Home nursing assistance consists of providing domestic support, medical care, and pharmacological support to non-self-sufficient people, regardless of age or income. Home nursing assistance is a generous offer of private help (family assistant or caregiver).

This possibility is offered to those who suffer from acute disabling illnesses, the physically and mentally handicapped, the elderly, and the terminally ill. In particular, if you need care for a loved one, you can choose from different types of nursing care at
home. What are these types? And, if you want to opt for private home care, is
it better to go to a nursing home or a family assistant? Find out below.

Types of home care: how they work and how to get them

Home assistance provides medical, rehabilitative, and nursing support, which integrates with the other services offered by the general practitioner, the medical guard, and other referents. At the end of the home care process, the patient will be "discharged"
and the project completed.

However, it is on the basis of the patient's need for care and the level of duration/complexity of the intervention that the three main categories are divided. Here are the details.

Scheduled home care

Scheduled home care includes periodic (weekly, fortnightly, or monthly) medical, rehabilitation, and nursing care at home which are limited in time.

This type of service is provided to patients unable to walk and unable to reach the doctor's surgery. In particular, the subjects who can benefit from this home assistance are the following:

• elderly people with permanent walking impairment

• wearers of leg prostheses with great difficulty walking

• Non-self-sufficient patients who live on a high floor of an apartment without a lift and are unable to be transported to the doctor's office with common transport

• subjects with serious pathologies (advanced cardiac insufficiency, respiratory insufficiency, tetraplegia and paraplegia, celebrolesion)

Integrated home care

Integrated home care consists of an integrated set of health and social health treatments provided on an ongoing basis. In addition to the attending physician, nurses, physiotherapists, social workers, and specialist doctors may therefore be involved. In fact, this
service represents a valid alternative to hospitalization.

The subjects who, in particular, can take advantage of this intervention are the following:

• terminally ill

• individuals with severe psychotic forms

• elderly people with severe fractures

• people in protected discharge from hospital wards

• children with chronic pathologies and with particular conditions of social hardship

• subjects with temporarily disabling diseases (for example, respiratory)

Integrated home care is very important not only for the physical care and rehabilitation of the patient but also for psychological one. In fact, no one would like to be hospitalized: being able to take care of themselves at home, surrounded by their family and
loved ones, allows the person to be treated in their usual living environment,
making "discharge" usually earlier.

Home hospitalization

This home assistance service is intended for those individuals who require 24-hour care. In addition to the integrated home assistance interventions, special devices and machines are provided, such as for example oxygen dispensers and walking aids. Usually, this
type of home assistance lasts a maximum of 60 days. If the patient's condition
stabilizes or improves, the home hospitalization service can be replaced by
integrated home care.

Private home care

Private home assistance (or family assistance ) is carried out by the so-called carers, competent and prepared people who, in addition to providing concrete help in carrying out daily activities (preparation of meals, support in personal hygiene, help in
administering medicines, etc.), are able to build a positive companionship
relationship with the fragile and non-self-sufficient person.

Private home assistance is activated, at the discretion of the patient's family, for a few hours a day or by establishing a cohabitation contract (temporary or unlimited) at the home of the assisted person.

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