1. Home Care - Disease Management Americare Services Group

2. What Is Disease Management? Improve patient health Avoid costly complications Reduce medical costs Support patient and family self- management

3. Disease Management At The Core Save Money Encourage Self-Care Quality of Life

4. Saving Money Research shows that over 70% of a person’s medical expenses are paid out in the last two years of life Research also shows that poor self-care and/or limited social resources increase medical expenses Interpretation – Providers who have financial risk are tired of paying unnecessary costs because a member doesn’t know how or refuses to take proper care of their health

5. Encouraging Self Care Self-Care means less reliance on others, particularly medical professionals. Opportunity for Non-Medical Home Care Self-Care also equals self-pay care. As we know, private duty is not a typically covered service.

6. Quality of Life Independent Comfort of Chosen Place of Residence Pain Free

7. Quality of Life Private Duty Care services enable a patient to remain at home and continue to perform their activities of daily living (ADLs). Ability to perform ADLs have a direct impact on a patient’s quality of life.

8. Activities of Daily Living (ADLs) bathing dressing meal preparation light housekeeping medication reminders grooming transportation ambulation toileting

9. What can we do? Design a care plan that is focused on each individual’s specific disease(s) with a focus on self care, prevention, and support with activities of daily living

10. Example: Alzheimer’s Disease Patient Supervision….to prevent wandering Toileting reminders… to eliminate potential accidents Meal preparation… to maintain nutrition & prevent kitchen accidents Social Stimulation…. To combat loneliness/depression

11. Example: Arthritis Assistance with painful tasks (driving, bathing, dressing, housekeeping) Applying ice packs or heating pads to relieve localized pain Apply proper transferring techniques to prevent further joint damage Meal preparation and diet modification to prevent weight gain (which stresses joints)

12. Example: Cancer Post chemotherapy/radiation therapy support and assistance Meal preparation and nutrition encouragement to increase energy levels Social support and activities to divert negative feelings Assistance with exercise regimen to reduce depression & anxiety while increasing energy Management of Daily Activities at onset of fatigue to best conserve energy

13. Example: Diabetes Preparation of diabetic-friendly meals Monitoring condition of the skin and lower extremities to prevent skin breakdown, ulcers and related injuries Ensure proper oral hygiene to prevent gum disease common to diabetics

14. Example: Heart Disease Increase patient compliance with dietary and/or lifestyle changes Supervise prescribed exercise/physical therapy activities Ensure proper supervision and act in the event of an emergency i.e. call 911.

15. Example: Multiple Sclerosis General assistance and ADL support during an exacerbation period Social stimulation to combat depression Transferring assistance to prevent falls and injuries

16. Example: Osteoporosis Gait supervision and assistance to prevent falls resulting in possible fractures Assistance with weight-bearing exercises to increase bone mineral density and maintain proper body alignment Social support and activities to divert their attention

17. Example: Parkinson’s Disease Gait supervision to prevent fails Light housekeeping to remove potentially dangerous obstacles Assistance with feeding during tremor episodes Specialized meal preparation (i.e. Puree) when swallowing is difficult Offering fluids for thirst relief caused by Parkinson’s medications

18. Example: Stroke Transfer assist for patients with paralysis Emotional support for labile patients Support with feedings for clients with difficulty swallowing Mobility assistance/supervision to prevent falls

19. Conclusion Design a care plan that is focused on each individual’s specific disease(s) with a focus on self care, prevention, and support with activities of daily living

20. Resources for Disease Management Web MD Yahoo Health American Cancer Society Alzheimer’s Association American Parkinson’s Disease Assoc

21. Questions?