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Types of Providers
Home Care/Personal Care ServicesHome Care/ Personal Care provide services to people who need assistance with activities of daily living, including;
Much of personal care is "private duty" or private pay, meaning that it is not covered by insurance and must be paid for by the beneficiary or some other party. However, many Medicaid and Veteran's Affairs programs do pay for personal care, and the government has now made a provision that allows Medicare Advantage plans to pay for services at their discretion. Though private pay may be seen as a restriction for some people, it also allows personal care agencies to offer many types of services that could not be provided by a CNA as part of a Home Health episode. For example, in addition to helping clients to bathe, dress, remind them to take medications, and change clothing or briefs, a Personal Care Aide may perform shopping, meal prep, housekeeping, laundry, errands, companionship, and much more. Private Duty offerings may extend beyond personal care to include private pay nursing, therapy, and/or social work. Some companies are even beginning to offer private-duty care management to present a more whole-person approach of caregiving as they build a trusting relationship with clients as an advocate and guide through the healthcare system. |
Home Health Services
Home Health provides medical care, personalized assistance and/or rehabilitative therapy provided to patients who are unable to receive the same services outside of their home due to temporary or chronic physical limitations. Other possible services may include social work, respite care or housekeeping depending on a patient’s insurance benefits. Services include:
- Nursing Services include monitoring a patient’s medical needs including; vitals, medication & pain management, specialty tasks such as wound care and more.
- Physical Therapy helps address decreased strength, range-of-motion, balance, pain, and mobility (standing, walking, climbing stairs, acquiring/training in use of assistive device).
- Occupational Therapy help improve performance with activities of daily living such as dressing, bathing, eating, etc. Therapist can also make recommendations to improve safety and independence or train family/caregivers in care.
- Speech-Language Therapy treat speech sounds, fluency, language, and voice in addition to social communication, feeding/swallowing and cognition.
- Social Workers can help patients and their families access resources like financial assistance, government health insurance, respite care, housing, food, counseling, placement in Assisted Living Facility or Hospice program and more.
- Home Health Aides/CNAs can be responsible for helping a patient to bathe, dress and groom, performing light housework, preparing/serving light meals, supporting a home exercise program and monitoring/alerting the nurse of patient condition.
Go to Medicare.gov for more information on home health services.
Hospice
Hospice care aims to provide comfort rather than curing a disease process. Hospice is provided to those with a limited life expectancy of 6 months or less. The care is delivered by a team of expertly trained individuals including physicians, nurses, hospice aides, social workers, volunteers, chaplains and bereavement counselors. Staff provides comfort for physical symptoms, such as pain, and for emotional, social and spiritual distress as well. The goal of hospice is to provide support for patients and their family.
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