Home Health Nursing Initiative
Home Health Nursing Initiative
The project aims at offering medical services to Canadian senior citizens suffering from various forms of cancer. As a home-based nursing agency, our mission and vision with regard to this program is to offer quality services to the aged cancer patients as a way of winning the national battle against this dreadful disease. The scheme will base its operations on palliative form of home-based nursing. This includes implementation of strategies that aid in early detection of cancerous cells resulting in early treatment. Moreover, the project seeks to assist patients in managing psychological and physical symptoms of cancer. The psychological aspects scheduled for addressing entail anxiety, pain, depression and fatigue (Wise and Marchard, 2013).
We will also offer standard drugs to these patients at a subsidized cost. By involving various practitioners in the agency’s departments, we will conduct consistent visits to these cancer patients with the main purpose of evaluating their progress. These medical personnel include psychiatric consultants, nurses, and physicians (Rice, 2006). In addition, we plan to involve economic experts in the program to offer financial empowerment to these citizens and their family members. This is because their weak conditions and the costs involved in managing the disease leave most of these families in poor fiscal conditions. We purpose to enlighten them on how to start business activities that do not require substantial physical strength. Our target is to cater for a minimum of 1500 patients annually.
Reasons for the project
Cancer patients require constant evaluation to facilitate successful management of the disease. However, certain factors reduce the effectiveness of hospital-based treatment. This is the main reason behind the formulation of this program. To start with, the aged people are less comfortable when hospitalized. This is because they prefer being close to their family and friends. Home care nursing is appropriate for such individuals. The proceedings involve the family members, an aspect that makes the patients comfortable and calm (Park, Choi, and Lee, 2013). This peace is helpful in effective management of the disease.
In addition, this program will reduce the overwhelming number of cancer patients who visit medical amenities for treatment on a daily basis. With the disease spreading ferociously, many health institutions are not in a position to accommodate all patients suffering from the disease. Cancer patients, especially those in their old age, need intensive care. The staff and facilities in Canadian hospitals are inadequate to offer this form of attention to all of these individuals. This condition creates a gap between the public’s health and accessibility of medical services. It is for this reason that we recognized the need to formulate and execute a plan that can link the two features. This plan aims at concentrating on personal health requirements of the clients based on the agency’s principles of evidence-based and client-focused care
Services provided to the patients
i) Access to Medical Equipments
Equipments used for cancer treatment can be expensive and hard to find. However, home-based nursing helps patients to obtain the required machines depending on the nature of ailment. For example, individuals suffering from lung cancer need apparatus to smooth the progress of oxygen therapy in addition to managing symptoms such as asthma, chronic bronchitis, and other lung diseases. Through this program, patients will be able to order oxygen therapy equipments approved by certified medical practitioners. The home care nursing personnel will deliver the machines to the ailing individuals. Furthermore, specialized practitioners will be available to answer any questions as well as direct the patients on how to use the gadgets.
ii) Psychiatric Care
Some people believe that cancer equals to a death sentence. Moreover, there are various myths associated with this health condition. For this reason, psychological care is also a crucial aspect of the program. Psychiatrists will guide the individuals on how to live long and healthy lives. Trained psychiatric consultants will also offer comprehensive counseling to family members living with the condition. This is because these relatives suffer from undetected depression upon seeing the pain experienced by their loved ones. If not addressed, this worry may result into adverse health disorders such as depression and hypertension (Wise and Marchard, 2013).
iii) Assistance in Domestic Chores
Since the program seeks to cater for aged people, the agencies will employ the services of social workers and other recruits to aid the patients in performing various household tasks. They will also run simple errands on behalf of these senior citizens. In addition, they will assist weak individuals to maintain personal hygiene by cleaning them regularly. This strategy seeks to benefit patients who live on their own. This is because effective cancer treatment requires one to uphold personal hygiene. The patients should also eat healthy food on a regular basis in order to reduce chances of negative body reactions with the medicines. This tactic also aims at showing affection to the patients. Those with distant relatives need warm people around them as a way of managing psychological conditions arising from the disease.
iv) Provision of Quality Drugs
Most drugs needed for cancer treatment are inaccessible and expensive. For this reason, this project aims at delivering affordable and quality medicines to the patients at the right time. These elderly people will not have to travel for long distances in order to acquire the needed remedy. Moreover, the medical practitioners attending to these individuals will help them in introducing the drugs into their bodies either orally or through injections. This will ensure that the patients, who may have a problem understanding the doctor’s instructions, follow the right treatment procedure. Consequently, the disease management will be effective and unproblematic. This strategy is also apt for people who are too weak to take the drugs on their own.
v) Economic Empowerment
In most cases, the costs of cancer treatment leave the individuals and their families in poverty. This is because of the frequent chemotherapy and radiotherapy sessions. It is for this reason that the program seeks to offer lucrative ideas to the patients. These business activities will ensure that the patients earn a substantial income without any form of physical and nervous tension. These business ventures include making wall hangings, woolen mats, and jewelry. In addition to improving their financial status, these activities will also help them relax. Subsequently, chances of suffering from depression will be minimal.
Various sources offer comprehensive information regarding this topic. Statistics on the disease indicates that cancer is a serious health issue in Canada and other parts of the nation. In Canada, it is the leading cause of death. Per year, an average of 186, 400 new cases emerge with 75, 700 people dying from the disease. Most people suffer from lung or colorectal cancer. The age group of people above the age of 50 forms the largest portion of cancer patients with 70 % of the new cases and 61 % of the deaths occurring in people between 50 and 79 years (Weeks, 2013). This state of affairs has necessitated programs that will effectively address the issue at an individual level.
Home based palliative care has been the focus of many cancer treatment and management programs developed in various parts of the nation. Most commentators have heralded the move as perfect and affording the patient the necessary comfort and peace of mind necessary for the proper management of cancer patients (Johnson, Hanvey and Heyland, 2013). Many scholars have expressed their desire for the provision of internationally acceptable standards of palliative care based of various modes of life assessment. The concept of how nurses and other medical practitioners manage terminally ill patients suffering from cancer has also been the focus of most health institutions, governments and commentators (Weeks, 2013).
Strengths and Weaknesses of the project
Several projects in California offer similar services. These programs are a success because of a number of strengths. For example, the government, through medical authorities and other sponsors, funded the Patient-Centered Medical Home Demonstration Project. This enables various health care service providers to broaden their scope of clients. They are able to offer quality services to a substantial percentage of the general population in Canada. This financial empowerment has largely benefited the campaign against cancer. This home-based nursing program is also an integral constituent of the Federal Affordable Care Act (National Cancer Institute of Canada, 2012). The legalization of this medical scheme makes it possible to offer physical and mental health care to patients suffering from cancer at the comfort of their dwellings.
The patients do not benefit from these services as an act of kindness from the organization but rather as their constitutional right. Consequently, the medical practitioners cannot take advantage of the ailing individuals by offering expensive services. The government’s involvement is one of the project’s strong points. Despite these assets, certain limitations hinder effective operations. To start with, the professionals in home care nursing are not enough to serve the entire populace. With the number of new infections rising on a daily basis, the labor force involved in the program is only able to cater for a limited number of patients.
This is a hindrance to effective crusades against the epidemic. Lack of awareness on the program is also a significant constraint. A large portion of the general population has little knowledge on the contents of the scheme. They assume that this is an affair beyond their financial capability, as opposed to an aspect of their constitutional rights. For this reason, remarkably few patients are willing to seek the services of these home-based health care professionals. The lack of knowledge on the various services offered by these medical practitioners also hinders the program’s efficiency. Some members of the public believe that this program only offers physical health care.
Gaps in the Offered Services
There are several gaps evident in the services offered by various home care agencies. For example, these service providers only offer medical care. They disregard the need to empower the patients economically. Although some patients are physically weak, there are certain profitable activities that they can engage in. For this reason, the health agencies need to integrate financial empowerment in their programs. This will improve the entire wellbeing of the patients. Consequently, both their physical condition and possessions will progress.
There is also lack of psychological care for the people around these patients. The family members of these individuals suffer from undetected trauma because of the pain visible on the face of their love ones. Home care organizations hardly take time to address this condition. This distress may cause severe health complications such as depression and hypertension. Subsequently, it will increase the suffering of the entire family both psychologically and financially. For this reason, there is a need for the service providers to incorporate psychological care for the family members in their programs.
Johnson A. P., Hanvey, L. T., & Heyland, D. K. (2013). Development of Advance Care Planning Research Priorities: A Call to Action. Journal of Palliative Care, 29(2), 99-104
National Cancer Institute of Canada. (2012). Family Caregivers in Cancer: Roles and Challenges. Retrieved 13 August, 2013, from http://www.cancer.gov/cancertopics/pdg/supportivecare/caregivers/healthprofessional/page7
Park, H. C., Choi, Y. J., & Lee, J. J. (2013). Determinants of Family Satisfaction with Inpatient Palliative Care, Journal of Palliative Care, 29(2), 91-98
Rice, R. (2006). Home care nursing practice: Concepts and application. St. Louis, MO: Mosby Elsevier.
Weeks, L. E. (2010). Nursing Homes and Assisted Guide to Making Decisions and Getting Good Care, Canadian Journal on Aging, 29(2) 588-607
Wise, M. S., & Marchard, L. P. (2013). Living Fully in the Shadow of Mortal Time: Psychological Assets Advanced Cancer. Journal of Palliative Care, 29(2), 76-82