HOME HEALTHCARE SPECIALTY PROGRAMS
Sta-Home registered nurses provide safe and proper administration of intravenous fluids and medications within the home setting. Most IV therapies may be infused to treat diagnoses such as infections, heart failure, dehydration, pain management, certain types of cancer, excessive vomiting, etc. Sta-Home excels in Milrinone infusions to treat heart failure and many different types of antibiotics and pain medicine, including the corresponding labs that may be ordered. Sta-Home nurses are skilled in managing peripheral IVs as well as central venous access devices which may include PICCs, ports, and tunneled catheters. The nurses are familiar with portable pumps to deliver infusions in the home and are available 24 hours every day for patient needs. Extensive teaching is given to all infusion patients on the medication indications, benefits, and methods of delivery.
Sta-Home provides specialty nursing services in wound care including a team of certified wound nurses evaluating, consulting and treating wounds with the most effective method to promote wound healing. The nurse(s) collaborate with the physician to determine an individualized treatment for each wound. Certified wound nurses use their expertise to advise or treat in the area of surgical wounds, pressure ulcers, deep tissue injury, stasis ulcers etc. Skilled nursing may vary from debridement to target wound therapy
Sta-Home’s Cardiac Care program offers access to cardiac resource nurses and sends skilled nurses to treat patients who have been diagnosed with
- Heart failure
- Coronary heart disease
- Heart attack
- Atrial fibrillation requiring anticoagulation managementT
The Cardiac Care program also treats patients who have had recent surgery for
- Valve replacement
- Placement of a pacemaker or defibrillator
- Coronary artery bypass graft
- PCI (percutaneous coronary intervention)
Sta-Home’s skilled nursing staff will work with you in your home to
- Teach you to manage your medications
- Provide education on diet and exercise regimen
- Identify beneficial lifestyle changes
- Help you carry out your physician’s plan of care
The goal of our Cardiac Care program is to help you avoid unnecessary hospitalizations by successfully managing your cardiac condition in order to do activities that are important to you.
Sta-Home registered nurses provide in-home care to patients with cancer related diagnoses and related conditions such as dehydration, neutropenia, etc. We are able to infuse certain types of chemotherapy in the home, as well as fluids, antiemetic, and a variety of other medications. Our nurses are trained to offer patients/families extensive education on their disease processes, medications, and support services that may be available. We treat our patients holistically to include emotional as well as clinical needs and are available 24 hours daily.
Sta-Home provides specialized nursing care for patients with stomas (various ostomies), incontinence and skin alterations such as pressure ulcers, stasis ulcers and surgical wounds. Patients are provided education on ostomy/wound care, use of appliances (pouches/bags) with colostomies/ileostomies/urostomies, administration of feedings/enteral nutrition with gastrostomies, prevention of complications and attaining the appropriate supplies. The Certified Wound and Ostomy Nurse is a registered nurse certified in the care of ostomies and wounds.
Patients with a serious illness can experience an improved quality of life through palliative care. Sta-Home provides this care through a team of experts trained to ease symptoms of physical, emotional, and spiritual pain causing distress for a patient. The team of experts may include a medical physician, nurse, social worker, pharmacist, spiritual advisor, and others. Palliative and curative medical intervention can be included together in the patient’s plan of care.
There are a number of outcomes the physician and the patient can expect when palliative care is part of the plan of care.
- The patient and the family gain a basic understanding of the illness.
- The patient’s healthcare treatment choices and goals are honored.
- There is relief of physical, emotional and spiritual pain and suffering.
- The patient’s independence is promoted.
- The patient’s overall quality of life is improved.T
The process of palliative care involves
- Easing of clinical symptoms that cause distress – Medication and/or treatment is given to alleviate common symptoms causing distress, including pain, anxiety, nausea, or breathing problems that may affect a person’s ability to eat, be active, or spend time with others. It is administered specific to a patient’s assessment. The overall goal is to provide comfort and promote independence.
- Coordination of care – The patient’s treatment goals are communicated among all the clinicians involved in the patient’s plan of care. This ensures continuity of care throughout the patient’s healthcare network.
- Meeting the patient’s emotional and spiritual needs – Palliative care clinicians offer education and support to impact positive outcomes relating to fear, stress, depression, anxiety, grief, and the need for resources. They can also set up meetings with a counselor or spiritual advisor as desired.
- Education and resources – Education is offered by the palliative care team to assist the patient and the family in understanding the illness. The team provides an effective communication channel with the patient’s physician when difficult decisions involving treatment choices must be made. They also assist by providing information on resources available in the patient’s geographic area.
- Helping create an advance directive – Palliative care includes assisting the patient and the family when they want to make their wishes regarding future care known through legal documentation. This helps insure the patient’s expressed healthcare treatment choices and goals are carried out.
Low Vision Rehabilitation
Low vision rehabilitation can optimize a person’s safety and independent living skills resulting in a better quality of life. A physician can refer a patient to Sta-Home’s low vision rehabilitation program when
- vision is less that 20/60 corrected acuity, or any type of visual field loss;
- vision impairment is associated with a stroke or neurological impairment;
- vision is affected by a decreased contrast sensitivity or glare sensitivity; and, or
- vision problems present a number of difficulties with daily living skills.
In the low vision rehabilitation program offered by Sta-Home, occupational therapists perform skilled interventions to promote optimum safety and independence within the patient’s home. The program provides
- visual function assessment,
- home assessment and recommendations for improved safety and independent living,
- training in use of optical devices when reading,
- training to improve writing skills,
- training in special viewing techniques,
- training in self care and homemaking activities to increase efficiency and safety,
- diabetic assessment and teaching, as indicated.
Psychiatric/Mental Health Care
Sta-Home has a team of nurses that help patients as well as family members deal with the challenges of mental illness. The registered nurse provides counseling, medication monitoring and education regarding the progression of the illness. There is also emotional support for the patient and the family.
Sta-Home provides specialized nursing care for patients with stomas including colostomies, ileostomies, gastrostomies and urostomies. All require unique care including appliances (pouches/bags) and skin care. Patients are provided education on ostomy care with the goal of independence in care at home. The Certified Wound and Ostomy Nurse is a registered nurse certified in the care of ostomies and wounds.
The Certified Diabetes Educator (CDE) is a health care professional who has mastered the core knowledge and skill in the biological and social sciences, communication and counseling, and education, and who has experience in the care of patients with Diabetes. The CDE may function as a consultant in the development of the patient care plan, assisting with educational material. Our Diabetes program is based on the 7 self-care behaviors outlined by the AADE – healthy eating, being active, monitoring, taking medication, problem-solving, reducing risk, and healthy coping.
Diabetic Foot Care
Footcare specialists are nurses trained in the care of complicated foot problems such as long/thickened toenails and calluses on the foot. The elderly and people with diabetes and poor circulation may require intermittent visits from the footcare specialist for education, nail trimming and callus reduction. Improper management of the feet of diabetics and others can lead to chronic problems with the feet -- most commonly foot ulcer/wounds.
The Centers for Disease Control and Prevention report falls are the leading cause of injury related visits to the emergency room while the Home Safety Council advises falls are the leading cause of home injury deaths.
Lower-body weakness, problems with balance and walking, visual impairment, medication side-effects, chronic illness or a history of stroke are all conditions associated with the potential for falls. A patient’s physician can request a Sta-Home therapist to visit the patient’s home to perform an in-depth fall risk assessment. This assessment will provide the physician with a review of the patient’s medication regimen and identify existing physical conditions that increase the risk for a fall.
If a potential for falls is identified through the assessment, Sta-Home and the patient’s physician will prepare a customized fall prevention program to treat pertinent deficits, as well as address specific home environment factors. A treatment plan may involve:
- Addressing identified deficits in vision, balance, sensation and coordination.
- Teaching strengthening exercises as well as posture control techniques and core stability.
- Performing vestibular rehabilitation therapy for BPPV disorders.
- Training on the correct use of mobility assistive devices.
- Recommending sensible changes in the home environment.
- Educating the patient, the family and the caregivers in safety measures, especially when cognitive impairments are present.
VitalStim® Therapy is an external electrical stimulation therapy to re-educate the throat muscles needed for swallowing. It is considered a curative therapeutic technique to treat dysphagia in all age groups and in both sexes, and its effectiveness is proven to be independent of the time between the onset of dysphagia and treatment. This therapy is FDA approved and is administered by Sta-Home speech-language pathologists certified to administer this technique.
A long-term study of nearly 900 patients proved electrical stimulation to be significantly more effective than thermotactile stimulation in restoring swallowing function. Using VitalStim® Therapy, patients with severe dysphagia had their swallowing function restored past the point of requiring a feeding tube to 97.5% vs. 39% for thermal application; and, well over one-third of the severe cases in the study had their swallowing function completely restored.
A physician needs to refer the patient to Sta-Home to receive this treatment. Once the referral is made, a Sta-Home therapist will conduct a clinical evaluation in the patient’s home and a comprehensive assessment of the patient will be shared with the physician to determine the course of action needed to treat the dysphagia. All treatments will be administered in the patient’s home by the Sta-Home therapist.
HOSPICE SPECIALTY PROGRAMS
Pain and Symptom Management
Pain and symptom management is offered to help lessen the patient’s long-term pain in addition to providing comfort measures to the patient. The primary hospice nurse's objective is to help control and minimize the patient's level of pain while on hospice services.
Patients with a serious illness can experience an improved quality of life through palliative care. Sta-Home provides this care through a team of experts trained to ease symptoms of physical, emotional, and spiritual pain causing distress for a patient. The team of experts may include a medical physician, nurse, social worker, pharmacist, spiritual advisor, and possibly others. Palliative and curative medical intervention can be included together in the patient’s plan of care.