With care recipients set up with health monitoring technologies at home, spouses and children are likely to become involved in the caring process and informal caregivers may have to assist kinspersons with advanced care needs by means of sophisticated technology. This paper investigates some of the ethical implications of a near-future shift from institutional care to technology-assisted home care and the subsequent impact on the care recipient and formal- and informal care
People are living longer and want to live independently as long as possible, but the aged people living alone with chronic diseases face threats on their safety and well-being. The patient Salle Mae Fisher featured in “The Home Visit with Sallie Mae Fisher” (Grand Canyon University, 2016), is an eighty two years old woman who has been recently discharged from hospital after her chronic disease conditions are intensified. She has been scheduled for a homecare visit by the nurses. In this paper prioritized problems and identified risks during the home visits, will be described with evidence, as well as the recommendations and interventions to help make Sallie Mae safer at home.
In the U.S, one in four will be aged 60 years and older by 2050 (U.S. Census Bureau). This represents an overwhelming number of people who will either be in the caretaker role or be the ROC. Like today, most of the care will be provided by informal unpaid caregivers. The number of informal unpaid caregivers is expected to rise from 20 million in 2000 to 37 million in 2050 (Office of the Assistant Secretary for Planning and Evaluation [ASPE], 2003). Because of the burden of care giving, many caregivers will experience depression, poor health and quality of life (Etters, Goodall, & Harrison, 2008). Their well-being is an important public health concern.
Canadian Home Care Association, “Home Care 2020: A Vision of Health, Independence & Dignity,” available at
Often this kind of interaction will enable a person to remain in their own home rather than residential care homes, improving the person’s wellbeing as well as their health.
Also, it should be noted that insurance covers telehealth within the home starting January 2017. We often run into the issue of getting an accurate idea of how a child is in the home as we can only rely on the information given to us by their caretaker; which as we have run into before, can vary based on which parent you’re speaking with, etc. Utilizing this form of technology we would have better access to observe our clients in their natural environment and therefore, could help us to provide better interventions. For our long term clients we can continue to monitor their care from home rather than having them come in
The nurse can utilize home telehealth monitoring to enhance the patient experience by providing medical care, treatments, education and support in the convenience of the family home. McGonigle & Mastrian found, “According to regular surveys conducted by the AARP (1996), more than
Critical Response of “The Ethics of Using Cameras in Care Homes" People grow old, and they typically need to live where health professionals can take care of them. These places are called retirement homes, or care homes. The issue that has been going around is whether or not care homes should have cameras. One article, “The Ethics of Using Cameras in Care Homes” by Malcolm Fisk, points out substantial reasons why they should obtain cameras.
Furthermore, there are ethical and legal issues in the liability of telehealth, such as in cases of home telehealth, which turns patients and/or their caregivers into co-participants in the delivery of health care. If medical interventions are based on the assumption of the accuracy of the data that are provided, how should responsibility be apportioned if patients make mistakes in taking readings or if they misreport values, or if they accidentally interfere in the automated measurements or in their transmission? [4-5].
Anyone who has ever worked in a long term care facility will tell you that at times it can be very difficult. Working with individuals who are suffering from dementia and other kinds of cognitive impairment that come with age can be emotionally draining. We know that this is not the way that it is supposed to be. These individual are a fathers, mothers, and friends who had rich incredible lives. Now they have lost the ability to care for themselves and at times are not even able to recognize the one that they love. The inability to express their thoughts and feelings in a way that others can understand and connect with them leads to a great deal of frustration. The feeling of not being in control of their own lives leads to agitation. At one
Telehealth is the monitoring via remote exchange of physiological data between a patient at home and health care professionals at hospitals or clinics to assist with diagnosis and treatment. As our society ages and health care costs increase, government and private insurance payers are seeking technological interventions. Technological solutions may provide high quality healthcare services at a distance, utilize professional resources more effectively, and enable elderly and ill patients to remain in their own homes. Patients may experience decreased hospitalization and urgent care settings, and out of home care may not be required as the patient is monitored at home. However, no study has been able to prove telehealth
In any healthcare setting, care is provided through Interdisciplinary care teams, which has not been without its concerns in terms of tele-homecare. Health care professionals involved in tele-homecare delivery were problematic at times, because clinical roles and responsibilities as well as responses to abnormal tele-homecare data and expectations about patient outcomes were not delineated. Collaborations between nurses and physicians within telemedicine programs however were reportedly collaborative and trustworthy. A common frustration for providers within the context of interdisciplinary care, is the inoperability of different telemedicine agencies operating systems to communicate data and information between each other, especially when
In conclusion, it will examine the future trends of health care and discuss how the home health services will be impacted or have a need to change to meet future trends. The continuum of home health care pertains to the diversity of health care services rendered for the existence of a person’s life.
During the last 20 years I have worked as a Support carer with home-care agency, care and residential homes providing care for the elderly and people with disabilities including Parkinson and dementia, brain juries as well as dealing with palliative care, peg feed, tracheostomy, Micky –button. I have experiencing with
A third and perhaps futuristic option might be telecare services for older people. Older people in their homes have benefitted from telecare technology, which is designed to prevent isolation of frail people (Davies and Newman 2011). Pendant alarm, fall alarm, device to monitor vital sign or moment beyond safe area have proved to be good and effective technology to support the older people in community which gives the kind of reassurance to the carers and next of kin and potentially reduce the demands on the health care service (Steventon and Bardsley 2011). Local service authority should use these technologies as part of
Home care nurses often learn more about their patients in their homes than is revealed in facilities. Because patients see you regularly, they trust you. They’ll confide personal details that they withhold from others.