Home Healthcare Companies Pennsylvania

Home healthcare companies in Pennsylvania could provide alternatives to Nursing Homes, you do have a few options:

Home and Community Care

There are a variety of home services available to care for ill or disabled patients. These services may keep the patient out of a nursing home. These home services include adult day care, shopping services, friendly home visits and Meals on Wheels. These programs are available in most areas.

If you are thinking about trying home care services it would be wise to discuss this with family members to see if they can help out in any way. There are also some nursing homes that offer respite care; this allows them to take in a patient for a short time in order to give the home caregivers a little break.

Subsidized Senior Housing (Non-Medical)

For senior citizens with low to moderate incomes, there are a few Federal and State programs that will help out. These facilities generally offer an apartment in a senior housing complex and they offer help with certain things like laundry and shopping.

Elder Care Home Health

Assisted Living (Non-Medical Senior Housing)

Assisted living is usually offered to individuals who can still live independently but just need some help with cooking, laundry or taking medicine. Generally, the resident pays rent and a fee for any services they require.

Board and Care Homes

This is similar to Assisted Living except residents need help with walking, bathing, and toileting.

Continuing Care Retirement Communities (CCRC)

These communities provide a variety of home care assistances services in Pennsylvania based on the needs of the resident. This care can include independent living apartments to nursing care in an affiliated nursing home.

Summary of Options

Keep in mind that all the options discussed above are for individuals who don’t require skilled care or they require skilled care for only a short period. Most individuals with long-term skilled needs require a higher level of care that will probably require a nursing home.

Home Health Care - The Basic Guide

Home Care Assistance

Old age can keep us from doing things we once thought were easy. As we grow older, living on our own can become something of a struggle. However, home care and home health care services can provide the elderly or sick with the aid and activity they need on a daily basis, allowing them to continue living an independent life.

With over one million people making use of home health care, it has proven to be a successful alternative to long-term nursing facilities. A normal home care service consists of a nurse or aid visiting the patient's home every day to help assist with whatever needs assisting. This can vary from simply cooking meals and housecleaning to providing the patient with physical therapy and medicine. No aspect of what a patient needs is overlooked, and every patient is treated differently according to his or her needs. While one patient might need help keeping maintenance of his or her home and minor physical therapy, another may require help in being bathed and fed. Nurses are trained to be attentive to any potential needs their patient may have.

The need for home health care isn't always clearly determined. It is a good idea to consult with a doctor before deciding whether you or someone you know should seek the aid of home health care services. Consulting with a doctor may also help you financially. If your doctor confirms the need for home services and orders it, financial burden can be lifted off your shoulders through Medicare. Research the agency you use to make sure they can do whatever needs to be done to aid you or a loved one. Check if the nurses are licensed and trained. This research can help prevent any problems along the way.

One important thing to remember is that home care services and home health care services are different. While home care may provide the elderly with daily check-ups and domestic services, home health care includes helping a patient recover from an ailment, such as a heart attack or stroke. Depending on what is required, you might want to make sure that those you'd be hiring are licensed therapists or nurses.

Home health care is a great way to provide yourself or a loved one with the aid and medical treatment that's needed on a daily basis. It allows patients to live healthy lives without encroaching on their independence. If you or someone you know is not ready to go to a long-term nursing facility, home health care is a viable alternative that might just be worth looking into.


Home Health Agencies Lyon Station, PA

Home Care Agencies Near You

Find home health care service providers in Lyon Station, Pennsylvania. The best companion care companies for home health assistance services.

Companion care is now an important and very real part of life in the United States. The population is aging year by year, thus pointing to the fact that a good percentage of people will need home health care in Lyon Station for the years to come. As people get older, their bodies degenerate and they find themselves increasingly unable to get around without help.

They may even find themselves housebound after a while or prefer to stay at home rather than be admitted to hospital. Either way, home health aide can provide them with exactly what they are looking for! Personal care is just as important as medical care for the elderly and disabled, and not as expensive as hospital care.

They may even find themselves housebound after a while or prefer to stay at home rather than be admitted to hospital. Either way, private home care providers can provide them with exactly what they are looking for! Personal care is just as important as medical care for the elderly and disabled, and not as expensive as hospital care.

Home Health Care For Elderly

Hospital workers, whether doctors or nurses or home health care assistance, are all highly skilled and well worth the money charged to you in most cases, but the majority of people only need limited care for a specific period of time.

If the required elder care services are ongoing then the bills for the bed, food, and services will soon mount up.


The Advantages Of Home Health Care in Lyon Station 
eliminates the need for two of the charges, only leaving the care service aspect to worry about. In Home Caregiver will most definitely benefit these types of people far more and will also provide the post-hospital care that is desperately needed.

Senor Home Care can ensure that individuals with ongoing care needs vet the treatment they need in the comfort of their own home. This environment actually encourages recovery because it is a comfortable environment to recuperate, with all of an individual’s friends, family, and possessions around them.

Those with long-term illnesses are more often than not cared for at home these days because they can only be made comfortable and do not need surgery. A wide range of home health care professionals may visit them on a daily basis to make sure that there is no change in their condition and to administer ongoing care.

Elderly Home Care

Such adult day care professionals have often reported that being at home does more for a patient’s mental state than a hospital could ever do. With these types of reports showing definite benefits to home health care, everyone should consider it as an option for recovery.

Lyon Station

Learn About Home Health Care Services

Senior Home Care

If you are looking for alternatives to Nursing Homes, you do have a few options:

Home and Community Care

There are a variety of home services available to care for ill or disabled patients. These services may keep the patient out of a nursing home. These home services include adult day care, shopping services, friendly home visits and Meals on Wheels. These programs are available in most areas.

If you are thinking about trying home care it would be wise to discuss this with family members to see if they can help out in any way. There are also some nursing homes that offer respite care; this allows them to take in a patient for a short time in order to give the home care givers a little break.

Subsidized Senior Housing (Non-Medical)

For senior citizens with low to moderate incomes, there are a few Federal and State programs that will help out. These facilities generally offer an apartment in a senior housing complex and they offer help with certain things like laundry and shopping.

Assisted Living (Non-Medical Senior Housing)

Assisted living is usually offered to individuals who can still live independently but just need some help with cooking, laundry or taking medicine. Generally the resident pays rent and a fee for any services they require.

Board and Care Homes

This is similar to Assisted Living except residents need help with walking, bathing and toileting.

Continuing Care Retirement Communities (CCRC)

These communities provide a variety of care based on the needs of the resident. This care can include independent living apartments to nursing care in an affiliated nursing home.

Summary of Options

Keep in mind that all the options discussed above are for individuals who don't require skilled care or they require skilled care for only a short period. Most individuals with long term skilled needs require a higher level of care that will probably require a nursing home.


Home Healthcare Companies Pennsylvania

Home Healthcare Companies Doylestown, PA

Home Care Agencies Near You

Find home health care service providers in Doylestown, Pennsylvania. The best companion care companies for home health assistance services.

Companion care is now an important and very real part of life in the United States. The population is aging year by year, thus pointing to the fact that a good percentage of people will need home health care in Doylestown for the years to come. As people get older, their bodies degenerate and they find themselves increasingly unable to get around without help.

They may even find themselves housebound after a while or prefer to stay at home rather than be admitted to hospital. Either way, home health aide can provide them with exactly what they are looking for! Personal care is just as important as medical care for the elderly and disabled, and not as expensive as hospital care.

They may even find themselves housebound after a while or prefer to stay at home rather than be admitted to hospital. Either way, private home care providers can provide them with exactly what they are looking for! Personal care is just as important as medical care for the elderly and disabled, and not as expensive as hospital care.

Home Health Care Providers

Hospital workers, whether doctors or nurses or home health care assistance, are all highly skilled and well worth the money charged to you in most cases, but the majority of people only need limited care for a specific period of time.

If the required elder care services are ongoing then the bills for the bed, food, and services will soon mount up.


The Advantages Of Home Health Care in Doylestown 
eliminates the need for two of the charges, only leaving the care service aspect to worry about. In Home Caregiver will most definitely benefit these types of people far more and will also provide the post-hospital care that is desperately needed.

Senor Home Care can ensure that individuals with ongoing care needs vet the treatment they need in the comfort of their own home. This environment actually encourages recovery because it is a comfortable environment to recuperate, with all of an individual’s friends, family, and possessions around them.

Those with long-term illnesses are more often than not cared for at home these days because they can only be made comfortable and do not need surgery. A wide range of home health care professionals may visit them on a daily basis to make sure that there is no change in their condition and to administer ongoing care.

Caregiver Agency

Such adult day care professionals have often reported that being at home does more for a patient’s mental state than a hospital could ever do. With these types of reports showing definite benefits to home health care, everyone should consider it as an option for recovery.

Doylestown

Health Care Tips at Home For the Elderly

Home Health Care Providers

If Congress goes ahead with its health care reform package, home care providers will certainly feel the heat. After the House and Senate passed their respective reform bills, Congress' ability to send one approved reform bill to the US president is looking positive.

In order to get the legislation to the president's desk by his State of the Union soon, Democratic lawmakers are talking about unconventional ways of getting the bill passed.

While both bills contain tens of billions of dollars in cuts to home health agency and Medicare rates, observers say that the Senate bill is friendlier to the industry. This time there are no reimbursement changes for 2010 and 1 percent reductions in the inflation update in 2011-2013.

One of the routes to approval that lawmakers are thinking about is having the House pass a bill with the changes made in the Senate version. This is owing to the fact that the Senate had a much narrower margin of victory for its legislation. After that, the Senate would approve the House-passed version and it could go to the president.

This could auger well for home care since the Senate's cuts are slightly less drastic as compared to those in the House bill. But both the ways will spell payment reductions for providers.

More trouble: The Senate bill contains a separate provision that could auger bad news for home care providers.

The Senate bill, besides out-and-out payment cuts, calls for an advisory body similar to the Medicare Payment Advisory Commission to set payment levels for Medicare providers.

The Independent Payment Advisory Board (IPAB) would be presidentially appointed. NAHC protests that the bill would give IPAB too much power to the Executive branch. Moreover, IPAB would not have broad-based experience provided that it would comprise only 15 members appointed by the president.

Moreover, unpredictability would reign from year to year as IPAB could change rules with little input from Congress or the public. In the meantime, as the health reform package does not presently address durable medical equipment suppliers' main concerns this year - competitive bidding and oxygen caps - suppliers are rallying support for another bill, H.R 3790.


Home Healthcare Companies Pennsylvania

Home Health Agencies Point Pleasant, PA

Home Care Agencies Near You

Find home health care service providers in Point Pleasant, Pennsylvania. The best companion care companies for home health assistance services.

Companion care is now an important and very real part of life in the United States. The population is aging year by year, thus pointing to the fact that a good percentage of people will need home health care in Point Pleasant for the years to come. As people get older, their bodies degenerate and they find themselves increasingly unable to get around without help.

They may even find themselves housebound after a while or prefer to stay at home rather than be admitted to hospital. Either way, home health aide can provide them with exactly what they are looking for! Personal care is just as important as medical care for the elderly and disabled, and not as expensive as hospital care.

They may even find themselves housebound after a while or prefer to stay at home rather than be admitted to hospital. Either way, private home care providers can provide them with exactly what they are looking for! Personal care is just as important as medical care for the elderly and disabled, and not as expensive as hospital care.

Hospice Home Care

Hospital workers, whether doctors or nurses or home health care assistance, are all highly skilled and well worth the money charged to you in most cases, but the majority of people only need limited care for a specific period of time.

If the required elder care services are ongoing then the bills for the bed, food, and services will soon mount up.


The Advantages Of Home Health Care in Point Pleasant 
eliminates the need for two of the charges, only leaving the care service aspect to worry about. In Home Caregiver will most definitely benefit these types of people far more and will also provide the post-hospital care that is desperately needed.

Senor Home Care can ensure that individuals with ongoing care needs vet the treatment they need in the comfort of their own home. This environment actually encourages recovery because it is a comfortable environment to recuperate, with all of an individual’s friends, family, and possessions around them.

Those with long-term illnesses are more often than not cared for at home these days because they can only be made comfortable and do not need surgery. A wide range of home health care professionals may visit them on a daily basis to make sure that there is no change in their condition and to administer ongoing care.

In Home Care Services

Such adult day care professionals have often reported that being at home does more for a patient’s mental state than a hospital could ever do. With these types of reports showing definite benefits to home health care, everyone should consider it as an option for recovery.

Point Pleasant

Senior Home Care - Resources For Long Term Care at Home

Elderly Home Care

Home healthcare in Illinois patients have the right to be notified, in writing, about their obligations and rights before their treatment begins. The family or guardian can exercise the patients' rights when the patients have been judged incompetent. Advocate Home Health Service has the obligation to both protect and to promote their patients' rights. These rights include the right to have dignity and respect: home healthcare patients and caregivers have the right not to suffer discrimination based upon race, sex, religion, age, place of national origin, or handicap.

Patients and caregivers have the right to dignity and mutual respect, which includes respect for their property. Advocate associates are not permitted to accept tips, gifts, or to borrow from patients. Patients have the right to receive care based upon honesty and ethical conduct. They have the right to be involved in resolving ethical issues about their home care. They have the right to be informed of complaint procedures they can follow to report problems involving the care being administered; and they have the right to know about disposition of their complaints. They have the right to voice grievances with no fear of reprisal or discrimination for doing so. They have the right to know the telephone number of the Illinois healthcare hotline which handles complaints and questions about home care agencies.

Patients have the right to be notified, in advance, about the type of care which will be given; the caregivers who will provide it; and the frequency of proposed visits. They have the right to be notified of any change in the care plan before that change is made. They have the right to be informed, in writing, about decisions regarding medical care, including the right to either accept or refuse a medical treatment, and the right to advance directives. They have the right to refuse treatment without fear of discrimination or reprisal, and to be involved in any decision to withhold resuscitation or withdraw life-sustaining care.

Chicagoland healthcare patients have the right to receive the Privacy Act Statement for Health Care Records. They have the right to confidentiality of their medical records, as well as information regarding their health, financial and social circumstances, and what happens in the home. They have the right to expect that the home healthcare provider will release information only as authorized by the patient or required by law. They have the right to be informed of what payment may be expected from Medicaid, Medicare, or other payers. They have the right to be informed of what charges Medicare does not cover, and for which they may be liable. They have the right to receive this information, in writing, prior to the initiation of care, and within thirty days of the date when the home health care provider becomes aware of any change. They have the right to access upon request all bills for services which the patient has received, regardless of whether these bills are paid by the patient or another party.


Home Healthcare Companies Pennsylvania

Home Health Agencies Elverson, PA

Home Care Agencies Near You

Find home health care service providers in Elverson, Pennsylvania. The best companion care companies for home health assistance services.

Companion care is now an important and very real part of life in the United States. The population is aging year by year, thus pointing to the fact that a good percentage of people will need home health care in Elverson for the years to come. As people get older, their bodies degenerate and they find themselves increasingly unable to get around without help.

They may even find themselves housebound after a while or prefer to stay at home rather than be admitted to hospital. Either way, home health aide can provide them with exactly what they are looking for! Personal care is just as important as medical care for the elderly and disabled, and not as expensive as hospital care.

They may even find themselves housebound after a while or prefer to stay at home rather than be admitted to hospital. Either way, private home care providers can provide them with exactly what they are looking for! Personal care is just as important as medical care for the elderly and disabled, and not as expensive as hospital care.

Home Senior Care

Hospital workers, whether doctors or nurses or home health care assistance, are all highly skilled and well worth the money charged to you in most cases, but the majority of people only need limited care for a specific period of time.

If the required elder care services are ongoing then the bills for the bed, food, and services will soon mount up.


The Advantages Of Home Health Care in Elverson 
eliminates the need for two of the charges, only leaving the care service aspect to worry about. In Home Caregiver will most definitely benefit these types of people far more and will also provide the post-hospital care that is desperately needed.

Senor Home Care can ensure that individuals with ongoing care needs vet the treatment they need in the comfort of their own home. This environment actually encourages recovery because it is a comfortable environment to recuperate, with all of an individual’s friends, family, and possessions around them.

Those with long-term illnesses are more often than not cared for at home these days because they can only be made comfortable and do not need surgery. A wide range of home health care professionals may visit them on a daily basis to make sure that there is no change in their condition and to administer ongoing care.

Top Home Health Care Companies

Such adult day care professionals have often reported that being at home does more for a patient’s mental state than a hospital could ever do. With these types of reports showing definite benefits to home health care, everyone should consider it as an option for recovery.

Elverson

Working Effectively With Mentally Ill Home Care Patients

Senior Home Care Services

Elements of the Cause of Action for Abandonment

Each of the following five elements must be present for a patient to have a proper civil cause of action for the tort of abandonment:

1. Health care treatment was unreasonably discontinued.

2. The termination of health care was contrary to the patient's will or without the patient's knowledge.

3. The health care provider failed to arrange for care by another appropriate skilled health care provider.

4. The health care provider should have reasonably foreseen that harm to the patient would arise from the termination of the care (proximate cause).

5. The patient actually suffered harm or loss as a result of the discontinuance of care.

Physicians, nurses, and other health care professionals have an ethical, as well as a legal, duty to avoid abandonment of patients. The health care professional has a duty to give his or her patient all necessary attention as long as the case required it and should not leave the patient in a critical stage without giving reasonable notice or making suitable arrangements for the attendance of another. [2]

Abandonment by the Physician

When a physician undertakes treatment of a patient, treatment must continue until the patient's circumstances no longer warrant the treatment, the physician and the patient mutually consent to end the treatment by that physician, or the patient discharges the physician. Moreover, the physician may unilaterally terminate the relationship and withdraw from treating that patient only if he or she provides the patient proper notice of his or her intent to withdraw and an opportunity to obtain proper substitute care.

In the home health setting, the physician-patient relationship does not terminate merely because a patient's care shifts in its location from the hospital to the home. If the patient continues to need medical services, supervised health care, therapy, or other home health services, the attending physician should ensure that he or she was properly discharged his or her-duties to the patient. Virtually every situation 'in which home care is approved by Medicare, Medicaid, or an insurer will be one in which the patient's 'needs for care have continued. The physician-patient relationship that existed in the hospital will continue unless it has been formally terminated by notice to the patient and a reasonable attempt to refer the patient to another appropriate physician. Otherwise, the physician will retain his or her duty toward the patient when the patient is discharged from the hospital to the home. Failure to follow through on the part of the physician will constitute the tort of abandonment if the patient is injured as a result. This abandonment may expose the physician, the hospital, and the home health agency to liability for the tort of abandonment.

The attending physician in the hospital should ensure that a proper referral is made to a physician who will be responsible for the home health patient's care while it is being delivered by the home health provider, unless the physician intends to continue to supervise that home care personally. Even more important, if the hospital-based physician arranges to have the patient's care assumed by another physician, the patient must fully understand this change, and it should be carefully documented.

As supported by case law, the types of actions that will lead to liability for abandonment of a patient will include:

• premature discharge of the patient by the physician

• failure of the physician to provide proper instructions before discharging the patient

• the statement by the physician to the patient that the physician will no longer treat the patient

• refusal of the physician to respond to calls or to further attend the patient

• the physician's leaving the patient after surgery or failing to follow up on postsurgical care. [3]

Generally, abandonment does not occur if the physician responsible for the patient arranges for a substitute physician to take his or her place. This change may occur because of vacations, relocation of the physician, illness, distance from the patient's home, or retirement of the physician. As long as care by an appropriately trained physician, sufficiently knowledgeable of the patient's special conditions, if any, has been arranged, the courts will usually not find that abandonment has occurred. [4] Even where a patient refuses to pay for the care or is unable to pay for the care, the physician is not at liberty to terminate the relationship unilaterally. The physician must still take steps to have the patient's care assumed by another [5] or to give a sufficiently reasonable period of time to locate another prior to ceasing to provide care.

Although most of the cases discussed concern the physician-patient relationship, as pointed out previously, the same principles apply to all health care providers. Furthermore, because the care rendered by the home health agency is provided pursuant to a physician's plan of care, even if the patient sued the physician for abandonment because of the actions (or inactions of the home health agency's staff), the physician may seek indemnification from the home health provider. [6]

ABANDONMENT BY THE NURSE OR HOME HEALTH AGENCY

Similar principles to those that apply to physicians apply to the home health professional and the home health provider. A home health agency, as the direct provider of care to the homebound patient, may be held to the same legal obligation and duty to deliver care that addresses the patient's needs as is the physician. Furthermore, there may be both a legal and an ethical obligation to continue delivering care, if the patient has no alternatives. An ethical obligation may still exist to the patient even though the home health provider has fulfilled all legal obligations. [7]

When a home health provider furnishes treatment to a patient, the duty to continue providing care to the patient is a duty owed by the agency itself and not by the individual professional who may be the employee or the contractor of the agency. The home health provider does not have a duty to continue providing the same nurse, therapist, or aide to the patient throughout the course of treatment, so long as the provider continues to use appropriate, competent personnel to administer the course of treatment consistently with the plan of care. From the perspective of patient satisfaction and continuity of care, it may be in the best interests of the home health provider to attempt to provide the same individual practitioner to the patient. The development of a personal relationship with the provider's personnel may improve communications and a greater degree of trust and compliance on the part of the patient. It should help to alleviate many of the problems that arise in the health care' setting.

If the patient requests replacement of a particular nurse, therapist, technician, or home health aide, the home health provider still has a duty to provide care to the patient, unless the patient also specifically states he or she no longer desires the provider's service. Home health agency supervisors should always follow up on such patient requests to determine the reasons regarding the dismissal, to detect "problem" employees, and to ensure no incident has taken place that might give rise to liability. The home health agency should continue providing care to the patient until definitively told not to do so by the patient.

COPING WITH THE ABUSIVE PATIENT

Home health provider personnel may occasionally encounter an abusive patient. This abuse mayor may not be a result of the medical condition for which the care is being provided. Personal safety of the individual health care provider should be paramount. Should the patient pose a physical danger to the individual, he or she should leave the premises immediately. The provider should document in the medical record the facts surrounding the inability to complete the treatment for that visit as objectively as possible. Management personnel should inform supervisory personnel at the home health provider and should complete an internal incident report. If it appears that a criminal act has taken place, such as a physical assault, attempted rape, or other such act, this act should be reported immediately to local law enforcement agencies. The home care provider should also immediately notify both the patient and the physician that the provider will terminate its relationship with the patient and that an alternative provider for these services should be obtained.

Other less serious circumstances may, nevertheless, lead the home health provider to determine that it should terminate its relationship with a particular patient. Examples may include particularly abusive patients, patients who solicit -the home health provider professional to break the law (for example, by providing illegal drugs or providing non-covered services and equipment and billing them as something else), or consistently noncompliant patients. Once treatment is undertaken, however, the home health provider is usually obliged to continue providing services until the patient has had a reasonable opportunity to obtain a substitute provider. The same principles apply to failure of a patient to pay for the services or equipment provided.

As health care professionals, HHA personnel should have training on how to handle the difficult patient responsibly. Arguments or emotional comments should be avoided. If it becomes clear that a certain provider and patient are not likely to be compatible, a substitute provider should be tried. Should it appear that the problem lies with the patient and that it is necessary for the HHA to terminate its relationship with the patient, the following seven steps should be taken:

1. The circumstances should be documented in the patient's record.

2. The home health provider should give or send a letter to the patient explaining the circumstances surrounding the termination of care.

3. The letter should be sent by certified mail, return receipt requested, or other measures to document patient receipt of the letter. A copy of the letter should be placed in the patient's record.

4. If possible, the patient should be given a certain period of time to obtain replacement care. Usually 30 days is sufficient.

5. If the patient has a life-threatening condition or a medical condition that might deteriorate in the absence of continuing care, this condition should be clearly stated in the letter. The necessity of the patient's obtaining replacement home health care should be emphasized.

6. The patient should be informed of the location of the nearest hospital emergency department. The patient should be told to either go to the nearest hospital emergency department in case of a medical emergency or to call the local emergency number for ambulance transportation.

7. A copy of the letter should be sent to the patient's attending physician via certified mail, return receipt requested.

These steps should not be undertaken lightly. Before such steps are taken, the patient's case should be thoroughly discussed with the home health provider's risk manager, legal counsel, medical director, and the patient's attending physician.

The inappropriate discharge of a patient from health care coverage by the home health provider, whether because of termination of entitlement, inability to pay, or other reasons, may also lead to liability for the tort of abandonment. [8]

Nurses who passively stand by and observe negligence by a physician or anyone else will personally become accountable to the patient who is injured as a result of that negligence... [H]ealthcare facilities and their nursing staff owe an independent duty to patients beyond the duty owed by physicians. When a physician's order to discharge is inappropriate, the nurses will be help liable for following an order that they knew or should know is below the standard of care. [9]

Similar principles may apply to make the home health provider vicariously liable, as well.

Liability to the patient for the tort of abandonment may also result from the home health care professional's failure to observe, examine, assess, or monitor a patient's condition. [10] Liability for abandonment may arise from failing to take timely action, as well as failing to summon a physician when a physician is needed. [11] Failing to provide adequate staff to meet the patient's needs may also constitute abandonment on the part of the HHA. [12] Ignoring a patient's complaints and failing to follow a physician's orders may likewise constitute a tort of abandonment for a nurse or other professional staff member.

1. Lee v. Dewbre, 362 S.W.2d 900 (Tex. Civ. App. 7th Dist. 1962).

2. Kattsetos v. Nolan, 368 A.2d 172 (Conn. 1976).

3. 61 AM. Jur. 2d, Physicians and Surgeons § 237 (1981).

4. See, e.g., Tripp v. Pate, 271 S.E.2d 407 (N.C. App. 1980).

5. Ricks v. Budge, 64 P.2d 208 (Utah 1937).

6. M.D. Nathanson, Home Healthcare Answer Book: Legal Issues for Providers 212 (1995).

7. See, generally, E.P. Burnzeig, The Nurse's Liability for Malpractice (1981).

8. Sheryl Feutz-Harter, Nursing Caselaw Update: In appropriate Discharging of Patients, 2 J. Nursing L. 49 (1995).

9. Id., 53.

10. See, e.g., Pisel v. Stamford Hosp., 430 A.2d1 (Conn. 1980) (nurses were held liable for failing to monitor the condition of a patient).

11. See, e.g., Sanchez v. Bay General Hosp., 172 Cal. Rptr. 342 (Cal. App. 1981); Valdez v. Lyman-Roberts Hosp., Inc. 638 S.W. 2d 111 (Tex. 1982).

12. Czubinsky v. Doctors Hosp., 188 CAl. Rptr. 685 (1983).


Home Healthcare Companies Pennsylvania

Home Healthcare Companies Spring City, PA

Home Care Agencies Near You

Find home health care service providers in Spring City, Pennsylvania. The best companion care companies for home health assistance services.

Companion care is now an important and very real part of life in the United States. The population is aging year by year, thus pointing to the fact that a good percentage of people will need home health care in Spring City for the years to come. As people get older, their bodies degenerate and they find themselves increasingly unable to get around without help.

They may even find themselves housebound after a while or prefer to stay at home rather than be admitted to hospital. Either way, home health aide can provide them with exactly what they are looking for! Personal care is just as important as medical care for the elderly and disabled, and not as expensive as hospital care.

They may even find themselves housebound after a while or prefer to stay at home rather than be admitted to hospital. Either way, private home care providers can provide them with exactly what they are looking for! Personal care is just as important as medical care for the elderly and disabled, and not as expensive as hospital care.

Non Medical Home Care

Hospital workers, whether doctors or nurses or home health care assistance, are all highly skilled and well worth the money charged to you in most cases, but the majority of people only need limited care for a specific period of time.

If the required elder care services are ongoing then the bills for the bed, food, and services will soon mount up.


The Advantages Of Home Health Care in Spring City 
eliminates the need for two of the charges, only leaving the care service aspect to worry about. In Home Caregiver will most definitely benefit these types of people far more and will also provide the post-hospital care that is desperately needed.

Senor Home Care can ensure that individuals with ongoing care needs vet the treatment they need in the comfort of their own home. This environment actually encourages recovery because it is a comfortable environment to recuperate, with all of an individual’s friends, family, and possessions around them.

Those with long-term illnesses are more often than not cared for at home these days because they can only be made comfortable and do not need surgery. A wide range of home health care professionals may visit them on a daily basis to make sure that there is no change in their condition and to administer ongoing care.

Senior Home Care Services

Such adult day care professionals have often reported that being at home does more for a patient’s mental state than a hospital could ever do. With these types of reports showing definite benefits to home health care, everyone should consider it as an option for recovery.

Spring City

Home Care Cuts Working Their Way Through Congress

Elder Care Services

The number of aging population is continuing to increase. At the same time, the cost of being hospitalized is also increasing. Thus, there are people to prefer to have home health care services.

Home health care is a relatively new program that aims to take care of sick patients while they are at home. Medical trained personnel are usually the ones who take care of the sick people who either choose to stay at home or cannot go to the hospital anymore. This can be due to a disease that caused them to be paralyzed or have insufficient power to move. The services that home health care offer usually include physical therapists, nurse, medical technicians etc. The patient usually has a personal nurse to take care of him. Most patients have nurses for around eight hours per day. But depending on the case, it can be allowed for the nurses to extend for more than eight hours a day. If the patient requests for the nurse to stay for more than 4 days a week then there must be an agreed date on when to end the project. The rules regarding the nurses and the kind of assistance that could be given to a patient depends on the rules and regulations set by their particular state since they cover the money that the home health patient can receive from the state budget.

The kind of care that is given in a home health care is usually therapies, wound care and pain control. There are cases when the therapist is the one doing all the work and no assist is needed from the nurse. The personnel that are assigned to do home health services are all trained and are licensed to practice medical procedures. They also have trained to have the right attitude to be patient enough for their patients. The normal activities that are included in the home health care services involve bathing, eating, getting dressed and helping the patients with his other activities as well.

The home health care program helps the older people to live in the comforts of their home with their loved ones and with the guidance of home health care personnel. The home health care program will be terminated or postponed if a fulltime nurse is already needed to look after the patient.

It is important that the family assures the safety of their elders. They must gather the required information for them to know that the agency will provide the best care for there loved ones. There are ways so that the family can trust the agency by making sure that the home health care program that they chose is approved by the Medicare provider. Once the agency is certified by the Joint Commission for the Accreditation of Healthcare Organizations then there will be no problem. It is also required that a staff from the agency should always be available seven days a week. If all these requirements are met then for sure, you family members will have an efficient and secured home health care agency.

Working for a Home Health Care is a challenge

Taking care for a friend or assisting someone who is sick or disabled gives us a rewarding feeling. At the same time, it also gives us a challenging experience that we have to conquer. In order to be able to successfully take care of someone it is important that you have background in any health profession such as nursing or physiotherapy. Otherwise, the emotional weight of being a caregiver might be too hard on you. Aside from the challenges in techniques and practices, there is also an emotional weight that comes with it.

There are a lot of personal challenges that a caregiver can encounter. First and foremost is the kind of job that they have to do. It involves tedious tasks of making sure that the patient is clean, changing the dextrose, changing the diapers and the like. But more than the physical weight of the job, another factor that counts is the emotional baggage that it involves. In this kind of job, you will be dealing with a person maybe a stranger who is dependent on you. If you are not prepared with this kind of feeling it will be hard for you to adjust.

When you are taking care of a relative or a friend the feeling is way hard to deal with. Since you are responsible for the different procedures that should be done on the patient, then you have to learn the basic nursing procedures such as changing the catheter bag, cleaning up the urine, feces or vomit and the like. These kinds of circumstances can make the patient feel embarrassed by how helpless they are. Thus, it is very important that you make them feel that you are willing to help them and take care of them. In this way, the patients can somehow feel better and still have a sense of dignity even in their state. It is normal for sick patients to be rude, moody and argumentative because of what has happened to them. It is like a defense mechanism for them to act strong in front of other people. Even if you are the one taking care of your patient, it is still important for you to have a life and make time for yourself.

Aside from the emotional challenge that you have, there are also a lot of requirements for a home health care. Unlike in hospitals where everything is offered, the equipment and facilities that can be used when at home is limited. Thus, if you plan to have a home health care then you should start having the equipment that you need depending on the patient such as a hospital bed, wheel chair, shower chair and the like. If there are medical equipments needed for the patient, you can ask your medical team about where you can find them with the affordable prices. It is also important to practice safety at home since you would not want your patients to have further accidents. Cleanliness must also be maintained at all times to prevent any further infections.

Having a home health care at home is a challenging task but there are always ways to keep you equipped and ready for the challenge.


Home Healthcare Companies Pennsylvania

Home Healthcare Companies Glenolden, PA

Home Care Agencies Near You

Find home health care service providers in Glenolden, Pennsylvania. The best companion care companies for home health assistance services.

Companion care is now an important and very real part of life in the United States. The population is aging year by year, thus pointing to the fact that a good percentage of people will need home health care in Glenolden for the years to come. As people get older, their bodies degenerate and they find themselves increasingly unable to get around without help.

They may even find themselves housebound after a while or prefer to stay at home rather than be admitted to hospital. Either way, home health aide can provide them with exactly what they are looking for! Personal care is just as important as medical care for the elderly and disabled, and not as expensive as hospital care.

They may even find themselves housebound after a while or prefer to stay at home rather than be admitted to hospital. Either way, private home care providers can provide them with exactly what they are looking for! Personal care is just as important as medical care for the elderly and disabled, and not as expensive as hospital care.

In Home Care For Seniors

Hospital workers, whether doctors or nurses or home health care assistance, are all highly skilled and well worth the money charged to you in most cases, but the majority of people only need limited care for a specific period of time.

If the required elder care services are ongoing then the bills for the bed, food, and services will soon mount up.


The Advantages Of Home Health Care in Glenolden 
eliminates the need for two of the charges, only leaving the care service aspect to worry about. In Home Caregiver will most definitely benefit these types of people far more and will also provide the post-hospital care that is desperately needed.

Senor Home Care can ensure that individuals with ongoing care needs vet the treatment they need in the comfort of their own home. This environment actually encourages recovery because it is a comfortable environment to recuperate, with all of an individual’s friends, family, and possessions around them.

Those with long-term illnesses are more often than not cared for at home these days because they can only be made comfortable and do not need surgery. A wide range of home health care professionals may visit them on a daily basis to make sure that there is no change in their condition and to administer ongoing care.

Home Care Assistance

Such adult day care professionals have often reported that being at home does more for a patient’s mental state than a hospital could ever do. With these types of reports showing definite benefits to home health care, everyone should consider it as an option for recovery.

Glenolden

Home Care Services - The Future of Healthcare Services

Home Health Providers

If Congress goes ahead with its health care reform package, home care providers will certainly feel the heat. After the House and Senate passed their respective reform bills, Congress' ability to send one approved reform bill to the US president is looking positive.

In order to get the legislation to the president's desk by his State of the Union soon, Democratic lawmakers are talking about unconventional ways of getting the bill passed.

While both bills contain tens of billions of dollars in cuts to home health agency and Medicare rates, observers say that the Senate bill is friendlier to the industry. This time there are no reimbursement changes for 2010 and 1 percent reductions in the inflation update in 2011-2013.

One of the routes to approval that lawmakers are thinking about is having the House pass a bill with the changes made in the Senate version. This is owing to the fact that the Senate had a much narrower margin of victory for its legislation. After that, the Senate would approve the House-passed version and it could go to the president.

This could auger well for home care since the Senate's cuts are slightly less drastic as compared to those in the House bill. But both the ways will spell payment reductions for providers.

More trouble: The Senate bill contains a separate provision that could auger bad news for home care providers.

The Senate bill, besides out-and-out payment cuts, calls for an advisory body similar to the Medicare Payment Advisory Commission to set payment levels for Medicare providers.

The Independent Payment Advisory Board (IPAB) would be presidentially appointed. NAHC protests that the bill would give IPAB too much power to the Executive branch. Moreover, IPAB would not have broad-based experience provided that it would comprise only 15 members appointed by the president.

Moreover, unpredictability would reign from year to year as IPAB could change rules with little input from Congress or the public. In the meantime, as the health reform package does not presently address durable medical equipment suppliers' main concerns this year - competitive bidding and oxygen caps - suppliers are rallying support for another bill, H.R 3790.


Home Healthcare Companies Pennsylvania

Home Health Agencies Brownstown, PA

Home Care Agencies Near You

Find home health care service providers in Brownstown, Pennsylvania. The best companion care companies for home health assistance services.

Companion care is now an important and very real part of life in the United States. The population is aging year by year, thus pointing to the fact that a good percentage of people will need home health care in Brownstown for the years to come. As people get older, their bodies degenerate and they find themselves increasingly unable to get around without help.

They may even find themselves housebound after a while or prefer to stay at home rather than be admitted to hospital. Either way, home health aide can provide them with exactly what they are looking for! Personal care is just as important as medical care for the elderly and disabled, and not as expensive as hospital care.

They may even find themselves housebound after a while or prefer to stay at home rather than be admitted to hospital. Either way, private home care providers can provide them with exactly what they are looking for! Personal care is just as important as medical care for the elderly and disabled, and not as expensive as hospital care.

Elder Care Home Health

Hospital workers, whether doctors or nurses or home health care assistance, are all highly skilled and well worth the money charged to you in most cases, but the majority of people only need limited care for a specific period of time.

If the required elder care services are ongoing then the bills for the bed, food, and services will soon mount up.


The Advantages Of Home Health Care in Brownstown 
eliminates the need for two of the charges, only leaving the care service aspect to worry about. In Home Caregiver will most definitely benefit these types of people far more and will also provide the post-hospital care that is desperately needed.

Senor Home Care can ensure that individuals with ongoing care needs vet the treatment they need in the comfort of their own home. This environment actually encourages recovery because it is a comfortable environment to recuperate, with all of an individual’s friends, family, and possessions around them.

Those with long-term illnesses are more often than not cared for at home these days because they can only be made comfortable and do not need surgery. A wide range of home health care professionals may visit them on a daily basis to make sure that there is no change in their condition and to administer ongoing care.

Caregiver Agencies

Such adult day care professionals have often reported that being at home does more for a patient’s mental state than a hospital could ever do. With these types of reports showing definite benefits to home health care, everyone should consider it as an option for recovery.

Brownstown

Home Healthcare and Patient's Rights

In Home Care For Elderly

Are we are all "medical citizens," embedded as potential or actual patients, with our physicians, insurer's, pharmaceutical companies, government bodies and others in a system of societal, moral and organizational stakeholders?

Today, with the advent of the Internet, High Speed Bandwidth, Social Media, Support Groups and Self Care Protocols, patients for the first time in the history of medicine have the ability to alter the outcome of disease and illness for themselves, family members, friends and significant others.

This essay attempts to address a most compelling issue of our time. Are medical self-help groups and self-care methods helpful or are they challenges to the delivery of traditional medical care? How do they differ and what consequences arise from this debate?

Also, how has the advent of the Internet and Social media transformed the landscape of medicine? What limitations may exist in this new era of information technology and social communication? And to what degree do they challenge traditional care models? Can a patient or their advocate become more of an expert on their own medical conditions than their own physicians? The answer to this question is a resounding yes, if the patient uses all the tools now available to them.

Various published estimates unanimously indicate that hundreds of thousands of patients die and millions more are injured by medical procedures gone wrong, medication errors or their side effects and by medications improperly prescribed or not taken as directed by patients. And it is not just the infirm that suffer, but their families, their loved one's, friends and employer's who must suffer with the grief and change of lifestyle that so often comes with these mistakes.

Furthermore, on May 8, 2013 National Center for Policy Analysis, in a release, stated that first diagnosis error rates are increasing at an alarming rate:

• An estimated 10 percent to 20 percent of cases are misdiagnosed, which exceeds drug errors, and surgery on the wrong patient or body part, both of which receive considerably more attention.

• One report found that 28 percent of 583 diagnostic mistakes were life threatening or had resulted in death or permanent disability.

• Another study estimated that fatal diagnostic errors in United States intensive care units equal the number of breast cancer deaths each year -- 40,500.

Therefore, second opinions are often necessary precautions, as are third opinions when the first two differ. In fact, Medicare and insurers often pay for third opinions under these circumstances as it saves them billions in the long run.

Prudence dictates that the "medical citizen" must beware of these pitfalls, as their lives may depend on it.

Also, with patient reviews and rating systems available right on our own smartphones, we must question whether or not physician decision making is being compromised as well. For instance, a surgeon knows that his or her treatment decisions can possibly either result in either saving a life or ending it resulting in damning social media judgements, whether legitimate or not, which can then hurt their medical practices? Does this introduce a bias that may alter or cloud a doctor's judgement? There is no data to provide an answer as of yet.

So, are doctors becoming more risk adverse as a result of this new landscape? Physicians are now being compensated more and more based on better outcomes, lower costs, reduced re-admission rates and other variables - not staff friendliness or less waiting room times which many doctor review sites measure.

Often 5 star rating systems get few patient reviews despite the fact that the average doctor has some 2,000 patient charts (most healthy) and while it is human nature to complain when we don't get the outcome we want, consumers are less likely to praise a positive experience because we naturally expect top service and thus neglect to post a positive patient review yet are rather far more likely to post a negative review to retaliate against the provider. So patient reviews are not a very good or objective source of fair and balanced overall rating of a doctor's performance.

How can this dilemma be resolved especially when a surgeon does everything perfectly but the patient becomes a victim of medication errors, poor nursing compliance with medical orders or perhaps contracts a hospital born infection, or some other adverse event out of the doctor's control even if the doctor's work is excellent? Nevertheless these doctor review sites often blame the physician. So Patients need better tools to make judgements about their own healthcare whether it be which plan to select or which treatment option to go with given a choice.

If a patient does utilize a rating site, they should make sure it is a government site based on huge amounts of data or a private site wherein doctors nominate other doctors for their excellence and would use these "doctor's doctors" to provide care for their very own friends and loved ones.

Doctor reviews by other sites using stupid criteria like waiting room times, friendliness of staff, waiting room decor and other questions that have nothing to do with best outcomes accomplish nothing but make money for their operators.

In modern day, it is not unusual for patients to challenge doctors when it comes to illness and disease. After all, according to Tejal Gandhi, MD, president of the National Patient Safety Foundation and associate professor of medicine, Harvard Medical School, "Preventable medical errors persist as the No. 3 killer in the U.S. - third only to heart disease and cancer - claiming the lives of some 400,000 people each year, at a cost of over a trillion dollars a year"".

Self-help groups and self-care probably date back to the dawn of civilization when people lived cooperatively in tribal settings. These groups dealt with all life issues related to the survival and political stability of the group. The dawn of medical ethics probably dates back some 2300 years with the publication of the Hippocratic Oath.

But now the game has dramatically changed due to major technological advances in medicine and with the great advances of the Internet now being the primary source of medical information for medical consumers. And with the explosion in social media, people have the ability to communicate and share information on a scale never before foreseen or imagined.

Add to this all the new stakeholders that have entered the fray such as insurance companies, employers, managed care organizations, Obamacare, biotech companies, governments and, of course, pharmaceutical companies and healthcare policy makers. The challenges faced by the medical citizen and social policy planners have never been so daunting.

Postmodern Medicine probably arose after the institution of Medicare in 1965 when Medicare was signed into law in 1965 by President Lyndon Johnson and third party payer insurance companies soon appeared thereafter. By the 1970's the practice of medicine became the business of medicine and third party payment systems caused a surge in demand for services and the costs of healthcare delivery soared. Also, the debate over what is a disease and what is an illness now must be addressed in a sociological manner more than ever as it affects whether treatments are made available and what costs are covered by third party payers.

Self Help Groups are usually a group or set of people who all share or suffer from a similar malady which involves great personal cost and suffering for themselves and those who care for them.

Self-care is seemingly clear in meaning. We get a cut and we put a band aid on it. Have a headache, take an aspirin. But is it really so clear as pharmacy shelves that are now filled will medications that used to be available only by prescription and medical devices one can use for self-diagnosis and self-care which measure bodily functions and vital signs such as blood sugar levels, blood pressure, pulse oxygenation, etc. have resulted in patients self diagnosing and treating themselves, often without medical advice. Defibrillators are now a fixture in most large organizations where non-medical designated company personnel are trained and authorized to shock a worker's heart in addition to CPR.

Supplies such as instant blood clotting powder, specialized bandages, diabetic compression socks that were not previously available in pharmacies, are now commonplace. But many of these products may do as much harm as good, if not used properly.

Self-care at least in many of its versions, usually includes some connection with the health care system, teaching people when they need a professional, how to do a self-examination and care for a condition without medical supervision. e.g. Changing wound dressings and bandages without the presence of a home care aid.

And with the advent of new and off-label use of FDA approved medications, televisions are awash with commercials advertising new drugs and therapies which espouse incredible benefits such as Viagra, which resulted in a stampede of male patients running to their doctors demanding buckets of the stuff, making Viagra one of the most profitable elective medications ever.

Television ads by pharmaceutical companies now target the consumer directly in order to create demand for their products, which can only be prescribed by a physician, are commonplace as well. Also, in fine print and muffled high speed speech, pharmaceutical companies attempt in these ads to disclaim liability for the fact that the medications advertised directly to consumers may have side effects that could seriously mess a person up or even cause death, while at the same time they are trying to get consumers to ask their doctors for these medications. This is a radical change in the supply chain and distribution of new pharmaceutical products and protocols.

So, what is a medical citizen to do? Turn to the Internet of course for information and Social Media discourse. The Internet is after all now the primary source of health and medical information as well as social communication.

Today, with over a hundred million American's online with their computers, tablets, cellphones, and smart watches along with highly specialized apps, finding support is like reading a menu in a Greek diner. If can be hard to choose wisely.

The problem in discerning useful and credible information from garbage in, garbage out, or from commercial sites looking to sell goods and services targeting specific users based upon searches performed by the user and transmitted to advertisers via cookies and Flash Player LSOs.

Most people probably do OK and, undoubtedly, are using this resource responsibly. These resources can improve and maybe extend patient's lives and allow them to find communities of other's suffering from the same malady as them and can assist health care outcomes and help contain health care costs to society. We are now entering the world of virtualization, telemedicine, doctor and hospital rating websites and long distance robotic surgery as well as even fields like quantum medicine which seems like it comes right out of a sci-fi novel.

Where this will lead us in the future remains to be seen and cannot definitively be addressed in this essay.

This also leaves us with the issue of contested illness. As opposed to a disease, like a clogged artery that must be repaired with a stent in a catheterization laboratory by an interventional cardiologist, or an infection that must be treated with antibiotics by a physician, many illnesses are unexplained by traditional medicine, as opposed to diseases which are clearly recognized by healthcare providers. Illnesses are often easily dismissed by formal medicine resulting in denial of treatment or refusal of insurers to pay.

But the collective description of the same array of similar symptoms occurring among many thousands of individuals communicating with each other using self-help groups can lead to a change of heart in the medical establishment. Not to mention diseases that carry a social stigma with them where the patient is blamed for their own symptoms, like obesity, even though there are in fact diseases that cause obesity or depression, addiction and a host of illnesses that have not as yet been classified as diseases and for which there is no biomedical solution.

Online support groups can and have brought these conditions to the forefront, as in the case of fibromyalgia which is now recognized as a treatable disease, but for a long time was a contested illness dismissed by professionals as people too lazy to work or just seeking pain medication. What is certain is that online support groups provide people with opportunities to exchange information with each other and become experts on their medical problems.

Internet self-help groups are cost free and very effective. People helping people. It is a simple concept, especially in the age where the nuclear family is nearly extinct in western society, so people now seek out extended families. But self-help groups which are self contained and autonomous in theory are still predisposed to traditional group problems such as rivalry within the groups, inappropriate members, etc. They are also targets of commercial interests, for example when a user who does not know how to surf anonymously gets hundreds of cookies on the device they are using and then they start to receive unwanted ads by commercial interests or worse, spam and theft of private information.

Self-Help groups offer other benefits such as "Improved coping with Chronic Illness and Life Transitions, Friendship and Belonging, Spiritual Renewal, Increased Political Activism, Enhancing Civil Society and Reduced Healthcare Resource Use" (Humphreys, Keith, Social Policy, Spring 97, Vol 27 Issue 3 Pages 2-5)

That said, "social movements that consider themselves omnipotent and omniscient are often dangerous". (Humphreys, Keith, Social Policy, Spring 97, Vol 27 Issue 3 Page 5)

You can bring a horse to water but you cannot make it drink. Many people are too set in their ways, too judgmental and have ulterior motives which can corrupt or disrupt the best intentions of the many.

Many medical professionals feel that patients playing doctor carries potentially serious risks as patients are not doctors or trained medical professionals. On the other hand, many would argue the same about professionals and professional groups which previously enjoyed unquestioned stature and in many instances took offense to being questioned or challenged.

But for a patient with a complex disease possibly accompanied by other co-morbid conditions, The Internet affords them unlimited access to research the latest medical treatments, pharmaceuticals and lot of other research that their internist may not be aware of.

With heavy patient loads a physician does not have the time to spend researching all of the worlds medical literature on new FDA approved medications and procedures. After a doctor sees a patient, often they don't give that person's situation another thought as they have 30 more patients to see that day plus hospital rounds.

But for the sick, if they have reasonably good intelligence and most likely they have much more time on their hands to research their specific disease or diseases that have devastated their quality or life, ability to work or career advancement, relationships all of which suffer, it is a logical assumption that with enough time and perseverance, the patient can find better treatment modalities or better doctors that can relieve most of their symptoms or possibly cure them completely.

If a patient remains docile, asks no questions, fails to review complex bills which even medical auditors cannot understand the billing codes used, then the patient will likely not receive the best possible outcome.

This issue has been thoroughly researched by the Institute of Medicine and the data resoundingly shows that informed patients consistently have better medical outcomes than patients that suffer in silence. The data is irrefutable!

So common sense dictates that patients should be proactive and learn as much as they can about their diseases or illnesses and work collaboratively with their doctors as a team, the goal being better medical care. Often physicians resist this in which case, a change of doctor may be in the best interest of the patient.

For example, mortality related to cardiac catheterization and angiography are significant enough that patients should be informed of the risks of death or major complications from the procedure or that there is an alternative called computed tomography angiography which can replace conventional coronary angiography in appropriate patients and is half the cost of the traditional procedure which is very lucrative for interventional cardiologists whereas computed tomography angiography is not. It is also a non-invasive procedure which will benefit those eligible at much less risk and a lower cost as well.

I am now speaking from personal experience because my own father, who died on Jan 26, 2006, suffered from complications that arose after a cardiac catheterization and angiography procedure that was unnecessary. A year prior to my father's passing he had a stent placed in his left descending coronary artery which went flawlessly. Because my father was retired and living in NY he would visit all of his doctors prior to making his annual trip to Florida where he spent the winters in the sun.

This procedure was elective because his cardiologist suggested that the stent be checked before the trip. I should have known better and stopped him, since I was a patient and medical consumer advocate and researched and published reports for consumers and researched diseases for medical professionals for a living. The name of my company at the time was "Health Reports" a service of Multimedia Solutions Inc. a NY company I founded but due to later disability had to stop.

I accompanied my father on all of his doctor visits and when he went to the hospital he for this ambulatory procedure he was fine and he drove his own car to the hospital anticipating go home the same day.

His Interventional Cardiologist that did the procedure afterward said the stent was in beautiful condition but something went wrong because after the procedure my fathers extremities started turning blue from cyanosis. The doctor of course denied any relationship between the two events that happened within hours of each other.

The only possible conclusion that I could draw was that the catheter wire chipped of a piece of calcified plaque and lodged most likely in his lung as an embolism as he developed severe respiratory distress immediately after the angiogram. Now that had to be the greatest coincidence ever or a terrible medical mistake.

So a routine preventive screening where I was going to drive my dad home the same day turned into a week in the hospital after which he was moved into a step down rehabilitation facility and was expected to recover and go home.

On the evening before he was supposed to go home to continue his recovery at home, I visited him with my daughter and immediately saw something was very wrong.

Since there was only one doctor on the floor for about 50 adult residents, I practically had to physically drag the doctor to his room where his only suggestion was that he go back to the hospital. It took the ambulance 30 minutes to arrive to take hime to a major trauma hospital that was literally only a couple of hundred yards from where he was. I could have wheeled him over to the ER faster.

He died around 2 a.m. the next morning. They said he died from mesothelioma. I knew that was impossible because I never even heard the man cough once in his life or present with any of the symptoms of mesothelioma and I was in business with him for many years as well as his son.

Then, recently, when I was hospitalized in a Florida hospital for severe low potassium which was easily resolved over a few days of IV potassium infusion, a cardiologist walked into my room and said he wanted to do an angiogram just before my discharge, to check my stent that I had done a year earlier and I knew was fine and it literally became an argument because I questioned his authority. He finally admitted that the risk of death or complication during a cardiac cateterization were not insignificant. I finally agreed to a non-invasive Cardiac Ultrasound which showed absolutely nothing wrong.

And it had no relationship to why I was even in the hospital. I was released later that day and when I saw my regular cardiologist in New York, he called the other doctor a name I would rather not repeat and told me I may have saved my own life by contesting this man who I never saw before or since.

The odd thing is I only know this because I am an experienced Medical Literature Researcher but disabled.

Because too often patients are not informed of other treatment options for what ever ails them or for that matter the risks associated with many procedure options, because their doctors are simply unaware or don't care or want to make the most money. Today, hiring an expert medical literature researcher is not a bad idea. And even a personal Patient Advocate which is a growing field for which no professional certification is required is a good idea if you can afford it because if your flat on your back and not in control and perhaps don't even have family to help you, a personal Patient Advocate can be a good idea.

This is the new reality of healthcare. Its hard to be a practicing physician these days because of the rate of innovation, the problems of being a businessman, dealing with regulatory bodies, covering your hospitalized patients, litigation, etc. Many doctor's can't deal with it and quit medicine. And its getting harder.

Common sense also dictates that there is no longer a monopoly on medical information in this new era of instant information and mass communication and that transparency like revolution is a good thing once in a while.

In conclusion, as this essay attempts to address whether or not medical self help groups and self care alternatives are positive adjuncts or harmful challenges to medical care and how they contrast with one another as well as what consequences arise from such analysis, we can conclude with certainty that since the advent of the polio vaccine which brought about a tidal wave of medical advances available to help physicians cure disease, we are now in a new and ever evolving era of unprecedented advances in medicine, information and transparent social communication.

The costs of medical research and care have as a result of these advances skyrocketed to the point that medical resources have to be used in a more cost effective manner. Also, the issue of rationing medical care is one that social policy makers must give great weight to in their deliberations going forward since the implementation of the Affordable Care Act.

The issues are so complicated that consumers have a very difficult time making decisions as to how to best care for themselves and their families. Just picking a health plan can be a nightmare for families and professionals as different plans at different prices can work towards a families' benefit or detriment depending on their socio-economic status, health history and lifestyles.

If these developments aren't enough to contend with, the current power of the Internet as a source of both information and now also a powerful social medium in which people can connect with one another on a mass scale must be viewed as a benefit in a system that needs checks and balances due to the entry of so many stakeholders some of whom do not have the patient's best interests at heart but instead are motivated by greed or are simply incompetent in their professions.

Self help groups, self care and the ability of a patient, or a loved one or an advocate to be involved in the management of illness and disease must work dynamically and cooperatively with their physicians, within this new medical landscape because the genie is now out of the bottle and we can't look back but must look forward to a system of patients and caregivers working as a team towards the goal of healing and improving the quality of life of our citizens.

So what does the future hold. The last 30 years have seen an evolutionary leap more like one would likely see in a century or more. Now with new technologies such as 3-d copying and printing, and computer aided manufacturing and new medical fields like quantum medicine which uses the principles of quantum physics to better understand biology the future possibilities are mind boggling. The Civil war was only 152 years ago. Since then mankind has progressed from a way of life that sustained civilization for some 200,000 years at an astronomical rate. Can we absorb so much change so fast?

Gene Roddenberry foresaw a future beginning in 2236, 220 years from now with the release of Star Trek which has creating a self perpetuating movement. So what is our destiny, the view of Gene Roddenberry or perhaps, James Cameron's "the Terminator" where mankind sparks an extinction level event by accident or by terrorism. Only time and man's ingenuity will tell.

By Stuart J. Goltzman January 2, 2016 10:40 PM Eastern Time

All rights reserved, reproduction without alteration is authorized.

Cited Works:

(Humphreys, Keith, Social Policy, Spring 97, Vol 27 Issue3 Pages 2-5)

(Humphreys, Keith, Social Policy, Spring 97, Vol 27 Issue 3 Page 5)


Home Healthcare Companies Pennsylvania

Home Healthcare Companies New Holland, PA

Home Care Agencies Near You

Find home health care service providers in New Holland, Pennsylvania. The best companion care companies for home health assistance services.

Companion care is now an important and very real part of life in the United States. The population is aging year by year, thus pointing to the fact that a good percentage of people will need home health care in New Holland for the years to come. As people get older, their bodies degenerate and they find themselves increasingly unable to get around without help.

They may even find themselves housebound after a while or prefer to stay at home rather than be admitted to hospital. Either way, home health aide can provide them with exactly what they are looking for! Personal care is just as important as medical care for the elderly and disabled, and not as expensive as hospital care.

They may even find themselves housebound after a while or prefer to stay at home rather than be admitted to hospital. Either way, private home care providers can provide them with exactly what they are looking for! Personal care is just as important as medical care for the elderly and disabled, and not as expensive as hospital care.

In Home Care For Seniors

Hospital workers, whether doctors or nurses or home health care assistance, are all highly skilled and well worth the money charged to you in most cases, but the majority of people only need limited care for a specific period of time.

If the required elder care services are ongoing then the bills for the bed, food, and services will soon mount up.


The Advantages Of Home Health Care in New Holland 
eliminates the need for two of the charges, only leaving the care service aspect to worry about. In Home Caregiver will most definitely benefit these types of people far more and will also provide the post-hospital care that is desperately needed.

Senor Home Care can ensure that individuals with ongoing care needs vet the treatment they need in the comfort of their own home. This environment actually encourages recovery because it is a comfortable environment to recuperate, with all of an individual’s friends, family, and possessions around them.

Those with long-term illnesses are more often than not cared for at home these days because they can only be made comfortable and do not need surgery. A wide range of home health care professionals may visit them on a daily basis to make sure that there is no change in their condition and to administer ongoing care.

Caregiver Agency

Such adult day care professionals have often reported that being at home does more for a patient’s mental state than a hospital could ever do. With these types of reports showing definite benefits to home health care, everyone should consider it as an option for recovery.

New Holland

Senior Home Care - Resources For Long Term Care at Home

Senior Home Care Services

Elements of the Cause of Action for Abandonment

Each of the following five elements must be present for a patient to have a proper civil cause of action for the tort of abandonment:

1. Health care treatment was unreasonably discontinued.

2. The termination of health care was contrary to the patient's will or without the patient's knowledge.

3. The health care provider failed to arrange for care by another appropriate skilled health care provider.

4. The health care provider should have reasonably foreseen that harm to the patient would arise from the termination of the care (proximate cause).

5. The patient actually suffered harm or loss as a result of the discontinuance of care.

Physicians, nurses, and other health care professionals have an ethical, as well as a legal, duty to avoid abandonment of patients. The health care professional has a duty to give his or her patient all necessary attention as long as the case required it and should not leave the patient in a critical stage without giving reasonable notice or making suitable arrangements for the attendance of another. [2]

Abandonment by the Physician

When a physician undertakes treatment of a patient, treatment must continue until the patient's circumstances no longer warrant the treatment, the physician and the patient mutually consent to end the treatment by that physician, or the patient discharges the physician. Moreover, the physician may unilaterally terminate the relationship and withdraw from treating that patient only if he or she provides the patient proper notice of his or her intent to withdraw and an opportunity to obtain proper substitute care.

In the home health setting, the physician-patient relationship does not terminate merely because a patient's care shifts in its location from the hospital to the home. If the patient continues to need medical services, supervised health care, therapy, or other home health services, the attending physician should ensure that he or she was properly discharged his or her-duties to the patient. Virtually every situation 'in which home care is approved by Medicare, Medicaid, or an insurer will be one in which the patient's 'needs for care have continued. The physician-patient relationship that existed in the hospital will continue unless it has been formally terminated by notice to the patient and a reasonable attempt to refer the patient to another appropriate physician. Otherwise, the physician will retain his or her duty toward the patient when the patient is discharged from the hospital to the home. Failure to follow through on the part of the physician will constitute the tort of abandonment if the patient is injured as a result. This abandonment may expose the physician, the hospital, and the home health agency to liability for the tort of abandonment.

The attending physician in the hospital should ensure that a proper referral is made to a physician who will be responsible for the home health patient's care while it is being delivered by the home health provider, unless the physician intends to continue to supervise that home care personally. Even more important, if the hospital-based physician arranges to have the patient's care assumed by another physician, the patient must fully understand this change, and it should be carefully documented.

As supported by case law, the types of actions that will lead to liability for abandonment of a patient will include:

• premature discharge of the patient by the physician

• failure of the physician to provide proper instructions before discharging the patient

• the statement by the physician to the patient that the physician will no longer treat the patient

• refusal of the physician to respond to calls or to further attend the patient

• the physician's leaving the patient after surgery or failing to follow up on postsurgical care. [3]

Generally, abandonment does not occur if the physician responsible for the patient arranges for a substitute physician to take his or her place. This change may occur because of vacations, relocation of the physician, illness, distance from the patient's home, or retirement of the physician. As long as care by an appropriately trained physician, sufficiently knowledgeable of the patient's special conditions, if any, has been arranged, the courts will usually not find that abandonment has occurred. [4] Even where a patient refuses to pay for the care or is unable to pay for the care, the physician is not at liberty to terminate the relationship unilaterally. The physician must still take steps to have the patient's care assumed by another [5] or to give a sufficiently reasonable period of time to locate another prior to ceasing to provide care.

Although most of the cases discussed concern the physician-patient relationship, as pointed out previously, the same principles apply to all health care providers. Furthermore, because the care rendered by the home health agency is provided pursuant to a physician's plan of care, even if the patient sued the physician for abandonment because of the actions (or inactions of the home health agency's staff), the physician may seek indemnification from the home health provider. [6]

ABANDONMENT BY THE NURSE OR HOME HEALTH AGENCY

Similar principles to those that apply to physicians apply to the home health professional and the home health provider. A home health agency, as the direct provider of care to the homebound patient, may be held to the same legal obligation and duty to deliver care that addresses the patient's needs as is the physician. Furthermore, there may be both a legal and an ethical obligation to continue delivering care, if the patient has no alternatives. An ethical obligation may still exist to the patient even though the home health provider has fulfilled all legal obligations. [7]

When a home health provider furnishes treatment to a patient, the duty to continue providing care to the patient is a duty owed by the agency itself and not by the individual professional who may be the employee or the contractor of the agency. The home health provider does not have a duty to continue providing the same nurse, therapist, or aide to the patient throughout the course of treatment, so long as the provider continues to use appropriate, competent personnel to administer the course of treatment consistently with the plan of care. From the perspective of patient satisfaction and continuity of care, it may be in the best interests of the home health provider to attempt to provide the same individual practitioner to the patient. The development of a personal relationship with the provider's personnel may improve communications and a greater degree of trust and compliance on the part of the patient. It should help to alleviate many of the problems that arise in the health care' setting.

If the patient requests replacement of a particular nurse, therapist, technician, or home health aide, the home health provider still has a duty to provide care to the patient, unless the patient also specifically states he or she no longer desires the provider's service. Home health agency supervisors should always follow up on such patient requests to determine the reasons regarding the dismissal, to detect "problem" employees, and to ensure no incident has taken place that might give rise to liability. The home health agency should continue providing care to the patient until definitively told not to do so by the patient.

COPING WITH THE ABUSIVE PATIENT

Home health provider personnel may occasionally encounter an abusive patient. This abuse mayor may not be a result of the medical condition for which the care is being provided. Personal safety of the individual health care provider should be paramount. Should the patient pose a physical danger to the individual, he or she should leave the premises immediately. The provider should document in the medical record the facts surrounding the inability to complete the treatment for that visit as objectively as possible. Management personnel should inform supervisory personnel at the home health provider and should complete an internal incident report. If it appears that a criminal act has taken place, such as a physical assault, attempted rape, or other such act, this act should be reported immediately to local law enforcement agencies. The home care provider should also immediately notify both the patient and the physician that the provider will terminate its relationship with the patient and that an alternative provider for these services should be obtained.

Other less serious circumstances may, nevertheless, lead the home health provider to determine that it should terminate its relationship with a particular patient. Examples may include particularly abusive patients, patients who solicit -the home health provider professional to break the law (for example, by providing illegal drugs or providing non-covered services and equipment and billing them as something else), or consistently noncompliant patients. Once treatment is undertaken, however, the home health provider is usually obliged to continue providing services until the patient has had a reasonable opportunity to obtain a substitute provider. The same principles apply to failure of a patient to pay for the services or equipment provided.

As health care professionals, HHA personnel should have training on how to handle the difficult patient responsibly. Arguments or emotional comments should be avoided. If it becomes clear that a certain provider and patient are not likely to be compatible, a substitute provider should be tried. Should it appear that the problem lies with the patient and that it is necessary for the HHA to terminate its relationship with the patient, the following seven steps should be taken:

1. The circumstances should be documented in the patient's record.

2. The home health provider should give or send a letter to the patient explaining the circumstances surrounding the termination of care.

3. The letter should be sent by certified mail, return receipt requested, or other measures to document patient receipt of the letter. A copy of the letter should be placed in the patient's record.

4. If possible, the patient should be given a certain period of time to obtain replacement care. Usually 30 days is sufficient.

5. If the patient has a life-threatening condition or a medical condition that might deteriorate in the absence of continuing care, this condition should be clearly stated in the letter. The necessity of the patient's obtaining replacement home health care should be emphasized.

6. The patient should be informed of the location of the nearest hospital emergency department. The patient should be told to either go to the nearest hospital emergency department in case of a medical emergency or to call the local emergency number for ambulance transportation.

7. A copy of the letter should be sent to the patient's attending physician via certified mail, return receipt requested.

These steps should not be undertaken lightly. Before such steps are taken, the patient's case should be thoroughly discussed with the home health provider's risk manager, legal counsel, medical director, and the patient's attending physician.

The inappropriate discharge of a patient from health care coverage by the home health provider, whether because of termination of entitlement, inability to pay, or other reasons, may also lead to liability for the tort of abandonment. [8]

Nurses who passively stand by and observe negligence by a physician or anyone else will personally become accountable to the patient who is injured as a result of that negligence... [H]ealthcare facilities and their nursing staff owe an independent duty to patients beyond the duty owed by physicians. When a physician's order to discharge is inappropriate, the nurses will be help liable for following an order that they knew or should know is below the standard of care. [9]

Similar principles may apply to make the home health provider vicariously liable, as well.

Liability to the patient for the tort of abandonment may also result from the home health care professional's failure to observe, examine, assess, or monitor a patient's condition. [10] Liability for abandonment may arise from failing to take timely action, as well as failing to summon a physician when a physician is needed. [11] Failing to provide adequate staff to meet the patient's needs may also constitute abandonment on the part of the HHA. [12] Ignoring a patient's complaints and failing to follow a physician's orders may likewise constitute a tort of abandonment for a nurse or other professional staff member.

1. Lee v. Dewbre, 362 S.W.2d 900 (Tex. Civ. App. 7th Dist. 1962).

2. Kattsetos v. Nolan, 368 A.2d 172 (Conn. 1976).

3. 61 AM. Jur. 2d, Physicians and Surgeons § 237 (1981).

4. See, e.g., Tripp v. Pate, 271 S.E.2d 407 (N.C. App. 1980).

5. Ricks v. Budge, 64 P.2d 208 (Utah 1937).

6. M.D. Nathanson, Home Healthcare Answer Book: Legal Issues for Providers 212 (1995).

7. See, generally, E.P. Burnzeig, The Nurse's Liability for Malpractice (1981).

8. Sheryl Feutz-Harter, Nursing Caselaw Update: In appropriate Discharging of Patients, 2 J. Nursing L. 49 (1995).

9. Id., 53.

10. See, e.g., Pisel v. Stamford Hosp., 430 A.2d1 (Conn. 1980) (nurses were held liable for failing to monitor the condition of a patient).

11. See, e.g., Sanchez v. Bay General Hosp., 172 Cal. Rptr. 342 (Cal. App. 1981); Valdez v. Lyman-Roberts Hosp., Inc. 638 S.W. 2d 111 (Tex. 1982).

12. Czubinsky v. Doctors Hosp., 188 CAl. Rptr. 685 (1983).


Home Healthcare Companies Pennsylvania

Home Health Agencies Emmaus, PA

Home Care Agencies Near You

Find home health care service providers in Emmaus, Pennsylvania. The best companion care companies for home health assistance services.

Companion care is now an important and very real part of life in the United States. The population is aging year by year, thus pointing to the fact that a good percentage of people will need home health care in Emmaus for the years to come. As people get older, their bodies degenerate and they find themselves increasingly unable to get around without help.

They may even find themselves housebound after a while or prefer to stay at home rather than be admitted to hospital. Either way, home health aide can provide them with exactly what they are looking for! Personal care is just as important as medical care for the elderly and disabled, and not as expensive as hospital care.

They may even find themselves housebound after a while or prefer to stay at home rather than be admitted to hospital. Either way, private home care providers can provide them with exactly what they are looking for! Personal care is just as important as medical care for the elderly and disabled, and not as expensive as hospital care.

In Home Care For Seniors

Hospital workers, whether doctors or nurses or home health care assistance, are all highly skilled and well worth the money charged to you in most cases, but the majority of people only need limited care for a specific period of time.

If the required elder care services are ongoing then the bills for the bed, food, and services will soon mount up.


The Advantages Of Home Health Care in Emmaus 
eliminates the need for two of the charges, only leaving the care service aspect to worry about. In Home Caregiver will most definitely benefit these types of people far more and will also provide the post-hospital care that is desperately needed.

Senor Home Care can ensure that individuals with ongoing care needs vet the treatment they need in the comfort of their own home. This environment actually encourages recovery because it is a comfortable environment to recuperate, with all of an individual’s friends, family, and possessions around them.

Those with long-term illnesses are more often than not cared for at home these days because they can only be made comfortable and do not need surgery. A wide range of home health care professionals may visit them on a daily basis to make sure that there is no change in their condition and to administer ongoing care.

Home Health Care Providers

Such adult day care professionals have often reported that being at home does more for a patient’s mental state than a hospital could ever do. With these types of reports showing definite benefits to home health care, everyone should consider it as an option for recovery.

Emmaus

Home Health Care Services - Allowing Those Who Need Help To Live Independent Lives

Geriatric Care

Home health care is now an important and very real part of life in the United States. The population is aging year by year, thus pointing to the fact that a good percentage of people will need home health care in the years to come. As people get older, their bodies degenerate and they find themselves increasingly unable to get around without help. They may even find themselves housebound after a while, or prefer to stay at home rather then be admitted to hospital. Either way, home health care can provide them with exactly what they are looking for! Personal care is just as important as medical care for the elderly and disabled, and not as expensive as hospital care.

Hospital workers, whether doctors or nurses or health care assistants, are all highly skilled and well worth the money charged to you in most cases, but the majority of people only need limited care for a specific period of time. If the required care is ongoing then the bills for the bed, food and services will soon mount up. However, home health care eliminates the need for two of the charges, only leaving the care service aspect to worry about. Home health care will most definitely benefit these types of people far more and will also provide the post-hospital care that is desperately needed.

The Advantages Of Home Health Care

Home health care can ensure that individuals with ongoing care needs vet the treatment they need in the comfort of their own home. This environment actually encourages recovery because it is a comfortable environment to recuperate, with all of an individuals friends, family and possessions around them. The familiar definitely holds some sort of healing properties. This is one of the reasons why new mothers often choose to give birth at home or return home within hours of it. Home health care assistants and mobile midwives provide the treatment needed. Their absence from hospital also frees up more beds for those that are next in line to have a baby or for treatment so it provides a good deal for all concerned.

Those with long-term illnesses are more often than not cared for at home these days because they can only be made comfortable and do not need surgery. A wide range of home health care professionals may visit them on a daily basis to make sure that there is no change in their condition and to administer ongoing care. Such home health care professionals have often reported that being at home does more for a patient's mental state than a hospital could ever do. With these types of reports showing definite benefits to home health care, everyone should consider it as an option for recovery.


Home Healthcare Companies Pennsylvania