Home Care - Disease Management

1. Home Care - Disease Management Americare Services Group

2. What Is Disease Management? • Improve patient health • Avoid costly complications • Reduce medical costs • Support patient and family self-management

3. Disease Management At The Core • Save Money • Encourage Self-Care • Quality of Life

4. Saving Money • Research shows that over 70% of a person’s medical expenses are paid out in the last two years of life • Research also shows that poor self-care and/or limited social resources increase medical expenses Interpretation – Providers who have financial risk are tired of paying unnecessary costs because a member doesn’t know how or refuses to take proper care of their health

5. Encouraging Self Care Self-Care means less reliance on others, particularly medical professionals. Opportunity for Non-Medical Home Care Self-Care also equals self-pay care. As we know, private duty is not a typically covered service.

6. Quality of Life • Independent • Comfort of Chosen Place of Residence • Pain Free

7. Quality of Life Private Duty Care services enable a patient to remain at home and continue to perform their activities of daily living (ADLs). Ability to perform ADLs have a direct impact on a patient’s quality of life.

8. Activities of Daily Living (ADLs) bathing dressing meal preparation light housekeeping medication reminders grooming transportation ambulation toileting

9. What can we do? • Design a care plan that is focused on each individual’s specific disease(s) with a focus on self care, prevention, and support with activities of daily living

10. Example: Alzheimer’s Disease • Patient Supervision….to prevent wandering • Toileting reminders… to eliminate potential accidents • Meal preparation… to maintain nutrition & prevent kitchen accidents • Social Stimulation…. To combat loneliness/depression

11. Example: Arthritis • Assistance with painful tasks (driving, bathing, dressing, housekeeping) • Applying ice packs or heating pads to relieve localized pain • Apply proper transferring techniques to prevent further joint damage • Meal preparation and diet modification to prevent weight gain (which stresses joints)

12. Example: Cancer • Post chemotherapy/radiation therapy support and assistance • Meal preparation and nutrition encouragement to increase energy levels • Social support and activities to divert negative feelings • Assistance with exercise regimen to reduce depression & anxiety while increasing energy • Management of Daily Activities at onset of fatigue to best conserve energy

13. Example: Diabetes • Preparation of diabetic-friendly meals • Monitoring condition of the skin and lower extremities to prevent skin breakdown, ulcers and related injuries • Ensure proper oral hygiene to prevent gum disease common to diabetics

14. Example: Heart Disease • Increase patient compliance with dietary and/or lifestyle changes • Supervise prescribed exercise/physical therapy activities • Ensure proper supervision and act in the event of an emergency i.e. call 911.

15. Example: Multiple Sclerosis • General assistance and ADL support during an exacerbation period • Social stimulation to combat depression • Transferring assistance to prevent falls and injuries

16. Example: Osteoporosis • Gait supervision and assistance to prevent falls resulting in possible fractures • Assistance with weight-bearing exercises to increase bone mineral density and maintain proper body alignment • Social support and activities to divert their attention

17. Example: Parkinson’s Disease • Gait supervision to prevent fails • Light housekeeping to remove potentially dangerous obstacles • Assistance with feeding during tremor episodes • Specialized meal preparation (i.e. Puree) when swallowing is difficult • Offering fluids for thirst relief caused by Parkinson’s medications

18. Example: Stroke • Transfer assist for patients with paralysis • Emotional support for labile patients • Support with feedings for clients with difficulty swallowing • Mobility assistance/supervision to prevent falls

19. Conclusion • Design a care plan that is focused on each individual’s specific disease(s) with a focus on self care, prevention, and support with activities of daily living

20. Resources for Disease Management • Web MD • Yahoo Health • American Cancer Society • Alzheimer’s Association • American Parkinson’s Disease Assoc

21. Questions?