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Home Care Glossary

Home Care

Home Health Aide (HHA)

HHAs provide patients with both personal care and medical related services in the patient’s home. Some tasks that might be performed include:

  • Monitor a patient’s vital signs (pulse rate, body temperature, breathing)
  • Change dressings on open wounds or post op wounds
  • Escort a patient to a doctor’s appointment or on other necessary errands
  • Run errands for a patient who is immobile or unable to travel
  • Perform light housework and chores
  • Meal preparation and patient feeding
  • Medication administration (only under the supervision of an RN or medical doctor)
  • Update patient records and observations (for report to RN or MD)
  • And more

Personal Care Aide (PCA)

PCAs provide personal care assistance services that assist an individual in following a plan of health care designed to improve or delay deterioration of the individual’s physical health while enabling them to remain safely at home. Some duties, responsibilities and functions include:

  • Bathing, dressing, grooming, bowel and bladder care
  • Patient Transfer
  • Housekeeping activities, including sweeping, mopping, dusting, and general organization.
  • Laundry activities, including washing, drying, folding, and putting away laundry, changing linen, mending and ironing clothes.
  • Meals, including cooking, feeding, storing meals and washing dishes.
  • Shopping activities, including grocery shopping and personal shopping.
  • Transportation, including assistance with public and or/para transit transportation.
  • Recreation, including in-home and/or community activities.

Administering Medication

Medication can alleviate pain, treat and prevent illness, and fight infection. However, if taken in the wrong dosage or combination, it can also cause serious problems. We help patients manage their medication intake, ensuring it is taken in the right dosage, on the right day, at the right time.

The skilled home health care professionals will:

  • Organize medications and create a simple and effective method to track intake
  • Pre-measure or pre-pour medications
  • Assess the effectiveness of medications and monitor potential side effects
  • Administer intramuscular or subcutaneous injections using the proper body site
  • Check to make sure prescriptions are filled and expiration dates are recorded
  • Meal preparation and patient feeding
  • Collaborate with the patient’s physician and pharmacist to prevent dangerous drug interactions

In administering medications nurses follow the current nursing practices and recommendations as outlined by the Centers for Disease Control and Prevention, which reflect the minimum standards of care required for healthcare personnel to prevent transmission of infection in healthcare settings.

Hospice And Palliative Care

Hospice is traditionally an option for people whose life expectancy is six months or less. It involves palliative care rather than ongoing curative measures, enabling an individual to live each day to the fullest, with purpose, dignity, grace and support.

While some hospitals, nursing homes, and other health care facilities provide hospice care onsite, in most cases, hospice is provided in the patient’s own home. The staff’s goal should be to provide the individual with the opportunity to spend their final days in a familiar, comfortable environment, surrounded by loved ones.

Hospice care consists of supplying specialized trained Home Health Aides for other Hospice Licensed Home Care Agencies. Hospice care focuses on all aspects of a patient’s life and well-being: physical, social, emotional, and spiritual. There is no age restriction; anyone in the late stages of life is eligible for hospice services. If a physician has certified a patient’s prognosis as not longer than six months, then that patient is eligible for hospice.

Considered to be the model for quality, compassionate care for people facing a life-limiting illness or injury, hospice and palliative care involve a team-oriented approach to expert medical care, pain management, and emotional and spiritual support expressly tailored to the individual’s needs and wishes.

Injections

Perhaps insulin shots are needed, or medication injections to prevent blood clots. Maybe injections are warranted as part of a pain management program. Our experienced nurses are here to help administer these medications. Nurses:

  • Administer injections as frequently as needed
  • Administer multiple types of injections prescribed – intramuscular or subcutaneous
  • Check any old administration sites before administering a new injection
  • Teach patients and family how to administer their own injections (if required)
  • Pre-measure medications to prevent dosage errors
  • Work with the patient’s doctor to assess treatment and dosage
  • Strictly follow the 5 rights of medication administration

Our nurses are trained in injection technique so as to minimize the patient’s discomfort and pain, while following all injection safety protocols.

Medical Care Coordination

Staff works with each client, along with their physicians, to develop a Care Plan to suit their individual needs. We first help to determine the services required and then work to put together the team to implement the Care Plan.

Each client is overseen by a Registered Nurse to manage their individual Care Plan. The Registered Nurse will:

  • Review and assess the client’s needs and abilities on a continual basis
  • Integrate the family into the care plan
  • Schedule visits by staff members
  • Determine if other specialists are required
  • Make recommendations based upon the client’s condition and a review of the reports from other disciplines involved

Staff works with each client to modify the Care Plan as needed in order to help each client continue to make progress toward attaining the best possible health.

New York Occupational & Physical Therapy

Strokes and other illnesses that impact an individual’s fine motor skills can be debilitating. The goal is to help our clients regain the ability to perform everyday tasks and to live as independently as possible. Our occupational therapists develop a tailored plan suited to each individual’s needs and work with each client to assist them in relearning the motor skills necessary to achieve one’s goals. Occupational Therapists visit clients at home in order to help them:

  • Develop a routine to meet one’s abilities after an injury, stroke or illness
  • Hasten recovery after surgery with specialized exercises
  • Learn different strategies which may incorporate the use of specifically designed equipment to assist in carrying out everyday responsibilities and tasks

Our goal is to help improve strength, flexibility, balance, and coordination. Physical Therapists work with each client to create a program specifically suited to their needs and goals. We help our clients to develop the physical skills and confidence necessary to regain independence.

If a client requires more than one rehabilitation service, occupational and physical therapists will work in a coordinated manner to deliver the care needed. The goal is to provide the best care possible in an effort to get the client functioning and progressing quickly.

Long Island Speech Therapy

Perhaps you or a loved one has suffered a stroke or other illness that is affecting the ability to speak or form words appropriately. Sometimes a defect may originate in the brain, the ear, or somewhere along the vocal tract which may affect the voice, articulation, language development, or the ability to speak after language is learned. Therapy begins with diagnosis of the underlying physical, physiological, or emotional dysfunction. It may involve training in breathing, use of the voice, and/or speaking habits.

Speech Therapists will develop a program that can help strengthen the muscles of the mouth, neck, and face to alleviate problems such as choking and coughing, while improving the ability to speak clearly, chew, and swallow.

We also help our clients:

  • Find other ways to communicate, including making gestures or facial expressions
  • Develop strategies to cope when communication is challenging
  • Read, write, and remember important things

Speech Therapists will help develop an exercise program tailored to each patient’s individual needs, and will help with strategies to ensure that speaking and swallowing are easier and safer.

Long Island Wound Care Service

Prevention of infections and other serious complications after a patient has been discharged from a hospital requires proper wound care at home.

The goal is to provide the highest level of wound care available for our patients. We assign a skilled nurse to work in conjunction with each patient’s home health care team.

Our staff works to establish a plan of treatment and monitors the plan to ensure there are no complications and that progress is being made.

While specific treatments will vary by patient, nurses are trained to follow the mandated guidelines and standards in wound care treatment prescribed by the doctor.

Alzheimer’s Care Services in New York

Compassionate and trustworthy Home Care Services

ACS Home Care LLC grew from the desire to make a difference in the lives of individuals suffering from Alzheimer’s disease and other dementias. Owned and operated by families familiar with the tragedy of Alzheimer’s disease, we know how critical it is to understand the disease before working with an individual suffering from it.

This is why our staff has undergone specialized training through programs created by the Alzheimer’s Association, Alzheimer’s Disease Resource Center and the Dementia Care Professionals of America (DCPA), a division of the Alzheimer’s Foundation of America (AFA). This specialized training truly differentiates us from all other Home Care Agencies. We provide cognitive therapies and social interaction.

We assign a Registered Nurse to meet with each new client suffering from cognitive impairment to perform an assessment of their specific needs before our professional caregiver becomes involved.

Once we have a clear understanding of what stage of the illness the client is at, we then initiate a personal care plan for our trained caregiver to follow. This personal care plan, approved by the patient’s physician, serves as a guide so that we may supervise the care we are providing and ensure that we are meeting the client’s changing needs.

This personal care plan includes an activities program for clients with cognitive impairment. Depending on the stage of the disease, these activities cover such areas as creative art, daily living skills, physical activities and sensory activities. Each activity in the program is flexible, allowing each client to experience the best possible success and enjoyment at their capability level.

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