After reading this chapter, you should be able to:
- Compare and contrast the primary objectives of the paramedic and the home care provider.
- Identify the importance of home health care medicine as it relates to emergency medical services.
- Differentiate between the role of the paramedic and the role of the home care provider.
- Compare and contrast the primary objectives of acute care, home care, and hospice care.
- Discuss aspects of home care that enhance the quality of patient care and aspects that have the potential to become detrimental.
- List pathologies and complications in home care patients that commonly result in ALS intervention.
- Compare the cost, mortality, and quality of care for a given patient in the hospital versus the home care setting.
- Discuss the significance of palliative care programs as related to a patient in a home health care or hospice setting.
- Define hospice care, comfort care, and DNR/DNAR as they relate to local practice, law, and policy.
- List and describe the characteristics of typical home care devices related to airway maintenance, artificial and alveolar ventilation, vascular access, drug administration, and the GI/GU tract.
- Discuss the complications of assessing each of the devices described above.
- Describe indications, contraindications, and techniques for urinary catheter insertion in the male and female patient in an out-of-hospital setting.
- Identify failure of GI/GU, ventilatory, vascular access, and drain devices found in the home care setting.
- Discuss the relationship between local home care treatment protocols/SOPs and local EMS Protocols/SOPs.
- Discuss differences in the ability of individuals to accept and cope with their own impending death.
- List the stages of the grief process and relate them to an individual in hospice care.
- Discuss the rights of the terminally ill patient.
- Summarize the types of home health care available in your area and the services provided.
- Given a series of home care scenarios, determine which patients should receive follow-up home care and which should be transported to an emergency care facility.
- Given a series of scenarios, demonstrate interaction and support with the family members/support persons for a patient who has died.
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