Question

Your project this week is to discuss the cases on pages 223-226, "Home Healthcare Case: Joan and Jerry", "Hospice Case: Pierre", and "Adult Day Care Case: Wilma and Karen":

Home Healthcare Case: Given what you have learned about the accessibility and financing of home care services, are such services as readily available to other consumers as they were to Joan and Jerry? Should Joan and Jerry have applied for home health care sooner, and, if so, who should have made them aware of the benefits of home health care?

Hospice Case: The doctors were pretty sure Pierre had less than six months to live, so he fell within the guidelines for hospice coverage. Should hospice coverage be limited to those with six months or less to live, or should others be covered? Why?

Adult Day Care Case: Although Wilma is clearly benefiting from day care, so are Lorenzo and Karen. Should society (Medicaid) be paying for something that benefits them, even though they are not poor? If there was not a day care center available for Wilma, do you think she would be able to continue living with Karen and Lorenzo? If not, to what type of long-term care facility would she likely be admitted?

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HSA4222

Answer 1

Access to comprehensive quality health care services is important for promoting and maintaining health preventing and managing desease reducing unnecessary disability and premature death and achieving health equity for all Americans,

Barriers to home care fecilities facing in US that are,

High cost of care

Inadequate or no insurance coverage

lack of availability of services

lack of culturally competent care.

So the home care fecilities are not easily available for everyone.

Home health care has been part of the Federal health care ecosystem for a number of years however the service has been very fragmented and unorganized which hhas led to poor quality of care and issues with patiennt safety both home care and clinical are emerging.

Palliative care is a resource for anyone living with a serious illness such as heart failure ,chronic obstructive pulmonary disease, cancer, dementia, parkisons disease and many other palliative care can be help at any stage of illness and is best provided from the point.

Increasingly people are chhoosing hospice care at the end of life .Hospice can be provided in any setting home , nursing home, assisted living faciliity or inpatient hospital.