February 19, 2009

Mobile HOME Nursing as A WAY of cutting hospitalization cost


By: Yakob Scholer, Nursing Programme Director, Home Nursing Providers

Why choose mobile home nursing care?
The need and interest in home health care (mobile home nursing) has grown in Malaysia and most European countries in recent years. This can be attributed to many reasons. Medical science and technology have improved. For example, many treatments and operations that could only be done in a hospital previously can now be done in outpatient clinics.
Nevertheless, it is a well known fact that long stay in hospitals is at times necessary due to the complexity of certain medical conditions or severity of diseases.
However, many who require post surgery care and rehabilitation may find the high costs involved difficult to maintain. The logical consequence is that hospital stay is expensive.
Home nursing is certainly much less expensive and favored by most patients and just as effective as care in a hospital or nursing facility. Nonetheless most patients and their families prefer to stay at home which is their natural environment rather than stay in a hospital or nursing home.
HNP provides a 24hrs x 365days service and attendance where and when needed

What is mobile nursing care?
"Mobile home nursing" is a simple phrase that encompasses a wide range of health and social services and "mobile" denotes the mobility of our nursing service. Mobile nursing care is a cost effective alternative to hospital and nursing home stays. Generally, home care is appropriate whenever a person prefers to stay in his own home setting but needs ongoing care that cannot easily or effectively be provided solely by family members. It is a health care option that includes skilled nursing care, as well as other skilled and non-skilled care services, like physical and occupational therapy, personal care, homemaking and respite care.
The whole range of medical nursing services are provided by our Agency.
Mobile Nursing by qualified nurses is clearly a means of cutting hospitalization duration and subsequently cost, and reducing the risk of relapses and deterioration of condition after discharge from the hospital.
It is an international experience that most patient stay in hospitals, is not solely due to the medical needs, but rather a result of lack of proper nursing care availability ones the patient is discharged in the family care. Consequently patients stay in hospital not always being prolonged for medical reasons but merely for nursing requirements.
Prolonged Hospitalization is in many cases is also counterproductive as:
Patients tend to become overly "nurses dependent"
Acquire secondary infection like MRSA etc.
Develop increased insecurity of going home (hospital dependency).
Lack of "mobilization" which often results in development of bed sores, thrombosis and muscle depletion.
Nursing in one’s own home setting has the advantage that the patient is:
Regaining a sense of normalcy
Developing increased mobility
Fostering of self-esteem
Adjusting to routine lifestyle
Patients stay in Hospital can be cut down:
postoperative
after stroke
after medical intervention is completed
when mere nursing care is required
The nurses in mobile nursing can:
*Keep closes monitoring of the patients condition while adjusting to the home environment.
*Ensure that the patient will acquire self responsibility of correct medicine intake (one of the major reasons for deterioration and relapses)
*Monitor vital data’s and keep in liaison with the respective doctor on any changes.
*Develop a physical activity program for the patient to regain self confidence in mobility
*Supervise and advise on any nutritional requirement
*Provide a 24 hrs on call service in case of any upcoming problem
Home Nursing Providers can also advise on the appropriate correct nursing gadgets, provide (purchase or rental) all basic nursing equipments as well as the correct disposables required in nursing or mobilization.

How quickly can services be provided? Generally, services provided by Home Nursing Provider can begin within 24 hours or less.
If we can help answer any other questions related to mobiele nursing or MOBILE DOCTOR please call us at:
+6 03 7877-7202.

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