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Turkish Thoracic Society 11th Annual Congress 23-27 April 2008 Home Care for Patienst with Chronic Respiratory Diseases

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

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Turkish Thoracic Society 11th Annual Congress 23-27 April 2008 Home Care for Patienst with Chronic Respiratory Diseases

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

  2. SOME HOME CARE NOTIONS Home Care Home Health Care Hospice Palliative Care Domiciliary Care Supported Discharge Hospital at Home Day Care Extra Care

  3. DEFINITION OF HOME CARE Home Care; is the provision of services and equipment in the place of individuals and families who have needs resulting from acute illness, long-term health conditions, permanent disability or terminal illness. * ATS, Statement on Home Care for Patients with Respiratory Disorders, AJCCM, Vol. 171, 2005

  4. DEFINITION OF HOME CARE By the referral of physicians; the provision of health, care and follow up services including physical and psychological therapy, rehabilitation services, to patients in the family setting. * T.C. Ministry of Health Care Home Care Services Regulation, 10 March 2005

  5. DEFINITION OF HOME CARE Preventive, supportive, treatment and rehabilitative care services, provided to individuals and families who need physical, spiritual and social support, Providing the continuity of care through standartized and multi-disiplinary professional service organization (starting from discharge planning) (taburculuğun planlanmasından başlayarak) verilmesi gereken hizmetleri kapsar * 1st National Home Care Conference, Istanbul, 1998

  6. HOME CARE CATEGORIES (For Respiratory Related Conditions) Home Medical Equipment Services Episodic Home Health Care Hospice Home Care Chronic Home Care Services Symptom management Personal Care Counseling Spiritual care Caregiver support Respite care Chore services Assessment Monitoring Personal care Chore services Assessment Treatment (IV, other) Patient education Symptom management Counseling Referral Rehabilitation Oxygen Ventilators CPAP Nebulizers Monitors Home Infusion * ATS, Statement on Home Care for Patients with Respiratory Disorders, AJCCM, Vol. 171, 2005

  7. HOME HEALTH CARE SERVICES • Home Physician Visits • Nursing Services • Physical Therapy • Respiratory Therapy • Oxygen Therapy • Occupational Therapy • Speech Therapy • Home Infusion • Pain Management • Feeding , Nutrition • Home medication services • Home dental services • Psychotherapy • Home Medical Equipment Services • Tele Home Care

  8. HOME SOCIAL CARE and SUPPORTIVE SERVICES • - Social Day Care Services • Personal Daily Care / Home Maker Services • House Keeping Services • Home Health Aide Services • Home Delivered Meals • Expressive Therapy • Home and Bath Safety • Emergency Response Systems / Phone Monitoring • Transfer Services

  9. PREVENTIVE HOME CARE SERVICES • Disease Management • Home and Bath Safety • Health and Care Education • Healthy life coaching • Tele Care / Home Monitoring

  10. WELLNESS PROGRAM – U.S.A. A program aiming to keep people healthy before they get sick. A method developed to maintain a healthy society. Includes educating people through different channels to protect their well being. In the realisation of this program home care companies and their personnel were the most efficient way of reaching people. PREVENTIVE HEALTH and HOME CARE

  11. HOME CARE = MULTI DISCIPLINARY SERVICE • Physician • Case Manager • Home Care Nurse • Physical Therapist • Respiratory Therapist • Occupational Therapist • Speech Therapist • Mental Therapist • Nutritionist • Social career • Socil worker • Home Health Aide • Delivery Technician • Others

  12. WHY HOME CARE ? 60% of World Health expenditure is spent for Chronic Diseases* There 20 million chronically ill patienst in Turkey** In 2020 chronic disorders will be 75 % of all causes for death References: *WHO **MHO, Turkey

  13. WHY HOME CARE ? 11.1 % of the 7,6 million patients receiving home health care in 1998 had respiratory system disease The most common diagnosis of patients with respiratory disorders referred for home health care is COPD.

  14. TURKEY’S DEMOGRAPHIC REALITY 1935 1960 1990 2050

  15. Population who will need daily care in Turkey in the year 2050 6,6 million Germany 4,1 million UK 3,2 million Italy 2,6 million Israel 0,68 million * WHO

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

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