Home Health Care
Majestic Home Health is a Licensed Home Health and Community Support agency providing multi-disciplinary, short and long term home health care. Our services can be performed on an intermittent and/or part-time basis to adults 18 years and older. Our Home Health’s services includes nursing care, physical therapy, occupational therapy, speech therapy, social work and home health aides. All services are provided by the Majestic Home Health staff under a plan of treatment established by the client’s physician.
Health Care Benefits
- Services are provided in the client’s home by highly skilled and trained clinicians.
- Families generally prefer to keep their loved ones at home as long as possible, most people with Alzheimer’s disease or dementia eventually need more assistance than families can provide. They frequently choose to use the assistance of Majestic Home Health where professional skilled care is available.
- Promotes healing and provides more safety from infections.
- Allows individuals to have more freedom and independence.
- Tailored to the needs of each individual patient
- Reduces re-hospitalizations
Hospice care is specialized care that addresses the unique needs of a patient and family coping with the many issues that arise during the final stages of life.
Our focus is on the comfort, care and compassion--not cure. This phase of the human journey is a time when complex physical, emotional, and spiritual issues come together at the same time. Patients and families experience a wide range of questions and emotions. Attention to their spiritual and emotional needs is as important as the attention to physical needs.
Paragon Home Care and Hospice has a depth of experience and specialized knowledge to help guide patients and their loved ones through this difficult time, offering support and care when needed most. We provide care in a patient's home, wherever that may be--in a residence, long term care facility, or local hospital. Paragon Home Care and Hospice offers services designed to respect and honor a person's wishes during the final stages of life. We strive to affirm life, preserve dignity, and care for individuals and the entire family.
Criteria for Hospice Home Care under Medicare.
- Patients must have Hospice diagnosis of six (6) months or less to live
- We provide hospice care for adult patients with a wide range of life-limiting illnesses, including (but not limited to):
- Heart disease
- Lung, liver and kidney disease
- Multiple sclerosis
- ALS (Lou Gehrig’s disease)
- Alzheimer’s disease
Criteria for Home Health Care under Medicare:.
- Patient must be home-bound and unable to function outside of the home without a considerable and taxing effort (i.e. with the aid of another person and/or device).
- Have an exacerbation of an existing illness of onset of a new disease process
- SN, PT, or SLP need on an intermittent basis
- Administer IM injections
- Teach administration when appropriate
- Supervise administration
- Physical Therapy (PT)
- Speech language Pathology (SLP)
- Occupational Therapy (OT)
- Medical Social workers (MSW)
- Home Health Aides (HHA)
- Inserting or changing Foley catheter
- Observing contents, amounts etc.
- Observe hydration
- Obtaining sterile urine
- Teaching-catheter care, including irrigation
- Straight cath for residual
- Signs and symptoms of hyper/hypoglycemia
- Skin and foot care
- Insulin injection technique
- Diet teaching
- Remove sutures, care of drain, packing etc (with specific orders)
- Observing surgical incision
- Teaching aseptic procedure
- IVAC Certified
Eye Care (Post Cataracts)
- Sterling dressing
- Assess interactions of drops & medications with an additional skilled need
Ostomy Care (case-by-case basis)
- Change of new stoma, dressing, observation of discharge, care of skin
- Teaching ostomy care
- Diet of colostomy patient
- Skin and wound assessment and care
Assess BP readings, apical/radial pulse quality and rate, respiratory rate and temperature. If patient is stable, vital signs alone are not considered skilled care by itself.
NG Tube, J Tubes, G Tubes
- Inserting or changing NG Tube
- Instructing care of tube, feeding formula, etc.
- Instruction on use of pump.
- Blood glucose
- Blood specimens
- Chemistry profile
- Drug levels--diagoxin--theophylline and dilanti
Bowel & Kidneys
- Digital removal of fecal impactions
- Bowel and bladder training
- Post-up (i.e. TKR, THR) care and observation
- Cast care
- Teaching, rehabilitation measures
Trained & Licensed Professionals
Our nurses (both RNs and LVNs) provide nursing services, perform skilled procedures, and manage medication in the patient’s home in accordance with the plan of care established by the patient’s physician
Home Health Aides
These professionals are highly qualified to provide help with personal hygiene, simple healthcare tasks, activities of daily living (ADLs), instrumental activities of daily living (IADLs), and medication reminders according to the plan of care established by the physician and supervised by a registered nurse if necessary.
Our physical therapists’ duties include but are not limited to: (a) performing specialized tests and measurements, (b) administering specialized treatment procedures, (c) interpretation of referrals from physicians, (d) establishment and modification of physical therapy treatment programs, (e) administering topical medication used in generally accepted physical therapy procedures when such medication is prescribed by the patient’s physician, and (f) supervision of physical therapy assistance.
Our occupational therapists design and administer therapy plans of care based upon physician’s orders to increase the patients’ levels of functioning in everyday life. Therapists use exercises and activities to improve or maintain strength, range of motion, and fine-motor coordination. They can also instruct patients in adapted techniques and use of adaptive equipment for meal preparation, home management, dressing, feeding, and other self-care skills. OT can be used to train patients in the use of prosthetic devices for the arms and hands to resume previous daily routines. The OT can and should participate in home assessments. Occupational therapy provides preventative therapy to maintain functional skills and instructs patients in energy conservation, joint protection, and safety techniques for sensory loss and visual field deficits. The OT can also instruct patients’ families and friends in personal care for the patients, especially proper transfer techniques to avoid back strain.
The interdisciplinary Majestic hospice teams are made up of trained caregivers who put individual patient and family needs first
• Nurses are experienced in assessing and managing pain; they provide hands-on care.
• Social workers are friendly and skilled listeners who can offer emotional support and help with financial issues and planning.
• Physicians collaborate with the patient’s primary physician and are available for pain and symptom management consultation, as well as to make house calls as needed.
• Hospice aides help with personal care, such as bathing and mouth care; they also can help with light cleaning, light laundry and occasional shopping.
• Chaplains offer spiritual support.
• Volunteers, specially trained in hospice, are important members of the team who are available when they are needed most.
• Bereavement specialists provide grief and loss counseling, memorial services and other support for family and loved ones.