Home Care

homecare

  What Type is Right?

The term “home care” encompasses a wide range of health and social services. These services are delivered at home to recovering, disabled, chronically or terminally ill persons in need of medical, nursing, social or therapeutic treatment and/or assistance with ADLs.

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graphic 1 A Homemaker/Companion Agency provides home care services which are not considered to be skilled care. Homemaker/Companion Agencies provide workers who perform duties such as:

• Laundry • Meal preparation • General housekeeping • Errands and shopping • Provide companionship and comfort as in the role of a sitter

A homemaker/companion service is prohibited by Florida law from providing any hands-on personal care. “Personal care” means assistance with activities of daily living, such as:

• Dressing • Bathing • Eating • Personal hygiene • Physical transfer & ambulation • Administering medications

Personal care is to be provided by HHAs and CNAs working for home health agencies & nurse registries. Caregivers of agencies are required to have a background check either through AHCA or FDLE. Homemaker/Companion Agencies are licensed by the State of Florida.  

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2

    Home Health Agencies deliver health and medical services and medical supplies through visits to an individual’s home or place of residence. Supplies are restricted to drugs and biologicals prescribed by a physician. Some of the services include:

• Nursing care • Physical, occupational, respiratory or speech therapy • Home health aide services (hands-on personal care, performs simple procedures as an extension of therapy or nursing services, assists in ambulation or exercises, or assists in administering medications • Dietetics and nutritional guidance and counseling

Medical Home Health Agencies are required to be licensed and inspected by the State of Florida. Caregivers are required to have a background check either through AHCA or FDLE.  

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3

Nurse Registries act as employment agencies between an individual patient and the care provider being either Nurses (RNs/LPNs), Certified Nursing Assistants (CNAs), Home Health Aides (HHAs), and Homemaker/Companions for services in their home. Each individual health care worker is contracted with the registry. Nurse Registries provide nursing care or homemaker/companion services, but they are not licensed to provide physical, occupational, respiratory or speech therapy or medical equipment services. They must be licensed by the State of Florida and caregivers are required to have a background check either through AHCA or FDLE.

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4

Products range from respirators, wheelchairs, and walkers, to catheter and wound care supplies. These providers deliver, and when necessary, install these products as well as instruct patients on their proper in-home use. These providers usually do not provide physical care for patients, but there are a few exceptions. Some offer pharmacy and infusion services, where a nurse administers medication and nutritional formulas to patients and teaches them the proper techniques for self-administration. Some providers also offer respiratory therapy services to help individuals use breathing equipment. Providers that bill the Medicare program are required to meet federal minimum standards. Each provider is liable for its personnel and the services provided to patients. Providers must be licensed by the State of Florida by AHCA.  

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5 Hospice provides comfort and support to patients and their families in the final stages of a terminal illness. Hospice patients typically are in their last six months of life and must be certified as terminally ill by a physician. What Does Hospice Provide?

• Professional staff that is always on-call • Counseling for physical, emotional, social and spiritual support • Skilled nursing services • Medical social services • Medication for pain and symptom control • Continuous in-home/in-patient respite care • Volunteers to provide additional support • Bereavement support for families for one year following the death of the patient

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