The reason is this being the efforts that are driven by beneficiaries who are

One of the aims of the Patient Protection and Affordable Care Act (ACA) of 2010 is improved integration and coordination of services for primary patient care. The patient-centered medical home (PCMH) is one of the approaches by which improvements can be established. The patient-centered medical home model is particularly well-suited for people who have chronic illness. The design of the patient-centered medical home model departs substantively from traditional reimbursement policies, in that, the ACA provides for incentives and resources to enable care coordinators to be directly recognized and compensated for their care coordination work. Care coordinators are most often registered nurses who through their work that aligns with ACA engage in quality improvement work, cost-effectiveness measures, and patient advocacy. To bring the ACA model to a human scale, the authors present a case study of a care coordinator at a patient-centered medical home in rural Maine. The table provided below provides a basic textual analysis of the study as it is published in the professional nursing journal.

Will mom or loved one receive better care at home or in a nursing home? This is a hard choice to make, but which is the best? In this paper, it examines the efficiency of home care programs, assisted living and long-term care programs. It examines the care and cost of the different programs with respect. The decision of whether or not to place an aging parent (or a loved one) into a long-term care facility, or to try and to keep them in their own home or yours is one that many American families are facing each day. Factors in dealing with this decision are too numerous to count, but we will address a few of them in the following paper, like the

Routine home care is the first level of hospice care that is designed to let the patient have access to medical services in the comfort of their own home. This level of care is available when a patient 's condition or illness does not require around the clock support from a doctor or registered nurse. Although the patient is terminally ill, there pain and comfort level can be managed by family or friends.  Many supportive options can be used by the patient and their family at this stage to ensure quality of life. A religious representative or chaplain may make regular visits to the home and offer “spiritual guidance”. Social workers assist families in many ways during hospice care, some examples include; helping to find community and nonprofit organizations (support groups, meal assistance, etc), assistance with insurance issues and funeral planning or other end of life decisions. Nurses and physicians help to educate family members on pain management and keeping their loved ones comfortable. During this stage of hospice, a nurse makes regular scheduled visits and does not “stay” with the patient 24 hours a day. Medical equipment such as a special bed or other assistance items are supplied to the hospice patient as well as medications and special support services. With the ultimate goal of keeping the patient in their own comfort, not going back

Professional associations, payers, policy makers, and other stakeholders have advocated for the patient-centered medical home model. Interventions to transform primary care practices into medical homes are increasingly common, but their effectiveness in improving quality and containing costs is unclear.

People are living longer and want to live independently as long as possible, but the aged people living alone with chronic diseases face threats on their safety and well-being. The patient Salle Mae Fisher featured in “The Home Visit with Sallie Mae Fisher” (Grand Canyon University, 2016), is an eighty two years old woman who has been recently discharged from hospital after her chronic disease conditions are intensified. She has been scheduled for a homecare visit by the nurses. In this paper prioritized problems and identified risks during the home visits, will be described with evidence, as well as the recommendations and interventions to help make Sallie Mae safer at home.

The medical home concept is not new, as it is built on health care practice innovations that have arisen over the past 40 years (Kilo & Wasson, 2010). From these principles, a multitude of medical home projects and demonstrations across the United States have grown (PCPCC, 2011). Given the unique characteristics of each of the numerous projects promoting the PCMH model, it is difficult to obtain generalizable evidence of the effectiveness of the model (van Hasselt, et. al., 2015). However, the most fundamental aspect of the medical home model—the primary care provider – can be the source of the effective functioning of the model, and its direct benefit to the Medicare-eligible population. The role of primary care within a health care system has been tied to health services’ costs, with some evidence supporting the idea that health care delivery systems that place an emphasis on primary care have lower overall health costs (Starfield & Shi, 2004). Although the medical home model is not just about primary care, it places a priority on this type of care as a critical aspect of patient care. As a result, evidence of the success of primary care can carry through to the PCMH model.

There are many laws and regulations in place to protect long term care recipients in assisted care facilities but in the private home setting many families are left with the financial and mental burden of managing their family members care. There is undo stress levied on these families which can lead to the loss of their homes or even risk their health due to the

First of all, according to the Agency for Healthcare Research and Quality (ARHQ, n.d.) a medical home is not a home, but a concept of a primary care practice that incorporates a variety of medical services under one roof. This is where a patient will receive care from an interdisciplinary team of physicians, nurses, pharmacists for a variety of health needs, and this care will treat the patient’s health needs as a whole. This type of patient-centered care can be obtained at a community

Canadian Home Care Association, “Home Care 2020: A Vision of Health, Independence & Dignity,” available at

This proposed policy seeks to address the lack of access to home health that some patients encounter due to not having a local physician’s certification. This shortfall could be remedied with the authorization of nurse

NHHCS stands for National Home and Hospice Care Survey. This survey is designed to gather information on home health and hospice agencies, their services, their patients, and their staff. This survey was first conducted in 1992 and was most recently conducted in 2007. According to the 2007 survey there were 14,500 hospice care and home health care agencies in the United States. Of those agencies 75% only provided home health care, 15% only provided hospice care, and 10% offered both services. The average home health care only agency served 109 patients. The average hospice care agency served 78 patients. A total of 1,036 agencies participated in the 2007. Data was collected on 9,416 current hospice discharges and home health patients

It is no doubt about it that everyone has somewhere that they have adapted to long enough to call it there home! A place they can relax and really be their selves, for some it may have been their grandparents house, aunties house or wherever they felt comfortable. Well I of course felt comfortable in my own home, a four bedroom house on the west side of North Miami. My home in Miami was perfect I had my own room, I was very comfortable there, and it was a place to get away from the world.

What does one call a place where they feel safe? A place where one is surrounded by loved ones? A place where one can forget the worries of the world for even a brief moment. A place where no matter what happens, they will always have a place to return to. They have the deepest of connections with those that live there; connections that they know will never be severed no matter what happens. That is home. Home can be defined as where a person lives or has a permanent residence, but it is more than that when pondering on the emotional connection it has with the heart. A common phrase that is constantly used is “there is no place like home”. It is not because a person misses their previous residence, but due to the many qualities it possesses that could possibly never be found anywhere else. Home is not simply a place where one lives, but a place where love, contentment, and tranquility are abound.