Home care

Home care
Home care is crucial to a new approach to health care, the current demand for home care nursing is anticipated to increase significantly. In the years to come, many nurses will be working in the community as compared to today. Therefore, it is evident that this change will have deep implications on the manner that nurses are trained as well as encouraged to practice as members of integrated health-care teams. Home health care can help reduce the hospital length of stay while improving continuity of care. Many aspects of treatment such as antibiotics can be administered at home as efficiently as in the hospital.
Access to pre-emptive respite as well as crisis care such as rapid response teams are essential to ensure that there is reliable home care that avoids hasty reaction of hospitalization when one is under stress. There are various roles of the RRTs in the initial stage of homecare for each patient. The RRTs are useful during home care if the family fears that something is seriously wrong and have expressed their anxieties. Moreover, RRTs may be used when there is a communication letdown with the staff; RRTs are also supposed to help when one becomes confused about the patient’s care. Further, the RRTs can be used when there is the need for a patient to voice his or her worries or when the family feels like the patient’s condition is not right.
Among elders with chronic illness, particularly heart failure, it is contended that nurses with advanced preparations who offer home care may reduce hospitalization.

Firstly, effective homecare requires that the family want their patient at home. Moreover, the family must be able to cope with staying with the patient as well as the intrusions in their private lives as a consequence of the many other people associated with the patient’s care. As a strategy, effective homecare should be founded on the quality services offered by the family. These include adequate family training as well as preparation, professional nurses trained in the essential nursing skills. Moreover, relevant and well-maintained equipment should be available (Rice 27). Additionally, there must be competent case management services.
If re-hospitalization of the homecare patients is minimized, the responsibility of RRTs would be to help nurse in assessing as well as making sure that the client’s condition is stable. Moreover, RRTs would aid the nurses as well as the family in consolidating data to be conveyed to the patient’s physician. The RRTs may also enlighten the nurses and the family when attending to the patients, ultimately, in the case of the warrant, RRTs may assist in transferring the patient to an advanced level in the hospital.
If home care becomes the hospital care of the future, respiratory care practitioners in the homecare field shall have to maintain a decisive plan as well as schedule. Firstly, the practitioners should have the contact information for all the agencies as well as individuals involved in the family member’s care. Such information is very helpful in an emergency. Home respiratory care, particularly for the ventilator-assisted people, can be highly complex. Therefore, the medical practitioner is likely to visit the patient’s home different days and different times. The schedule may become confusing, thus the need to formulate a schedule that includes the service or care as well as the specific time it should be offered. Notably, the plan should include sporadic visits because they meet the care needs of most respiratory patients
The initial home visit for respiratory therapists should seek to establish rapport with the patient and family, evaluate the home setting, conduct ordered patient assessments and diagnostic procedures and completed the essential admission paperwork.
Home Care Schedule for Day One
Monday
Service or Activity Time
Home aide Nurse Respiratory therapist Doctor’s appointment Other Notes and questions: ___________________________

Work Cited
Rice, Robyn. Home care nursing practice: concepts and application. Elsevier Health Sciences, 2006.