Dr Dirige’s Article in Asian Journal this week – Kamelya Home Health
CONTEMPORARY ASIAN AMERICAN ISSUES by Dr. Ofelia Dirige, MPH, PhD, RDA
Home health care, Home care and In-home care are phrases that are used interchangeably in the U.S to refer to any type of care—skilled or otherwise- given to a person in their own home. Home health care deliver services in the client’s own home. It helps adults, seniors and pediatric clients who are recovering after a hospital or facility stay or need additional support to stay home and avoid unnecessary hospitalization. Home care aims to make it possible for people to stay at home than use residential, long-term or institutional-based nursing care. Home health care is generally provided by Medicaid, Medicare, long term insurance or paid with the patient’s own resources.
Home health care services include some combination of professional services and life assistance services. Professional services may include medical or psychological assessment, wound care, medication teaching, pain management, dietary counseling, disease education and management, physical therapy, occupational therapy and speech therapy. These are delivered by licensed doctors, registered nurses, social workers, registered dietitians, and physical and occupational therapists, and speech therapists and language pathologists.
Life assistance services or non-medical care, custodial care or private-duty care include help in daily tasks such as meal preparation, medication reminders, laundry, light housekeeping, errands, shopping, transportation, going to the doctor, and companionship. These are delivered by Home care aides, Certified Nursing Assistants, Transition coaches, and Caregivers who are trained to provide these services. Estimates for the US indicate that most home care is informal, with family and friends as caregivers providing a substantial amount of care.