Home Health Care

Home Health Care

การดูแลสุขภาพที่บ้านจะมีแนวทางอย่างไร จะไปดูและทำอะไรกันบ้าง

Home care more than home visit

 

INHOMESSS

 

    Immobility

    Nutrition

    Home environment

    Other people

    Medication

    Examination

    Safety

    Spiritual

    Service

 

 

 

    OBSERVES

 

        O  Outside community

        B  Building

        S  Safety

        E  Environment with in

        R  Relationship in the household

        V  Variation of culture and social practice

        E  Eating and Nutrition

        S  Sickness

 

         Home assessment

          

        1.the  home express

         2.functional assessment

        3.harzard in  the home

        4.review of medication

        5.the impact on family can be experience directly

       6.the organization of the household

                      Ian R. McWhinney, A Text Book of family Medicine

 

 

 

 

 

    PRACTICE: A Family Assessment Tool For Family Medicine

          

         P     presenting symptom

         R    Role

        A    Affect

       C    Communication

         T     Time

        I     Illness

         C     coping

         E     Ecology and culture (scream)

                      (social, cultural, religious, economic, educational, medical resources)

                                      -Dorothy Barrier, Maria  Bybel , WWF in primary care, Janet Christie- Seely

Major type of home visit

        1.Illness home visit

                    -emergency,

                    -acute illness

                           -chronic illness

            2.Dying patient home visit

                      -terminal care

                      -pronounce death

                      -grief support

         3.Assessment home visit

                      -poly pharmacy

                      -immobility, isolation, neglect

                      -need for nursing home care

         4.Hospitalization  follow up home visit

                      -acute illness, injuries or surgery

                      -parent with newborn infant

 

                                                                                            Am  Fam  Physician,1999