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Home Health Articles

Pulse Home Health Care practices skilled health care procedures firmly rooted in the latest research and best practice policies. We routinely mail bulletins to physicians and other medical referral sources to highlight how we help patients and to explain the scientific basis for different services. Here we share selected physician bulletins about Pulse's Home Health Services. If you have questions about how home health could help you, please contact us today.

Home Health for Cellulitis

A Consideration for GPs, Urgent Care, & Discharge Planners

 

Research has suggested that general practitioners and urgent care clinicians can make greater use of homecare to protect patient safety, improve patient peace of mind, and reduce national healthcare costs. 1 In most cases when your patient is stable enough to receive one nursing visit per day plus help from home health aides, Pulse Home Health Care can manage your patients’ needs in the comfort of home. 

Dall et al tested a classification system for cellulitis that helped physicians decide whether a patient should be hospitalized or receive home health.1  Their system resulted in 91% of patients presenting with cellulitis not needing hospitalization, and it proved very safe and effective.  For patients who were hospitalized, average length of stay dropped to less than one day.  Patient satisfaction exceeded 90%, and payors saved more than $1,000 per patient.  Dall et all used the Eron/Dall Classification System for Cellulitis.2  Classes one and two received care at home.  Classes three and four received in-patient care followed by homecare designed to reduce the length of stay.

The largest meta-analysis to date on the subject found that home-based cardiac rehabilitation is both superior to normal care and not inferior to cardiac rehabilitation at qualified centers.3 Research has consistently shown home-based rehabilitation to be a good option for patients with heart failure, post myocardial infarction, and after revascularization procedure. Home-based counseling from nurses independently produces significantly positive outcomes for patients. Home-based physical therapy is also successful at improving mortality and reducing rehospitalizations. When patients are homebound and are having cardiopulmonary difficulties, a referral to Pulse Home Health Care for “cardiovascular health teaching” would be appropriate. When these patients are safe to learn exercises under professional supervision at home, a referral for “cardiovascular home exercise” would also be appropriate.

For your patients with cellulitis, services from Pulse Home Health Care can include:

  • Home Infusion Coordination & Support Nursing (Home infusion shown safe & effective for cellulitis1-3)
  • Observation & Assessment by nurses up to daily
  • 24-hour On-Call Nurses: helps prevent unnecessary calls to prescribers or unnecessary ED visits
  • Dressing Changes: This can include dressing changes performed by nurses, additional training for patients and family caregivers, and periodic verification of correct procedures with patients.
  • Other Additional Training: This can include training and follow-up for instructions to keep extremities elevated, recognizing a worsening condition, responding appropriately to a worsening condition, warm compresses, medication adherence, etc.
  • Assistance with Activities of Daily Living:  When you order your patients to rest in bed, Pulse can send home health aides to assist with personal hygiene, cleaning in patient areas, meal preparation, etc.
  • Collection of Lab Specimen and delivery to the lab
  • Dietary Assessment for general nutritional intake
  • Physical Therapy for patients who have received extensive debridement or amputation


Named Among Top 500 Agencies Nationwide

The OCS 2009 HomeCare Elite list names Pulse as one of the top 500 agencies in the nation.  OCS compares all Medicare certified agencies in the U.S.  Inclusion is based on publicly available objective outcome measures, financial stability, and quality improvement.

Please offer Pulse Home Health Care to your patients.

 

References

  1. Dall L, Peddicord T, Peterson S, et al. Hospitalist treatment of CAP and Cellulitis Using Objective Criteria to Select Patients. Infect Med; 2003, 20(8): 379-390.
  2. Eron L, Passos S. Early discharge of infected patients through appropriate antibiotic use. Arch Intern Med. 2001; 161: 61-65.
  3. Corwin P, Toop L, McGeoch G, et al. Randomised controlled trial of intravenous antibiotic treatment for cellulitis at home compared with hospital. BMJ. 2005;330:129.


2325 Severn Ave, Ste 5 Pulse Home Health CareMetairie LA 70001 Pulse Home Health Care(504) 831-7778

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