SKILLED NURSING

When you are recovering from an illness or injury, Qura Home Health Care skilled nursing services can help you get back to doing the things you love as quickly as your treatment allows. Our nurses evaluate your condition on each visit and work with your physician to develop a goal-driven perosnalized treatment plan. Our expert care team works to improve your quality of life and prevent unwanted hospital visits on your road to recovery. Our licensed nurses provide compassionate care in the comfort of your own home, including:

·        Disease management

·        Medication management, teaching and administration

·        Illness assessment and instruction

·        Post-surgical management

·        Assessments at each visit on your condition and risk for going to the hospital

Our skilled nurses also measure blood pressure, pulse, respirations, lung sounds, blood glucose or pulse oximetry, as ordered by your doctor.

Activities of Daily Living Support (ADL’s) Activities of daily living (ADLs) include the tasks we do each day to take care of ourselves, like personal hygiene or preparing meals. Qura Home Health Care offers certified home health aides (HHA) who assist patients with daily living activities while they are under the care of the home healthcare team. In-Home ADL Support Includes:

·        Personal care (bathing, dental care, hair care, toileting)

·        Dressing and undressing

·        Transferring to and from bed/chair

·        Light meal preparation

·        Eating

·        Light housekeeping

·        Assisting with basic activities and daily living needs

·        Measuring and recording patient’s temperature, pulse, respiration and blood pressure when ordered and/or directed by the homecare team

Continence Care For those living with incontinence, Qura Home Health Care’s goal is to help patients achieve the highest level of dignity and comfort. Forty percent of women and 25 percent of men over the age of 65 face some degree of incontinence. In-Home Continence Care May Include:

·        Urinary catheter maintenance

·        Moisture management

·        Toileting programs

·        Physical therapy, including pelvic floor muscle exercises

·        Home accessibility assessment

·        Patient coaching and education to help prevent accidents before they occur

Disease Management Our programs aim to help people with chronic conditions achieve better personal health and independence. This system of education, intervention, communication and self-care helps patients take control of their own health and well-being. Qura Home Health Care’s focuses on each of the following conditions:

·        Heart failure

·        Chronic obstructive pulmonary disease (COPD)

·        Coronary artery bypass graft

·        Diabetes

·        CKD

·        Other duties per doctor’s order

Frequency of Visits: During the first few weeks of this program, registered nurses and therapists will visit patients several times per week. As patients learn to manage their own condition, visits will become less frequent.

Nursing Care

Patients are monitored and visited regularly by our home health nurses. During regular in-home visits, nurses will monitor and educate patients to:

·        Follow a prescribed treatment plan

·        Track and monitor their symptoms

·        Take medications as ordered by the and watch for side effects

·        Maintain a heart healthy diet and weight

·        Watch the amount of fluid they consume

·        Make healthy lifestyle choices

Rehabilitation

When prescribed by the physician, patients receive regular visits from our home health therapists. During regular in-home visits, rehabilitation professionals will:

·        Screen patients to determine their level of strength and endurance

·        Asses the patient’s risk of falling and create a prevention plan

·        Develop an individual rehabilitation program to meet the patient’s specific needs

·        Teach patients how to exercise and develop a regular exercise plan

Patient Education

Our home health team teaches patients and their caregivers to use tools to monitor daily activities and record weight and symptoms. By caring for themselves and managing their symptoms, patients take control and improve their quality of life.

Medication Management One of the most critical aspects of recovery is taking medications as directed. Qura Home Health Care’s registered nurses help patients make sure they are taking the right medicine and the right dosage, at the right time, and according to the doctor’s orders. This includes organizing medicines and setting up reminders to keep patients on track.Our nurses partner with each patient’s doctor to make sure medicines are working and controlling symptoms appropriately. If a patient’s health status changes, the nurse will contact the doctor immediately. This allows the patient’s care team to make changes in medication or adjust a doctor’s orders in a timely manner.

Medication Management Services:

·        Assist in developing medication schedule

·        Review medication regimen

·        Create complete list of all prescribed and over-the-counter medicines the patient is taking

·        Educate patient and/or caregiver on proper dosage, frequency and  side effects

·        Evaluate response to medications and effectiveness

·        Communicate with patient’s doctor for optimum outcome

Ostomy Care at Home

Qura Home health Care offers knowledgeable and supportive nursing care to help patients who have an ostomy. Specially certified wound, ostomy, and continence care nurses visit patients’ homes to teach them and their caregivers how to care for the ostomy and live comfortably with an ostomy pouch.

In-Home Ostomy Care Services

·        Continual assessment and evaluation of the ostomy site

·        Ostomy care

·        Wound care

·        Self-care education, including how to change dressings and the ostomy pouch

·        Specialized treatment plans

Ostomy Education

As part of personalized treatment sessions, Qura Home Health Care’s wound, ostomy, and continence care nurses educate patients and caregivers on how to properly care for an ostomy. This approach helps patients maximize their independence and improve their quality of life. Instructional support includes: 

·        How to empty the pouch and change the pouch

·        How to clean the affected and surrounding area

·        How to care for the skin around the stoma

·        Food guidelines for ostomy patients to minimize discomfort

With an ostomy, waste no longer leaves the body from the anus and instead leaves the body through the part of the intestine at the ostomy opening. This part of the intestine is called the stoma. There’s no muscle around the stoma, so the individual cannot control when waste or gas leaves the body. Waste automatically goes from the stoma into a plastic bag (or “pouch”) around the stoma. This pouch will block the smell of the waste. Qura Home Health skilled nurses teach patients how to care for the ostomy and change the pouch.

 

Registered Nursing The specialty of registered nursing is dedicated to improving the quality of life for patients with disabilities or chronic illness. The homecare registered nurse assists patients in transitioning from hospital or rehab center to home.

·        Assessment and evaluation of patient abilities

o   During the first visit, the registered nurse will assess the patient’s abilities, including:

      Appropriate use of adaptive equipment

      Medication compliance

      Pain management

      Mobility

      Safety

      Self-care and health education

      Individual tolerance for exercise and activity

      Nutrition

      Bowel and bladder management

o   After gaining information from this assessment, the registered nurse will work with the team to create a care plan that best meets the patient’s individual needs.

·        Management of complex medical issues

·        Set goals to achieve the highest level of independence

·        Holistic approach to care

·        Collaboration with homecare team

·        Coordination and management of care

·        Support for patient and caregivers

·        Patient and caregiver education

Conditions Often Requiring Registered Nursing:

·        Stroke

·        Brain injury

·        Amputations

·        Burns

·        Deconditioned, acute, or chronic pain

·        Cardiac disease

·        Respiratory disease

·        Bowel or bladder impairment

·        Wounds

·        Organ transplant

·        Cancer

Wound Care at Home Qura Home Health Care recognizes that many of our patients need specialized care. That’s why we have a group of nurses who are certified specifically to treat complex wounds. Our wound care nurses use evidence-based treatment protocols from the Wound, Ostomy and Continence. As part of our multi-disciplinary clinical team, Qura H ome Health Care skilled nurses closely monitor while providing patient education and treatment regimens to ensure wounds heal. Our individualized approach to treating patients’ wounds reduces complications, promotes healing, decreases the chance for infection, and keeps patients healing safely at home. Qura Home Health Care offers education in the home to help patients and their caregivers take care of wounds and change dressings.

 

In-Home Wound Care Services

·        Assessment, evaluation, and identification of patients who are at risk or need treatment for:

o   Pressure ulcers

o   Surgical wounds

o   Blood circulation challenges (e.g., diabetic, venous and arterial)

o   Burns

o   Trauma

·        Expert consultation for wound, ostomy and continence by our skilled nurses

·        Specialized wound care treatment plans

·        Wound care management, including dressing changes

·        Pain management

·        Future wound prevention

·        Healing time optimization

You may need wound care if you have:

·        Non-healing wounds

·        Wounds that haven’t improved over two weeks

·        Wounds that have worsened, and you need a new treatment plan

·        Complex wound care needs

·        Special catheters

·        Complicated treatment orders

·        New pressure ulcers

·        Needs for preventative skin measures (e.g., appropriate support surface, moisture management)

 

Rehabilitation at Home Qura Home Health Care provides in home therapy services such as physical therapy, occupational therapy and speech therapy in the comfort of patients’ homes. Our home healthcare team uses therapeutic skills to assist the patient in improving strength, mobility, balance, swallowing and communication disorders. Through individual rehabilitation plans, Qura Home Health Care provides personalized wellness, injury prevention and in home therapy services to every patient. The team includes highly-skilled rehabilitation specialists who provide the latest in evidence-based care at home.

In-Home Services include:

·        Physical therapy: Qura Home Health Care’s physical therapists help patients’ improve their strength and stability, increase range of motion, and prevent falls or further injury. Treatment usually includes a home exercise program, recommendations for assistive devices or medical equipment, and a home safety evaluation.

·        Occupational therapy : Qura Home Health Care’s in-home occupational therapists help patients who have physical, developmental, social or emotional limitations that prevent them from performing the general activities of daily living. Therapists instruct patients to use special techniques and equipment to improve function in basic household tasks, such as eating, bathing, and dressing.

·        Speech therapy: Qura Home Health Care’s certified speech-language pathologists help patients overcome conditions that affect their ability to communicate, swallow, and talk. They also help patients find ways to compensate for impaired understanding and expression of language.

 

·        Skilled Nursing: When you are recovering from an illness or injury, Qura Home Health Care skilled nursing services can help you get back to doing the things you love as quickly as your treatment allows. Our nurses evaluate your condition on each visit and work with your physician to develop a goal-driven personalized treatment plan. Our expert care team works to improve your quality of life and prevent unwanted hospital visits on your road to recovery.

 

·         Medical Social Worker: Qura Home Health Care provides comprehensive in-home medical social work services for homebound patients. Our professional social workers will assess the patient’ s emotional, environmental, psychological and social needs to ensure home is the safest place to heal. Medical social workers work closely with each patient’ s homecare team to ensure their plan for care will help lead to greater health and independence.

Medical Social Worker: Qura Home Health Care provides comprehensive in-home medical social work services for homebound patients. Our professional social workers will assess the patient’s emotional, environmental, psychological and social needs to ensure home is the safest place to heal. Medical social workers work closely with each patient’s homecare team to ensure their plan for care will help lead to greater health and independence.

In-Home Medical Social Work Services:

·        In-home assessment to identify limitations, barriers, or safety issues

·        Treatment and observation of patients exhibiting significant social and emotional problems affecting their health status

·        Development and periodic re-evaluation of the physician’s plan of care

·        Education and counseling for patients and families

·        Connect patients and families to necessary resources and support in the community

·        Help patients expand and strengthen their network of social support

The nurses, therapists, social workers, and homecare aides at Qura Home Health Care specialize in caring for patients with a variety of medical conditions. Home healthcare team members work with each patient and the patient’s doctor to develop a personal treatment plan that meets their unique needs. Qura Home Health Care helps patients to regain their independence at home by teaching them how to control their disease symptoms, take medicines as ordered, build their strength, and prevent further illness or injury. Specialized care includes:

·        Burn Care:  Patients suffering from mild to severe burns can benefit from home healthcare services like nursing, physical and occupational therapy, pain management, wound care, and support for activities of daily living.

·        Cancer Care Services:  Qura Home Health Care’s skilled nurses and therapists offer specialized care to meet cancer patients’ needs, including: wound, ostomy and continence care, medication management, IV therapy, strength training, and fall prevention.

·        Continence Care:  Patients living with incontinence can receive specialized homecare treatment to include: Moisture management, toileting programs, physical therapy (including pelvic floor muscle exercises), home accessibility assessment, as well as patient coaching and education to help prevent accidents before they occur.

·        Diabetes Care:  Qura Home Health Care’s comprehensive diabetes care program includes education and lifestyle analysis designed to help improve or maintain quality of life. Nurses offer education and assistance with blood sugar monitoring, meal planning, wound care, foot care, and insulin management.

·        Gastroenterology Care:  Patients with digestive tract disorders achieve independence and live comfortably at home with nursing, wound, and ostomy care support from Qura Home Health Care’s skilled nurses and staff.

·        Geriatric Care:  Senior citizens have unique emotional, physical and medical needs that require specialized care. Qura Home Health Care’s skilled nursing staff specializes in the care of older adults and the chronic conditions they often suffer from, including: dementia, arthritis, heart disease, chronic obstructive pulmonary disease (COPD), diabetes, functional disability, and hypertension.

·        Heart Care:  Qura Home Health Care’s home health skilled nurses specialize in treating patients with heart conditions like congestive heart failure, as well as those recovering from heart surgeries like coronary artery bypass graft or open heart surgery.

·        Neurological Rehabilitation:  Qura Home Health Care’s offers specialized nursing care and rehabilitation services to people with neurological disease, trauma, or brain surgery. Commonly treated neurological conditions include: Alzheimer’s disease and dementia, brain tumors and hemorrhages, epilepsy, memory disorders, movement disorders, multiple sclerosis, nerve damage, neuromuscular disorders, neurosurgery, Parkinson’s disease, and cerebrovascular accident (stroke).

·        Orthopedic Care:  Qura Home Health Care’s rehabilitation team provides a well-structured, evidence-based rehabilitation program for patients recovering from orthopedic illness and injury, such as multiple orthopedic trauma, hip fracture surgery, joint replacements, and arthritis. Homecare physical and occupational therapists offer condition-specific treatments to improve patients’ strength, mobility, and balance.

·        Pain Management:  Patients with acute or chronic pain achieve and maintain their maximum level of independence and comfort through self-care education, therapy, and skilled nursing services. Conditions often requiring in-home pain management include: diagnosis or recent onset of disease, pain after surgery, cancer-related pain, or wound pain.

·        Stroke Recovery:  Recovering from a stroke can be physically and emotionally challenging. To help stroke victims regain a quality of life, Qura Home Health Care’s provides an interdisciplinary approach to stroke rehabilitation. With help from skilled nurses and physical, occupational and speech therapists, patients are able to relearn skills lost due to stroke.

·        Surgery Recovery:  After surgery, regaining strength and managing pain can be a challenge. Qura Home Health Care’s offers skilled nurses and therapists who specialize in helping patients regain their independence at home post surgery.

·        Transplant Rehabilitation:  Recovering from transplant surgery requires specialized care and an individual recovery plan. After a hospital stay, patients may need continued medical care at home. Our skilled nursing and therapy services help transplant patients manage new medicines, understand and follow doctor’s orders, and identify symptoms of organ rejection.

·        Wound Care:  To meet patients’ wound care needs, a team of Qura Home Health Care’s skilled nurses treat and care for wound, ostomy and continence. These nurses visit patients’ homes and consult with other nurses to monitor wounds and ensure they show improvement.

·        Chronic Kidney Disease:

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If you would like further information on any of the services we provide, get in contact with our team today.