How to set up home care for an older person?

Most of the time, the medical care provided to an older person at home helps them avoid an extended hospital stay or early entry into a specialized establishment. Therefore, receiving home care is proving to be a good solution for anyone over 60 who requires medical care but who wishes to stay at home. What is senior home care? For whom is senior home care? How to benefit from it?

Poor health and dependency can make it necessary to provide care at home for the elderly. Their implementation responds to two situations: the alternative to entering a retirement home or a care establishment, the continuity of care after hospitalization.

The need for therapeutic monitoring requires the use of qualified personnel and the medicalization of home help services.

Several structures and medical and paramedical professionals are occupied in the stipulation of home care:

  • The home care aide;
  • Home hospitalization:
  • The home nurse;
  • Medical auxiliaries (physiotherapist, speech therapist, dietitian, podiatrist, etc.);
  • Home medical assistance.

Under the responsibility and supervision of a nurse, the home care aide provides care aimed at meeting the maintenance needs of the elderly and compensating for a decrease in their autonomy. It intervenes within the framework of a nursing home service or the framework of a home hospitalization.

Home hospitalization is the home care formula representing the highest level of intervention. It is recommended for patients with severe, acute, or chronic pathologies and allows the delivery of medical procedures comparable to those performed in a hospital.

The missions of the home nurse are multiple. He provides, on medical prescription, specific nursing and general hygiene care, oversees the therapeutic follow-up and the administration of treatments, monitors the state of health, helps to maintain autonomy, and can intervene for the accomplishment of formalities related to care.

These structures work in collaboration with other stakeholders: attending physicians and physiotherapists, hospitals, pharmacists, private nurses, and home medical assistance service providers.

Who can benefit from home care?

Home care is all the care that can be performed at home by a nurse. It can be hygiene and comfort care such as the toilet for the elderly with loss of autonomy or medical procedures that a nurse can perform such as changing dressings, injections, blood tests, distribution of drugs, etc. This care that takes place at home is also called nursing care. They can be carried out by nurses or by nursing assistants under the responsibility of a nurse.

Home care allows elderly hospitalized people, in particular, to return to their homes while continuing to benefit from medical care. They can also make it possible to delay seniors’ entry into a facility for the elderly when they wish to continue living at home.

This home care can concern all people, and in particular the elderly. Their attending physician, or the physician at the facility where they are hospitalized, decides whether home care is appropriate. Suppose he considers that they are possible and essential. In that case, the doctor writes a medical prescription which indicates which nursing services are competent to carry out this care at home, according to their nature, and addresses the request for their respect to the Health Insurance.

It should be noted that it is quite possible to benefit at the same time from home help financed by the Personalized Autonomy Allowance (APA) and from a nurse for home care as well.

Who do you call on to set up home care for aged people?

Different people or structures are empowered to provide home care. The doctor defines the most appropriate service according to the medical care and comfort.

Home nursing services (SSIAD)

Home nursing services (SSIAD) are intended for people over the age of 60 who are sick or lost autonomy, people with disabilities, and people with chronic illnesses. These are nursing assistants or nurses who intervene in the person’s home seven days a week on medical prescription from a doctor and for as long as the latter deems this care essential.

It is up to the elderly person who must benefit from home care to contact an SSIAD near their home to benefit from its services. The directory of these services is available on the National Information Portal for the autonomy of the elderly and the support of their loved ones. A nurse coordinator comes to the person’s home to assess and determine the nature and frequency of the necessary interventions.

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