Health Topics for General Health

Homecare For Bedridden Patients

The term "homecare" covers many services. These range from help with house cleaning, cooking, and shopping, as well as skilled nursing services, such as care of patients with feeding tubes, catheters, and breathing devices.

Healing at home can be more reassuring and pleasant for bedridden patients than staying in a hospital. Basic caregiving skills can be learned by family members and friends. Some of these skills are easy to learn, such as changing a bed and providing skin care. Helping with personal care like bathing and using the toilet can also be learned. Any equipment that may be needed such as a special bed, portable commodes, bed-pans, urinals, and other care aids can be rented from a medical supply company.

Follow these basic guidelines for homecare:

• Change the bed sheets every 4 to 5 days and whenever they are soiled.

• Use good support for the person's back. Lots of pillows are helpful if they are able to sit. Provide something to brace their feet so they do not slide down the bed.

• If the patient is unable to move on his or her own, be sure to move them regularly. This is important for preventing bed sores, which are skin problems resulting from too much pressure being placed on the skin. The patient's healthcare provider will give special guidelines for patients who are at risk for bed sores.

• Make mealtimes social, and feed the patient a balanced diet unless a special diet is needed. Give small frequent servings of food and plenty of fluids throughout the day unless instructed by the doctor to do otherwise.

• Help the patient feel comfortable, clean, and safe. Eliminate boredom with radio, TV, reading materials, puzzles, visitors, or a computer.

Home caregivers can also help the patient manage their needs in their own setting. Do not feel as a caregiver that you have to do everything. Arrange for help if more complex care is needed.

Nursing care may be provided by a registered nurse, licensed practical nurse, or a home health aide. Other services may be provided by physical, occupational, and speech therapists. Be sure the homecare aides are bonded and the agency has workers' compensation coverage. If not, check to see that your homeowner's insurance is adequate. Be sure to research the costs and services of homecare.

A nursing home may be less costly than homecare for a patient that needs complex round the clock nursing care.

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