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By Nurse Diane
During my nursing career, I have had the opportunity to
work in several different areas. I began
working in a hospital, and then I did some part time work at home health. I moved to a nursing home following hospital
downsizing, then did in home care for my husband after his injury. I was offered a job at the local hospice,
however, did not feel up to the task after the death of my husband.
Each of these areas offers different types of care for
the patient and for the staff. The
hospital setting provides more urgent care, and these people usually get well
and go back to their usual lives. The
nursing home provides mostly long term care.
The patients are for the most part elderly, and have a terminal illness,
and require round the clock nursing and care.
Home health patients, or the ones I visited, are people
who may require dressing changes, blood work, or brief care with some medical
condition, they can usually care for themselves, and their conditions do not
require constant care in the hospital.
Home care, is the same as nursing home care. During home care, the patient requires round
the clock nursing and care, but this is done at home. Hospice is end of life
care. The patient has a terminal
condition, and no expectations of recovery.
This care is performed either at home, or professional setting.
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Shortly after I was married, my husband became injured at
work with a spinal cord injury. It was a
progressive injury, and he continued working for a year until he was no longer
able to walk. He stayed home, and tried
to continue to function as he usually did, however this resulted in many
injuries, and we made the decision for me to stay home with him. This was difficult financially, however we
both preferred for me to stay with him instead of having a stranger spend the
days with him, an option we couldn't afford. From that time on, I took care of
all of his needs that he was not able to do for himself, and we were isolated
for many years. We were no longer able to leave the house, lost contact with
friends and co-workers, and only had each other for company. People who choose to stay home to care for
family members have a difficult task.
Not only do they take care of the sick, but also take control of every
other aspect of the operations of the home. I tried to explain once to the
judge ruling over his case, that being at home was just like being in the
hospital. I provided his nursing care,
pharmacy needs, lab work, dietary needs, supplies, as well as maintenance, both
inside and out, laundry, every department in the hospital except for x-ray and
surgery. In addition to his care, I was
also caring for my young son who was 8 years old at the time of his
injury. I was alone in these tasks, with
no outside help.
Home hospice care is almost the same, except the person
you are caring for will be expecting death sooner than expected. Hospice care provides not only nursing care,
but they will send volunteers over to provide breaks for family members to get
out and take care of other matters, or just rest. My aunt lived across the street from a single
man who had developed cancer, and was in the end stages. She had taken care of him for a few years
before he was no longer able to care for himself. His doctor ordered hospice care, and they had
someone come in and help. This gave my
aunt a break, but after two weeks of hospice he passed away.
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This month is National Home Care and Hospice Month. According to numbers from the Department of Labor,
5% of the population will be responsible for 50% of the cost of rising health
care. These are aging baby boomers, so
the cost of them staying home for their care will be more cost effective and
comfortable for the individual. If you
know someone who is caring for a family member at home, give them a call or
send a card, offer to give them a break, or fix them dinner. Just let them know that you are thinking of
them, and support them for taking care of their loved ones at home.
It takes a special person to take care of these people very much in need!
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