Home Care - Disease Management Americare Services Group.
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Transcript of Home Care - Disease Management Americare Services Group.
Home Care - Disease Management Home Care - Disease Management
Americare Services GroupAmericare Services Group
What Is Disease Management?
• Improve patient health • Avoid costly complications • Reduce medical costs • Support patient and family self-
management
Disease Management At The Core
• Save Money• Encourage Self-Care• Quality of Life
Saving Money• Research shows that over 70% of a person’s
medical expenses are paid out in the last two years of life
• Research also shows that poor self-care and/or limited social resources increase medical expenses
Interpretation – Providers who have financial risk are tired of paying unnecessary costs because a member doesn’t know how or refuses to take proper care of their health
Encouraging Self Care
Self-Care means less reliance on others, particularly medical professionals.
Opportunity for Non-Medical Home Care
Self-Care also equals self-pay care. As we know, private duty is not a typically covered service.
Quality of Life
• Independent• Comfort of Chosen Place of Residence• Pain Free
Quality of Life Private Duty Care services enable a patient to remain at home and continue to
perform their activities of daily living (ADLs). Ability to perform ADLs have a direct impact on a patient’s quality of life.
Activities of Daily Living (ADLs)
bathing
dressing
meal preparation
light housekeeping
medication reminders
grooming
transportation
ambulation
toileting
What can we do?
• Design a care plan that is focused on each individual’s specific disease(s) with a focus on self care, prevention, and support with activities of daily living
Example: Alzheimer’s Disease
• Patient Supervision….to prevent wandering• Toileting reminders… to eliminate potential
accidents• Meal preparation… to maintain nutrition & prevent
kitchen accidents• Social Stimulation…. To combat
loneliness/depression
Example: Arthritis• Assistance with painful tasks (driving, bathing,
dressing, housekeeping)• Applying ice packs or heating pads to relieve
localized pain• Apply proper transferring techniques to prevent
further joint damage• Meal preparation and diet modification to prevent
weight gain (which stresses joints)
Example: Cancer• Post chemotherapy/radiation therapy support and
assistance• Meal preparation and nutrition encouragement to
increase energy levels• Social support and activities to divert negative
feelings• Assistance with exercise regimen to reduce
depression & anxiety while increasing energy• Management of Daily Activities at onset of fatigue
to best conserve energy
Example: Diabetes
• Preparation of diabetic-friendly meals• Monitoring condition of the skin and lower
extremities to prevent skin breakdown, ulcers and related injuries
• Ensure proper oral hygiene to prevent gum disease common to diabetics
Example: Heart Disease
• Increase patient compliance with dietary and/or lifestyle changes
• Supervise prescribed exercise/physical therapy activities
• Ensure proper supervision and act in the event of an emergency i.e. call 911.
Example: Multiple Sclerosis
• General assistance and ADL support during an exacerbation period
• Social stimulation to combat depression• Transferring assistance to prevent falls and
injuries
Example: Osteoporosis
• Gait supervision and assistance to prevent falls resulting in possible fractures
• Assistance with weight-bearing exercises to increase bone mineral density and maintain proper body alignment
• Social support and activities to divert their attention
Example: Parkinson’s Disease• Gait supervision to prevent fails• Light housekeeping to remove potentially
dangerous obstacles• Assistance with feeding during tremor episodes• Specialized meal preparation (i.e. Puree) when
swallowing is difficult• Offering fluids for thirst relief caused by
Parkinson’s medications
Example: Stroke
• Transfer assist for patients with paralysis• Emotional support for labile patients• Support with feedings for clients with difficulty
swallowing• Mobility assistance/supervision to prevent falls
Conclusion
• Design a care plan that is focused on each individual’s specific disease(s) with a focus on self care, prevention, and support with activities of daily living
Resources for Disease Management • Web MD• Yahoo Health• American Cancer Society• Alzheimer’s Association• American Parkinson’s Disease Assoc
Questions?