Day Summary Home Health Example: Fill & Download for Free

Thanks for the A2A. I deal with this every day. I’m going to guess that this is about the US, otherwise, please disregard everything that follows. We have a very messy system. A caveat from one of the other responses. Where I practice, in Washington State, it is illegal for us as a home health agency to contact a physician and ask for orders for a patient. It has to come to us from the provider, not us going to them.That is to cut down on fraud and abuse of the system among other things.First, some info about what home health is and isn’t. It is not round the clock care in the home. There are ways to get that, including insurance and private pay and some home health agencies offer both services but they are very different. The person has to be “homebound”, that is, that they cannot leave their home except rarely (such as for MD appointments) and with great difficulty. If they can leave their home, then they would go to clinics for therapy or other care, so they wouldn’t qualify for in home services. The needs also have to be intermittent, i.e. not round the clock or for hours at a time.This link is a good place to get started.https://www.ahhqi.org/home-health/what-isIt has the basics of home care and several links to go deeper into what is offered in the US. Older adults would be Medicare as would those who fit a few other categories such as end stage renal disease. The VA gives all sorts of extra benefits to their folks plus Medicare in my experience if someone is a vet. Medicaid is a state, low income plan that does some home health as well.Home Health Care Services:So what kinds of services do homehealth care agencies provide? Usually, it is a combination of the following, depending on what the person needs. It is “intermittent”, that is, not continuous, all day care. Rather, the nurse, therapists, or home health aide will schedule “visits” with the person/family. While we try to be flexible, there is only so much flex given multiple patients to see but there is some.1. Skilled Nursing. Skilled nursing care is basically in four categories:a. Skilled assessment- this is things like monitoring the heart and lungs of someone with congestive heart failure, their neurological status or such.b. Hands on type skills like doing wound care or changing out a catheter, administering IVs and so on.c. Teaching/Training for the patient and caregiver, for example diabetic education, teaching people about their medication regimen or disease processes. The first three are very common and can occur in any combination.d. Management and Evaluation of the Care Plan is when someone has a lot of complex care needs and they need someone who is keeping everying going and on track. This one is the rarest and I’ve usually only seen it when the family dynamics are complex and dysfunctional as well or when there is no family or friend available to help.2. This link describes more but I didn’t like how limited their nursing description was, so I added a bit more for you in #1. https://www.medicareinteractive.org/get-answers/medicare-covered-services/home-health-services/home-health-covered-services It includes what is called DME, or Durable Medical Equipment such as canes or walkers, and other things.Who Qualifies for Home Health Care?https://www.mymedicarematters.org/2018/03/help-need-home-assistance-options/This link has a really excellent summary with other links to more information to explain things in greater detail.If you want to look more into who qualifies for Medicare, https://www.medicare.gov/coverage/home-health-services is a government site that can help with do I qualify type questions.Private Insurance:If you have insurance that is NOT Medicare or Medicaid, but private insurance, then that is one path to getting home health service. The provider (MD) will generate the orders for home health services. That then goes to the Home Health Agency. There may be multiple ones in the area where you live or few or only one in rural areas. The MD may have preferences for certain ones. At that point, the family or patient may also be able to contact an agency as this is under a doctor’s care.Medicaid will vary by state. Medicare is federal but the rules are incredibly complex. This should get you started.Hope it helps. It is very complex.Best,Danita

The answer is quite simple. It is because the western media didn't tell the truth: that's their stereotypes views.( when you make a serious accusation like this, I suggest you find some evidence to support it.)I'm from Western China, and my hometown was defined to be the poor rural district by our government. Here it is...​As you can see in the map, in my hometown there are many mountains out there, and, yes! Back to 10 years ago, we were very poor and all the China's rural region were very poor. At that time we lived in this house...​As you can see, at that time our living condition was not good. I remember when I was a child, our food had very little meat because we couldn't afford it. But now it has changed, and we moved into a new house. It looks like this...​We are not rich, but we are not that poor. Every family has at least 2 motorcycles; some of them have bought cars; TV and Internet are very common; smartphone is very cheap in China (do you know about Xiaomi?); all my family members have smartphone; and now I'm in university and about 1000 miles far away from my hometown, but every weekend I can make a video talk with my parents because I know they miss me.My parents didn't have too much education: my dad can't even write his name correctly! So my dad can't get a stable job and he is a farmer-worker (农民工) in China. He builds houses for other families and earns some money, but he has no insurance and no welfare security. Every penny is made by his hand, and he feeds the whole family. But I think our life is OK, and we don't have to worry about food shortage—the time of starvation has passed.Urbanization in China has totally changed the view in the rural regions. In my hometown, more and more people move to the cities and use their abilities to make money. When they have enough money, they buy an apartment in the city and settle down, and they won't do the farm work anymore. But some of them, like my parents, they don't want to leave their land, so they plant crops, just like this..​And this...​Now is the harvest time...​And this...​We don't rely on the crops to survive. In fact, many people in my hometown didn't plant crops, because they can buy their food. But my parents do that, because they love their lands—they spent all their life to take care of it—and they can't live without their land!​Today, more and more people live in the big cities with big houses. They are rich and they can buy anything they want, but can we say they are happy enough? I don't think so. I think everyone needs something to support them in the world—not just money. While of course money can solve material problems, it can't solve the spiritual problems. Some of them need religion, a God, and some of them need science and philosophy. But for my parents, they don't know what communism and capitalism are; they don't know what democracy is and what the Great Firewall of China is about; they don't care who is take charge of the country—what they care about is their land, their crops, the land is their dependable "God." When they can eat the food they plant by their own hands, they are happy enough.And the young people in the rural areas, they know how to dress up to catch others' attention and they like fashion and trends. For example, as a college student, I'm not rich and I'm from a "poor" countryside, but I have iPhone, iPad, and computers. This is very common in China. If you use iPhone, no one thinks you are rich; but if you can buy a big house in Beijing, Shanghai, or Shenzhen, then they may think you are rich.Urbanization in China has changed many people's life. On one hand, it makes us rich, and we don't have to worry about our next meal like 15 years ago. But on the other hand, many people in China, especially the young generation, they leave their hometown and their land to struggle in the big cities. They work for money and endure a lot of pressure. For some of those people, they have no roots! They forget who they are, they forget where they belong—all they want is money, and they ended up lost in their life.In a famous Chinese movie called Happy Together (春光乍泄) directed by Karwai Wong (王家卫), there was a memorable line.​Finally I understood the reason why he could be happy when he wanders outside. It's because he knows there's always a home for him to return to.As a young generation in China, whether my country is poor or rich, I still love it; whether my hometown is poor or rich, I still love it. Maybe one day when I became very rich and bought a big house in a big city, I would still remember that there's always a place for me to return to—it's home!In summary: "No investigation; no right to judgement." And so, I welcome anyone to visit China :)Update in April 30:Thanks for the many upvotes. Some friends in the comment section talked about the farmer-worker problem in China, and so I want to show you more.China has rapidly developed in the last decades because of the expenditures on infrastructure and industrial, so China has millions of construction workers. My father is also one of them, because he didn't have a well-educated background. He only went to primary school, so even as a Chinese he can't say Putonghua (Standard Chinese; our official language, though my hometown has its own language) and write his name correctly. So the only jobs he can do are construction work. Construction work is of course very harsh, and I can guess many of you have no idea how it is like to be working under the hellish heat of the sun! But I know.Two years ago, when I finished my high school and went to university, I had a three-months-long holiday. So at that time, I followed my father to do construction work—we built a primary school for the local people in the rural area.The school looks like this...​And this...​And back then was around July in China, the hottest month in a year. In the midday the temperature could surge to 40+ ℃, and working with that heat is very tough...​I had to drink lots of water or else I'd be down with a heatstroke. When we worked for a while, we would rest for a bit. And nowhere was as cooling as this place...​Here my father and uncles are working together...​And this is my job in the very hot weather. At the time, I was just got 18...​After three days, my skin was almost fried to black by the hot sun, and my father persuaded me to go home. He said I was not the man who could do this kind of work—I was almost crying at that time, too tired to work anymore, and all I wanted was to run away and go home to have a shower and sleep—so the boss gave me ¥500 for my three days of work. When I got the money, I quit and left my father there. It was then when I came to know how hard it is for my father to earn money to feed my family, and I told myself that I'd study harder and get a better job.My father can earn about ¥250 a day, but my uncles can earn about ¥400+ a day. For some proficient worker, they can earn more and it can go up to ¥500+ a day, which is almost $100 in one day. I think no matter what kind of jobs you are doing, the more job skills you master, the higher pay you will get. Because this work is quite hard, my father won't do it everyday. He usually does this work for just 15 days in a month, and for the rest of his time he stays home and takes care of his crops. My mother didn't get a job, because her physical health is not really well.I know that some people may judge people like my father and think he's a lower class and are ashamed of them, but here I want to tell you that they are the most respectable people in China—it's those people like my father who build the country and improve our living, not the politicians and bankers. ( people who work with their hands and migrant workers are definitely not the most respected people in China. They should be but reality is they are not.)Look around where you are living and working right now: the apartments, the city buildings, the roads... Many construction workers have given their utmost effort to build it.Many construction workers like my father have only a little education, so they have no choice but to do the heavy work. Those people will persuade their children to have a better education. And now in China people like myself from the rural area can easily go to college; the university fee is not too expensive (about ¥5000 a year); every year we can borrow ¥6000 from the bank and we don't need to pay the interest, since our government paid for us and that was the fee. Our government also has some special policies for students from rural places. For me, I can receive about ¥3000 from our government. Also, if your grades are good enough, you can earn scholarships.The young generation is the country's hope. After we have been well educated, we can expect a good future for ourselves and for our country.All the picture in my answer were shot by myself. If you want to post them in other places, please ask me for the permission. Thanks for reading.

Many of the unions in Britain are making demands before returning to work after lock down. Are their concerns genuine or are they just trying to cause problems for the government?I’m 100% certain that it is a mixture of both.There are some unions with genuine concerns based on good reasons, and some that are pure political opportunism.It is also worth remembering that some unions have seen almost all their members stay in work- such as the medical unions- and others seen very high rates of people not working, which makes a general summary even harder.For example, some unions have raised very sensible points around working from home. If it has been proved possible for now, why shouldn’t it stay permanently for many people- perhaps on a 3 days a week at home, 2 days in the office basis or similar?Teachers, on the other hand, have to work in close proximity with lots of people as the main part of their job. They have legitimate concerns, that can only really be addressed through knowledge about how the virus spreads among children. We can’t suddenly halve class sizes overnight.The FBU present a good example of political bloodymindedness. They have reminded their members that fire service emergency call handlers are not ambulance service emergency call handlers, and should not be dealing with any medical calls during a public health crisis. How nice of them.So it depends on the union and the concerns in question.