1) Skilled Nursing
2) Home Health Aides to assist in daily living activities
3) Physical, Occupational and Speech therapies
4) Medical Social Workers
5) Assistance with durable medical equipment needs
6) Patient & family teachings on medications/health
awareness/diagnosis/independence/safety
7) Resources and services available in the community
8) Vial-Of-Life
We specialize in: WOUND MANAGEMENT:
• JESSE CANTU, RN, BSN, CWS, FACCWS is a Certified Wound Specialist. The clinical staff at Texas State Healthcare specialize in “wound management”. We use “WOUND-VAC” for those cases that require this treatment. We know that wound management for those patients recovering from surgeries and/or other illnesses is a very high priority. Our SWAT TEAMS are trained to prevent and watch for ulcers (bedsores), which can be frequent and potentially dangerous wounds if they occur and are not treated timely and thoroughly.
• CATHETERS: We provide patients with nursing care to indwelling foley catheters, suprapubic catheters, condom catheters, nephrostomy tubes and patients requiring straight catheterizations. Our nursing staff handles the care, maintenance, changing, proper infection control, troubleshooting and bladder retraining. Most importantly, we are able to decrease hospital admissions for urinary tract infections since we are in the home to intervene early. We provide education to patients and their family on proper care, cleaning, infection control, and how to handle any possible complications. By providing care in the home, we are able to decrease frequent visits for changing out catheters, maintenance to existing catheters, and troubleshooting that can be managed in the home setting. Managing these important things in the home also decreases caregiver/patient stress of getting the patient to and from appointments that can be managed in the home. We believe it is most important to coordinate all care with the Physician, the patient and the family to develop the best care program for each individual patient.
• CONGESTIVE HEART FAILURE (CHF): Our CHF-related services may include but are not limited to:
Skilled Nursing:
Skilled observation & assessment
New diagnosis teaching
Instruction regarding exercise & cardiac rehab
Instruction regarding cardiac medication regimen
Drug toxicity and possible drug interactions
Medication assessment, instruction, & supervision
Pain management, assessment & instruction
Auscultation of the heart & respiratory system
Wound assessment, treatment, instruction to all
Nutritional support
Diagnostic equipment as ordered
Instruction regarding the prevention of compli-
cations, early detection& when to notify physician
IV therapy and associated venipuncture
• DIABETES: Our diabetic patients are provided with “state-of-the-art” glucometers for blood testing. For Spanish speaking or visually impaired patients, we will provide devices that speak in English and/or Spanish and directs the patient through each step in the blood testing process. The speaking feature is a breakthrough in this technology because it takes the diabetic patient step-by-step through each procedure. It is really life altering for those who are blind and seeing impaired. It opens up a new dimension for being able to self-test their blood when there is no one around to assist them. Each glucometer has a portal that can be accessed by our visiting nurses through their laptops and gives a daily record of the number of tests and results of each test. This is a great feature for the patient’s physician to determine the protocol required to treat the diabetic patient.
• IV THERAPY: We provide IV Therapy, which includes Medicare/Private Insurance approved antibiotics/IV Medications, PICC Line care, teaching and management.
• LAB SERVICES: We have the latest PT/INR device to use with those patients taking Coumadin (Warfarin) to monitor and stabilize the clotting time and therapy, which will also decrease lab costs for our patients. Our nurses perform labs (blood and urine) in the home saving the patient and family trips to labs.
• SAFETY FIRST: During the “Admit process” for all new homecare patients, our nurses go through a detailed “Safe At Home Process”. It is well known that over 80% of elderly homebound patients will suffer a serious fall at some time. Our goal is to minimize the chances of our patients taking a bad fall. This is relatively easy to accomplish by eliminating any potential fall hazards, i.e., loose throw rugs in hallways and baths; extension cords that extend over onto pathways; lack of “grab-bars” in baths and showers; improper lighting or no lighting when patient is going to the bathroom at night; stairways and steps that have no type covering to help eliminate slipping while walking on slick-soled shoes or when wearing just socks or loose-fitting house shoes. We also examine to see if entrances/exit doors and bathroom doors can accommodate the use of a wheelchair, if applicable. NOTE: Medicare will not pay for any type retro-fit, i.e., widening doorways, building entrance and exit ramps, etc., but, we have found that family members, churches and other sources are available to help pay for these very badly needed improvements.
“Taking Healthcare Back Home, Where It Belongs
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