Home health care
Home health; Skilled nursing - home health; Skilled nursing - home care; Physical therapy - at home; Occupational therapy - at home; Discharge - home health care
Getting Ready to go Home
You are likely excited about going home after being in the hospital, skilled nursing center, or rehabilitation facility.
You should probably be able to go home once you are able to:
- Get into and out of a chair or bed without much help
- Walk around with your cane, crutches, or walker
- Walk between your bedroom, bathroom, and kitchen
- Go up and down stairs
Help you may Need at Home
Going home does not mean you no longer need medical care. You may need help:
- Doing simple, prescribed exercises
- Changing wound dressings
- Taking medicines, fluids, or feedings through catheters that have been placed into your veins
- Learning to monitor your blood pressure, your weight, or your heart rate
- Managing urine catheters and wounds
- Taking your medicines correctly
Also, you may still need help taking care of yourself at home. Common needs include help with:
- Moving in and out of beds, baths, or cars
- Dressing and grooming
- Emotional support
- Changing bed linens, washing and ironing laundry, and cleaning
- Buying, preparing, and serving meals
- Buying household supplies or running errands
- Personal care, such as bathing, dressing, or grooming
Help From Family Members and Friends
While you may have family and friends to help, they must be able to do all the tasks and provide all the help you need to ensure you have a quick and safe recovery.
If not, talk to the hospital social worker or discharge nurse about getting help in your home. They may be able to have someone come to your home and determine what help you may need.
Types of Home Care
Besides family members and friends, many different types of care providers can come into your home to help with movement and exercises, wound care, and daily living.
Home health care nurses can help manage problems with your wound, other medical problems, and any medicines that you may be taking.
Physical and occupational therapists can make sure your home is set up so that it will be easy and safe to move around and take care of yourself. They may also help with exercises when you first get home.
You will need a referral from your doctor to have these providers visit your home. Your health insurance will often pay for these visits if you have a referral. But you should still make sure it is covered.
Other types of assistance are available for tasks or issues that do not require the medical knowledge of nurses and therapists. Names of some of these professionals include:
- Home health aide (HHA)
- Certified nursing assistant (CNA)
- Direct support person
- Personal care attendant
Sometimes, insurance will pay for visits from these professionals, as well.
Centers for Medicare and Medicaid Services website. What's home health care? www.medicare.gov/what-medicare-covers/whats-home-health-care. Accessed February 5, 2020.
Centers for Medicare and Medicaid Services website. What is home health compare? www.medicare.gov/HomeHealthCompare/About/What-Is-HHC.html. Accessed February 5, 2020.
Heflin MT, Cohen HJ. The aging patient. In: Benjamin IJ, Griggs RC, Wing EJ, Fitz JG, eds. Andreoli and Carpenter's Cecil Essentials of Medicine. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 124.
Reviewed By: Linda J. Vorvick, MD, Clinical Associate Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.