Top
20
Doctor insights on: End Of Life Care Home Nursing

Share
1

1
Can you weigh the benefits of in-patient and out-patient, hospital and home care for palliative care?

Can you weigh the benefits of in-patient and out-patient, hospital and home care for palliative care?

It depends: Palliative care can be provided in all these settings. If some symptoms are too severe, e.g., pain, it may be necessary to hospitalize the patient. ...Read more

See 1 more doctor answer
Dr. Scott Bolhack
126 doctors shared insights

Home Nursing (Definition)

Home nursing is a service where nurses or assistants are employed helping others with their daily ...Read more


2

2
What are the costs of assisted living compared to nursing home care?

What are the costs of assisted living compared to nursing home care?

Many variables: There are many variables to consider when considering long-term care. Cost is affected by location & unit (1bdrm vs shared) as well as type of care required. Nursing homes are typically more expensive than assisted living b/c staffing requirements. Check out http://www.aarp.org/relationships/caregiving-resource-center/LTCC.html as starting point for comparison. ...Read more

3

3
What is the importance of home nursing vs hospital care?

What is the importance of home nursing vs hospital care?

Home health nursing: If you are medically stable, require a skilled need (physical therapy, wound care, etc.), require only intermittent care (as compared to 24/7 care in the hospital), then home health may an alternative for recuperation. ...Read more

See 1 more doctor answer
4

4
What are the duties of a home health nurse?

What are the duties of a home health nurse?

HH Nursing: In order to receive home health paid by medicare (or your insurance) you must have two things: a skilled need and you must be home bound. Skilled needs can include all kinds of things: wound care, physical therapy, medication monitoring, intravenous medications, etc. The hh nurse is responsible for creating a plan of care and monitoring which includes weekly visits, at the minimum. ...Read more

5

5
Can hospital care include hospice care for the terminally ill ?

Can  hospital care include hospice care for the terminally ill ?

It depends...: It depends on the hospital course. If the person was admitted for a condition and treated but worsened during the hospitalization to the point that death was imminent, comfort care or hospice care may occur in the hospital. However, most hospitals will try and transfer people home or to a skilled nursing facility with hospice care if the person has a little longer to live. ...Read more

See 1 more doctor answer
Dr. Alan Ali Dr. Ali
2 doctors agreed:
6

6
Mother-in-law has serious dementia - what's the procedure for transitioning out of a nursing home into memory unit?

Dr. Alan Ali Dr. Ali
2 doctors agreed:
Mother-in-law has serious dementia - what's the procedure for transitioning out of a nursing home into memory unit?

Wife: Great opportunity to have family conference with her prescribing physician to discuss her treatment and your concerns. ...Read more

7

7
Which the difference between home care and home health care?

Which the difference between home care and home health care?

See below: Home care is just for companion who provides for loved one. Home health care provides nurse, certified nursing aide, physical therapist, dietian and social worker. Please call the company and find out the description of service. ...Read more

9

9
What are the differences between subacute care, outpatient care, hospice care, home health care?

What are the differences between subacute care, outpatient care, hospice care, home health care?

Also: Subacute care in many skilled nursing facilities usually entails significant specialized care, like patients on long term ventilators. These patients are too stable for the hospital but because the tracheostomy & vent require constant monitoring and nursing care. If a pt can't be taken off the vent they are usualy transferred to a facility where this type of care is usual. ...Read more

See 1 more doctor answer
10

10
Would the hospice give better care in a nursing home?

Would the hospice give better care in a nursing home?

Palliative/ Hospice: Hospice serves pts in their own homes, nursing homes, long-term care or assisted living facilities or hospitals. Pts receive palliative care to ease pain, and discomforting symptoms; psycho-social, and spiritual support. Hospice care is focused on maintaining dignity, increasing quality of life, and providing comfort , including pain and symptom management. Hospice gives best care at end of life ! ...Read more

11

11
What are the worst violations of hygiene in a nursing home?

See below: If your loved one has not received proper hygiene care, please contact either unit manager, supervisor of nursing or director of nursing. If not helping, please contact administrator. If you feel that the whole place is not helping for the loved ones, then you have the right to report to the state department of health for possible abuse/neglect. ...Read more

12

12
Does palitive care mean you are approaching end of life?

Does palitive care mean you are approaching end of life?

Great question: Not necessarily, but in most cases has to do with life limiting diseases in different stages. Uncontrolled symptoms in serious diseases may trigger also a palliative care consult. Hope it helps. ...Read more

13

13
Does palitive care mean nearing end of life?

Does palitive care mean nearing end of life?

Palliative care: means that professionals keep the patient comfortable but do not focus on doing things to help the illness itself. It is often provided in end of life or hospice situations but can be used when no other alternative is available. None of us knows when we will die so please stay open to the way life unfolds. Prepare but live in the moment. Peace and good health. ...Read more

14

14
Are a nursing home and memory care the same thing?

Are a nursing home and memory care the same thing?

No: By definition, skilled nursing facilities or nursing homes must have nurses eg RN/LPN available around-the-clock. Assisted living facilities do not. Memory care units are a secure subset of assisted living, w/greater staffing. Check out http://www.aplaceformom.com/alzheimers-care, http://www.seniorhomes.com/p/memory-care/ & http://assistedlivingtoday.com/p/memory-care/ for more info. ...Read more

15

15
Are bedsores a clear sign of nursing home neglect?

Are bedsores a clear sign of nursing home neglect?

Bedsores neglect: The issue is whether all pressure ulcers are avoidable. Most professionals believe that there are unavoidable pressure ulcers. The issue of 'neglect' is a legal term used by the plaintiff attorneys. Some wounds are not preventable. One extreme example is a kennedy terminal ulcer (google the term). There are many risk factors that a patient can have that are'tcorrectable and that snfs cannot cure. ...Read more

See 3 more doctor answers
16

16
What are the qualifications of a good nursing home attendant?

Nursing home: The front line staff in a nursing home are the nursings assistants. This important position is front line because they are the ones who will spend most of the intimate time with you or your loved one. There is a certification process so they get the title cna or certified nursing assistant. This requires a training process and a test in the state of az. There are state to state variables. ...Read more

17

17
Could a health care proxy make my mom stay in a nursing home?

Could a health care proxy make my mom stay in a nursing home?

Yes & no: Health care proxy only gains power once your mom's physicians declare that she has lost capacity to make medical/legal/financial decisions for herself. The courts will decide whether she is competent or not, and who will become guardian if no legal framework has been established. But health care proxy cannot make anyone do anything as long as s/he is of sound mind. Incapacity may be temporary. ...Read more

18

18
Should the elderly be expected to pay for residential care out of their own social security or medicare?

Should the elderly be expected to pay for residential care out of their own social security or medicare?

Who pays?: Medicare does not pay for long term care, assisted living, home care, transportation. So , yes, unless you financially qualify for medicaide, you will need to pay for residential care or home care(unless there is a skilled nursing need, then medicare will pay for a while in rehab or home care). ...Read more

19

19
14mo boy- pneumonia in both lungs. Preparing to go home from hospital tmrow. I'm nervous about raking him home. Helpful care tips once we are home?

14mo boy- pneumonia in both lungs. Preparing to go home from hospital tmrow.  I'm nervous about raking him home. Helpful care tips once we are home?

Most treated at home: If a kid is taking fluids well, eating some and capable of taking oral meds he can do well at home. He will need adequate rest when he tires, and simple balanced nutrition for a normal recovery. As long as he wets a diaper every 4-6 hours and appears to be regaining his pre-illness playfulness, his recovery is going well. ...Read more

20

20
Do older patients do better when taken care of at home or in a retirement home?

Do older patients do better when taken care of at home or in a retirement home?

Depends upon patient: Way too many variables to answer absolutely on general basis. Typically, we advocate for aging in place eg at home since it's more familiar and offers sense of place & community. But this assumes that one is healthy enough to do so and engaged enough in community. Also assumes enough resources. But often times, closest relative lives out of town so for frail elderly, institution may be better. ...Read more