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Turkish Thoracic Society 11th Annual Congress 23-27 April 2008 Home Care for Patienst with Chronic Respiratory Diseases Definition, Reasons and Home Care Models Mehmet Onarcan Turkish Home Care Association. SOME HOME CARE NOTIONS. Home Care Home Health Care Hospice

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Turkish Thoracic Society

11th Annual Congress

23-27 April 2008

Home Care for Patienst with Chronic Respiratory Diseases

Definition, Reasons and Home Care Models

Mehmet Onarcan

Turkish Home Care Association


SOME HOME CARE NOTIONS

Home Care

Home Health Care

Hospice

Palliative Care

Domiciliary Care

Supported Discharge

Hospital at Home

Day Care

Extra Care


DEFINITION OF HOME CARE

Home Care;

is the provision of services and equipment in the place of individuals and families who have needs resulting from acute illness, long-term health conditions, permanent disability or terminal illness.

* ATS, Statement on Home Care for Patients with Respiratory Disorders, AJCCM, Vol. 171, 2005


DEFINITION OF HOME CARE

By the referral of physicians; the provision of health, care and follow up services including physical and psychological therapy, rehabilitation services, to patients in the family setting.

* T.C. Ministry of Health Care Home Care Services Regulation, 10 March 2005


DEFINITION OF HOME CARE

Preventive, supportive, treatment and rehabilitative care services, provided to individuals and families who need physical, spiritual and social support,

Providing the continuity of care through standartized and multi-disiplinary professional service organization (starting from discharge planning) (taburculuğun planlanmasından başlayarak) verilmesi gereken hizmetleri kapsar

* 1st National Home Care Conference, Istanbul, 1998


HOME CARE CATEGORIES

(For Respiratory Related Conditions)

Home Medical Equipment Services

Episodic Home Health Care

Hospice Home Care

Chronic Home Care Services

Symptom management

Personal Care

Counseling

Spiritual care

Caregiver support

Respite care

Chore services

Assessment

Monitoring

Personal care

Chore services

Assessment

Treatment (IV, other)

Patient education

Symptom management

Counseling

Referral

Rehabilitation

Oxygen

Ventilators

CPAP

Nebulizers

Monitors

Home Infusion

* ATS, Statement on Home Care for Patients with Respiratory Disorders, AJCCM, Vol. 171, 2005


HOME HEALTH CARE SERVICES

  • Home Physician Visits

  • Nursing Services

  • Physical Therapy

  • Respiratory Therapy

  • Oxygen Therapy

  • Occupational Therapy

  • Speech Therapy

  • Home Infusion

  • Pain Management

  • Feeding , Nutrition

  • Home medication services

  • Home dental services

  • Psychotherapy

  • Home Medical Equipment Services

  • Tele Home Care


HOME SOCIAL CARE and SUPPORTIVE SERVICES

  • - Social Day Care Services

  • Personal Daily Care / Home Maker Services

  • House Keeping Services

  • Home Health Aide Services

  • Home Delivered Meals

  • Expressive Therapy

  • Home and Bath Safety

  • Emergency Response Systems / Phone Monitoring

  • Transfer Services


PREVENTIVE HOME CARE SERVICES

  • Disease Management

  • Home and Bath Safety

  • Health and Care Education

  • Healthy life coaching

  • Tele Care / Home Monitoring


WELLNESS PROGRAM – U.S.A.

A program aiming to keep people healthy before they get sick. A method developed to maintain a healthy society.

Includes educating people through different channels to protect their well being.

In the realisation of this program home care companies and their personnel were the most efficient way of reaching people.

PREVENTIVE HEALTH and HOME CARE


HOME CARE = MULTI DISCIPLINARY SERVICE

  • Physician

  • Case Manager

  • Home Care Nurse

  • Physical Therapist

  • Respiratory Therapist

  • Occupational Therapist

  • Speech Therapist

  • Mental Therapist

  • Nutritionist

  • Social career

  • Socil worker

  • Home Health Aide

  • Delivery Technician

  • Others


WHY HOME CARE ?

60% of World Health expenditure is spent for Chronic Diseases*

There 20 million chronically ill patienst in Turkey**

In 2020 chronic disorders will be 75 % of all causes for death

References: *WHO

**MHO, Turkey


WHY HOME CARE ?

11.1 % of the 7,6 million patients receiving home health care in 1998 had respiratory system disease

The most common diagnosis of patients with respiratory disorders referred for home health care is COPD.


TURKEY’S DEMOGRAPHIC REALITY

1935

1960

1990

2050


Population who will need daily care in Turkey

in the year 2050

6,6 million

Germany 4,1 million

UK 3,2 million

Italy 2,6 million

Israel 0,68 million

* WHO


Turkish Thoracic Society

11th Annual Congress

23-27 April 2008

Home Care for Patienst with Chronic Respiratory Diseases

Definition, Reasons and Home Care Models

Mehmet Onarcan

Turkish Home Care Association


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