I have to respond to the following statements of my classmates. Please provide 100-150 words to each statement with a reference to each if applicable.


Re: Discussion Starter

posted by Debbie McKeever at Jan 20, 2015, 5:12 PM

Last updatedJan 20, 2015, 5:12 PM 


Home care provides many different services to all age groups. Groups who benefit from home care are the elderly, patients who have a chronic illness, those recovering from a surgery or just anyone who is disabled. Home care services provide patients with assistance in everyday needs such as, personal care (bathing, grooming), cleaning (laundry), preparing meals, and medical needs (dressing changes or a sore, medication, therapy).

Home care services do have financial benefits. Patients have the ability to obtain financial assistance through Medicare benefits, Medicaid, Veterans Aid, government programs, community organizations, family participation in care, long-term care insurance, workers’ compensation (if still employed), etc.

From a personal experience, when my grandfather was sick my family hired a nurse that was recommended through the family to provide in home care for him. My mom, my brothers and I also contributed to the care. This alleviated a lot of the costs because at least half of the time the care was being done for free. We were also taught certain care needs. For example, the nurse taught my mom how to clean and bandage my grandfather wounds. This also alleviated costs because the nurse did not have to come in everyday for wound care.



Re: Discussion Starter

posted by ERIKA RATERINK at Jan 20, 2015, 10:59 AM

Last updatedJan 20, 2015, 10:59 AM 


Homecare provides a patient with the ability to be at home but still receive treatment. For example some physical therapists will come to someone’s home for PT after a surgery so it can lesson the amount of the hospital stay. Also patients that need to receive IV antibiotics or IV therapy can have a home health nurse come to their home. Also, elderly people that either do not need an assisted living or long term care facility but shouldn’t be by themselves can have a nurses aide come in and administer oral medication, offer companionship, cook, and clean. There are so many benefits to having the ability to have home health. It lowers the hospital stay and that saves the insurance company and the patient money. It also can save the patient money by using a home health nurse as a companion. If the patient does not have long term care insurance it can be costly to live in an assisted living or long term care nursing facility. The use of homecare can help to eliminate the need. Sadly straight Medicare does not cover that expense so it can still be a challenge for elderly people to access homecare.



Re: Discussion Starter

posted by WANDA LANE at Jan 20, 2015, 9:34 PM

Last updatedJan 20, 2015, 9:34 PM 


I worked several years as an aide in private homes and assisted living facilities.  Most of my clients (some employers use the term family member, and others use patients) were senior citizens.  I preferred to work in the home setting.  My duties included housekeeping, laundry, cooking, medication reminders, bathing, incontinence care, providing transportation (in the patient’s car), monitoring vital signs, and providing companionship.  The rewards of this type of work are not in the pay, but in becoming part of the family.  Listening to the experiences of World War II veterans and the women left behind to care for their children and home, is something I will never forget.  Living history is more valuable than the history in books.  Yes, health care aides are grossly underpaid, and the physicality of the job forces many to find other work, but it is something I think every health care employee should experience.  I have worked in homes in which in-home care was paid for by Medicare, Medicaid, VA, long-term care insurance, and personally.  In my experience, seniors want to live and die in their own homes, and it should be their right to do so.



Re: Discussion Starter

posted by ERIKA RATERINK at Jan 20, 2015, 8:46 AM

Last updatedJan 20, 2015, 8:46 AM 


Health care technology has changed dramatically over the last 5-10 years. I think a large impact of that is The ACA and changing to electronic medical records (EMR). Before the technology seemed to be focused on new equipment for testing and such, but the patient experience with the doctor changed little. Now I receive text alerts to appointments, emails when my test results are in, and the ability to safely communicate with my doctor via an email portal. I love the fact that when I take my daughter to her endocrinologist she can tap into my daughter’s test results in the past because they were all done at the same hospital and doctor affiliation; an ACO. I think the new type of technology will be an app of some kind. I know in the company I work for now is looking at technology based companies that create apps for patients and doctors to use. The newest iPhone is set up for a heart rate monitor and health monitor. I think at some point diabetics will be able to test their blood sugar via an app. I love the technology and I do not feel it has taken away the personal experience. This is the world we live in now, bigger, faster, and now. I do think the main down fall is receiving the information on test results prior to the doctor being able to contact you. But I think that is probably few and far between.



Re: Discussion Starter

posted by George Caravelcov at Jan 20, 2015, 12:21 PM

Last updatedJan 20, 2015, 12:21 PM 


Through a home care agency, you can get many of the same care and services as in a hospital. A doctor will work with your home health care providers to set up your plan of care. This plan includes the services you need, the type of staff best suited to provide those services, and how often the services are needed. Like 

– Nursing care

– Physical therapy

– Occupational therapy

– and so  forth.


      Home care services can be paid for directly by the patient and his or her family members or through a variety of public and private sources. Hospice care generally is provided regardless of the patient’s and/or family’s ability to pay. Public third-party payors include Medicare, Medicaid, the Older Americans Act, the Veterans Administration, and Social Services block grant programs. Some community organizations, such as local chapters of the American Cancer Society, the Alzheimer’s Association, and the National Easter Seal Society, also provide funding to help pay for home care services. Private third-party payors include commercial health insurance companies, managed care organizations, CHAMPUS, and workers’ compensation.

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