Name :
1) Ade Rina Atikah (201902010011)
2) Safa Ainanisa Qodri (201902010023)
HOME CARE
A. DESCRIPTION
Home care is care that allows a person with special needs to stay in their home. It
might be for people who are getting older (aging in place). It could also be for people
who are chronically ill, recovering from surgery, or disabled. Home care services
include :
Personal care, such as help with bathing, washing your hair, or getting
dressed
Household chores, such as cleaning, yard work, and laundry
Cooking for you in your home or delivering meals to you
Money management, such as help filling out forms and making sure that
your bills are paid on time
Health care, such as having a home health aide come to your home or
getting care from your provider through telehealth
Health care or supportive care provided in the patient's home by healthcare
professionals (often referred to as home health care or formal care). Often, the term
home care is used to distinguish non-medical care or custodial care, which is care that
is provided by persons who are not nurses, doctors, or other licensed medical
personnel, as opposed to home health care that is provided by licensed personnel.
B. FUNCTION
Duties assigned to home care workers include grocery shopping, cooking and
housekeeping for elderly or immobile clients. Home care professionals perform exercises
with patients, take their blood pressure and drive them to and from doctor's appointments.
In addition, home care workers administer clients' medication according to instructions
provided by physicians and nurses. These professionals often train patients to care for
themselves, as well as educate family members on bedside care for elderly relatives.
Additional tasks include filling out weekly or monthly reports on clients' health progress,
activities and behavior.
C. SCOPE OF NURSING PRACTICE AT HOME
The scope of independent nursing practice includes perinatal nursing care,
neonantal nursing care, child nursing care, adult nursing care, and maternity nursing care,
mental nursing care is carried out in accordance with the scope of its authority and
responsibilities. Nursing that can be done by:
Conducting direct care which includes bio-psycho- socio-spiritual assessment with
direct physical examination, conducting observations, and in-person interviews,
determining nursing problems, planning, and carrying out nursing actions that require
certain skills to meet basic human needs that deviate, whether nursing actions or acts
of delegation (medical therapy), providing counseling and health counseling and
conducting evaluations.
Documenting every service action provided to the client, this documentation is
required as a liability and liability for legal cases and as evidence for the services
provided.
Coordinate with other teams if the practice is carried out in groups.
As a defender / advocate (advocate) of the client in meeting the needs of nursing care
clients at home and when necessary for follow-up to the hospital and ensure the
therapy that the client gets in accordance with the standards and financing to the
client in accordance with the services / care received by the client.
Determining the frequency and duration of health care at home is carried out,
discussing how often and how long visits should be made
D. HOME CARE SERVICE MECHANISM
a. Case acceptance process
Home care receives patients from hospitals, health centers, other facilities, families
The head of home care appoints a case manager to manage the case
The case manager makes a letter of agreement and the process of managing the case
b. Home care service process
1) Preparation
• Ensure the patient's identity
• Bring the floor plan / instructions for where the patient lives
• Complete workplace unit ID card
• Make sure the patient's equipment is at home
• Prepare nursing care files
• Prepare media aids for education
2) Implementation
• Introduce yourself and explain the purpose.
• Environmental observations related to nurse safety
• Complete the patient basic assessment data
• Create a service plan
• Perform direct maintenance
• Discuss referral needs, collaboration, consultation etc.
• Discuss the next visit plan and activities to be carried out
• Document activities
3) Monitoring and evaluation
• Accuracy and completeness of initial assessment
• Suitability of planning and accuracy of actions
• Effectiveness and efficiency of the implementation of actions by implementor
4) The process of discontinuing home care services, with creteria:
• Achieved according to the objectives
• The patient's condition is stable
• Rehabilitation program is achieved maximally
• The family has been able to carry out patient care
• Patients are referred
• Patients refuse follow-up services
• Patient dies
