What is Private Home Care?
Private Home Care, Private Duty, Home Health Care, Home Health Nursing are all referring to outpatient care performed in a person’s dwelling. These services are either medical and non-medical or non-medical in nature. This means that non-medical doesn’t offer licensed medical caregivers.
At VIPrivate Care, we offer a higher standard of caregiver dedicated to a population that requests and requires this type of care at a higher price point than the average agency offers.
Role of Family with VIPrivate Care
Families should continue to conduct their patient support free from the concerns of proper patient care, scheduling, and patient comfort. We encourage patients and families to be open, clear and honest about all intentions, wants and needs regarding the standard of home care the patient desires. There are legal documents such as trusts, living wills, power of attorney and advanced directives that help with this clarity. In addition, we encourage legacy planning and successor plans to add an additional layer of clarity.
Our objective is to treat and care for the patient with VIP attention in conjunction with the proper attention to family “Uncertainty”. We develop rapport and trust gradually to allow the family members to conduct their personal and professional lives with “less uncertainty” and peace of mind. While it may be unreasonable to mitigate all worry and fear, we have the expertise to achieve this outcome.
Most services are provided in the home, hotel, or another facility convenient to patients. The following abbreviations are used.
Skilled nursing (SN) services are provided on an intermittent basis and are covered by most payors, including Medicare. These services are provided by a licensed Registered Nurse (RN), Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). LPNs and LVNs are supervised by a Registered Nurse.
Home Health Aide (HHA)
A trained and certified health-care worker who provides assistance to a patient in the home with personal care (as hygiene and exercise) and light household duties (as meal preparation) and who monitors the patient’s condition but does not advise or administer medication
In some ways, working as a home health aide is similar to working as a nursing assistant. Most of the basic medical procedures and many of the personal care procedures will be the same. However, some aspects of working in the home are different:
- Housekeeping: An HHA may have housekeeping responsibilities, including cooking, cleaning, laundry, and grocery shopping, for at least some clients.
- Family contact: An HHA may have a lot more contact with clients’ family members in the home than she would in a facility.
- Independence: An HHA will work independently. A supervisor will monitor her work, but the HHA will spend most hours working with clients without direct supervision. Thus, the HHA must be a responsible and independent worker.
- Communication: Communication skills are important. An HHA must keep herself informed of changes in the client care plan. She/he must also keep others informed of changes she observes in the client and the client’s environment.
- Transportation: An HHA will have to get herself from one client’s home to another. She will need to have a dependable car or be able to use public transportation. An HHA may also face bad weather conditions. Clients need care—rain, snow, or sleet.
- Safety: An HHA needs to be aware of personal safety when traveling alone to visit clients. She should be aware of her surroundings, walk confidently, and avoid dangerous situations.
- Flexibility: Each client’s home will be different. An HHA will need to adapt to the changes in the environment.
- Working environment: In home care, the layout of rooms, stairs, lack of equipment, cramped bathrooms, rugs, clutter, and even pets can complicate caregiving.
- Client’s home: In a client’s home, an HHA is a guest. She needs to be respectful of the client’s property and customs
- Client’s comfort: One of the best things about home care is that it allows clients to stay in the familiar and comfortable surroundings of their own homes. This can help most clients recover or adapt to their condition more quickly.
Physical Therapy (PT)
PT services are provided by a licensed Physical Therapist or Physical Therapy Assistant (PTA) on an intermittent basis and are covered by most payors, including Medicare. PTAs are supervised by a PT. These services include but are not limited to gait training, strength training, and provision of a home exercise program.
Occupational Therapy (OT)
OT services are provided by a licensed Occupational Therapist or Certified Occupational Therapy Assistant (COTA) on an intermittent basis and are covered by most payors, including Medicare. COTAs are supervised by an OT. These services include but are not limited to upper body strength training, improving range of motion skills and provision of a home exercise program.
Speech Therapy (ST)
ST services are provided by a licensed Speech Language Pathologist (SLP) on an intermittent basis and are covered by most payors, including Medicare. These services include but are not limited to improving swallowing, cognition, and speaking.
Nurse Practitioner (NP)
Nurse practitioner: A registered nurse (RN) who has completed an advanced training program in a medical specialty, such as pediatric care. Abbreviated NP. An NP may be a primary, direct health care provider, and can prescribe medications
Certified Nursing Aide (CNA)
A certified nurse aide helps care for ill, injured, disabled and/or infirm individuals in nursing homes. Under the supervision of nursing and medical stat1nurse aides answer patient ‘call bells,’ deliver messages, serve meals, make beds, and help patients eat, dress and bathe. Aides may provide skin care to patients, take temperatures, pulse, and respiration, and help patients walk and get in and out of bed. Nurse aides observe patients’ mental, physical and emotional conditions and report changes to the nursing and medical staff.