Private Duty Nursing: Meeting the Needs in Our Community

Posted on

Feb 14, 2018

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Private duty nursing is the care of individuals of every age; from newborn infants born prematurely or with neonatal health issues to our senior citizens who after many years of productive lives need assistance with the most basic tasks of living.
Although we use the term nursing, private duty care can be provided by licensednurses who will perform skilled procedures such as administering of meds, tube feedings, and wound care. Non-nursing care is typically assisting individuals with personal grooming, bathing, meals, assistance with feeding, light housekeeping; as well as errands to pharmacy or grocery shopping. This non-nursing care is done by certified nursing assistants, home health aides or personal care attendants who can also assist with important mobility and functions which include ambulating, range of motion exercises, transfers in and out of bed or bathtub, and monitoring of vital signs.

Private duty care can be for persons either on a temporary basis but are often more individualized and for those who require a continuous need. This type of care from non-nursing personnel has the ability to help with activities of daily living, work with people in a one-on-one setting in their homes with the desire to improve care and maintain a professional relationship with the person and their family.

Who is responsible for payment of private duty services? Traditionally, private duty nursing was for Medicaid clients who require more individual and continuous care (life-long). Most services are only on an intermittent basis, generally about two hour a day from once to three or more times a week, depending on the need. For Medicaid candidates, those individuals may be referred from private practice physicians, hospital discharge planners or can obtain information and approval from agencies such as the Area Agency on Aging in your local community.

Most health care provider agencies will want to obtain as much information regarding the type and amount of care necessary to help with the day-to-day tasks. First, there is no age limit for private duty home care. Individuals may need assistance from a recent acute illness or surgery requiring several months of rehabilitation or someone who become physically unable to care for themselves.

A private duty nursing agency will want to develop a service plan or plan of care with you or your loved one. That plan of care will revolve around what services is best for you. A free in-home assessment may be offered by your local private duty agency which will go over topics such as: medical issues i.e. Alzheimers or dementia; physical health diabetes, arthritis, weakness; sleep disorder, pain levels, mobility problems; daily routine: self-care, assistance from family and friends, emergency help; and home issues: fall precautions, safety hazards such as stairs, and / or animals in the home.



Ed. note: This article was submitted by Joel Cavalier, RN, MS, Executive Director of Nursing Management, Inc., a provider of private duty nursing service for 30 years, and a Medicaid provider for 20 years. For more information, he may be contacted at jcavalier@nursingmgt.com

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