It’s no surprise that most people prefer the comfort of their home while recovering from an illness or injury, or coping with one or more chronic conditions.
Skilled care refers to a type of health care given when you need skilled nursing or rehabilitation staff to provide services in the home for the purpose of restoring and maintaining your maximum level of function and health.
Nursing, physical therapy, occupational therapy, and speech therapy are considered skilled care. Any service that could be safely done by a non-medical person (or by yourself) without the supervision of a nurse is not considered skilled care.
Skilled Nursing Care
Skilled Nursing Care is care given or supervised by Registered Nurses. Nurses provide direct care; manage, observe, and evaluate your care; and teach you and your family caregiver. Examples include changing dressings; giving IV drugs, shots, or tube feedings; and teaching about diabetes care.
Our RNs oversee the development of your individual plan of care, the staff who are assigned to perform various functions in your home, and make recommendations for changes to the plan.
Skilled nursing care consists of those services that must be performed by a Registered Nurse, pursuant to physician orders, that are reasonable, appropriate and necessary for the treatment of your illness or injury.
Skilled care includes rehabilitative services provided by our physical therapy, occupational therapy and speech therapy staff. Whether you are recovering from joint replacement surgery, a stroke, or other related medical problems, our professional team is there to help.
Things to Remember
When a person receives care at home, it’s essential that the home health staff provide you with the necessary care while maintaining respect for your privacy and your home.
Our staff are guests in your home, and are limited in what they can and cannot do. If you or a family member have questions about what to expect, don’t be afraid to ask.
Communication is key to your care.
During your first visit, you will also receive a copy of the Home Care Bill of Rights which outlines what your rights and responsibilities are regarding your care.
What Should I Expect During a Home Visit?
Once your doctor refers you for home health services, we will contact you to schedule an appointment and come to your home. We will want to talk to you about your needs and ask you some questions about your health. Written orders from your doctor are needed to start services.
Based on our initial visit and assessment, a plan of care is developed collaboratively with you, your family, and your doctor. We will keep your doctor updated about your progress and any changes in your health. It is important that we see you as often as your doctor orders.
Depending on your needs, you will have different members of our home care team come to your home. These may include a nurse, therapist, or medical social worker. Most often, these team members visit the home at different times and/or days.
Examples of What Might Be Included in a Home Health Visit
Check what you are eating and drinking
Check your weight, blood pressure, temperature, heart rate, and breathing
Check that you are taking your medications and any treatments correctly
Ask if you are having pain
Check your safety in the home
Teach you about your care so you can take care of yourself
Coordinate your care by regularly communicating with you, your doctor, your support person, and anyone else who provides care to you
Meet with the person you identify as your support person if needed
Review your emergency plan indicating when to call your nurse or to call 911
Always feel free to ask any questions of your staff if you don't understand something, or call our office at any time.
Whether it’s a knee or a hip, having successful total joint replacement surgery involves a variety of medical specialists and professional agencies. From the orthopedic surgeon who performs the procedure to our rehab therapists that provide after-care at home, the best outcomes happen when clinicians work together to provide a coordinated plan of care. (MEMORIAL HOSPITAL VIDEO)