Although varying by state, most states have waiver programs which help pay for transportation and ADL's to include companion care and errands. Also, nurses never cure, merely manage care and therefore would never have a "cure" care plan in home care. Litlle know is the fact that children also qualify for home care, often times paid for by Medicaid. This segment (trach dependent, vent dependent, etc.) do receive long-term care in the home and fortunately there is a percentage of these patients who do have improved outcomes, although we don't refer to them as "cured". That is to say, a child may be receiving health care in the home because of status/post tracheostomy and with a well-coordinated care plan, in say five-ten years, the trach may be removed and the patient may go on to lead a perfectly normal life. I would also say that advocacy end education are very important. Care/case managers will often steer patients to home health agencies of their choosing, although the practice is discouraged and surely unethical. Patients and their families must do their own research to find a suitable home care provider. If a care manager states that a patient must go with the home care provider selected by the care manager, the patient should insist on talking to an administrator. A great resource for understanding home health service access is through http://www.Mayhac.com. They're advocacy based and can give background information on most home health agencies. They also credential providers.
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Although varying by state, most states have waiver programs which help pay for transportation and ADL's to include companion care and errands. Also, nurses never cure, merely manage care and therefore would never have a "cure" care plan in home care. Litlle know is the fact that children also qualify for home care, often times paid for by Medicaid. This segment (trach dependent, vent dependent, etc.) do receive long-term care in the home and fortunately there is a percentage of these patients who do have improved outcomes, although we don't refer to them as "cured". That is to say, a child may be receiving health care in the home because of status/post tracheostomy and with a well-coordinated care plan, in say five-ten years, the trach may be removed and the patient may go on to lead a perfectly normal life. I would also say that advocacy end education are very important. Care/case managers will often steer patients to home health agencies of their choosing, although the practice is discouraged and surely unethical. Patients and their families must do their own research to find a suitable home care provider. If a care manager states that a patient must go with the home care provider selected by the care manager, the patient should insist on talking to an administrator. A great resource for understanding home health service access is through http://www.Mayhac.com. They're advocacy based and can give background information on most home health agencies. They also credential providers.
June 8, 2011 - 11:46amThis Comment
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