Clinical Care Success Stories in Home Settings
As the healthcare system has evolved, home-based care has increasingly become a model that has produced remarkable patient outcomes across a broad range of cases, from the most complex chronic conditions to postoperative recovery to palliative care. In fact, clinical care in home settings frequently translates into increased patient comfort, personalized care plans, and fewer hospital readmissions. To illustrate this, in this article, we examine several success stories that highlight the power of clinical care that’s flourishing in the home. Case Study 1: Managing Chronic Heart Failure with Home-Based Care Patient Profile: Five years ago, John was diagnosed with chronic heart failure. Since then, medication and lifestyle have kept him out of the hospital, except for three admissions to the cardiac ward in the past year, when he developed complications and his symptoms worsened. Intervention: John’s care team decided that he would be better able to manage his condition if they moved him to a home-based care model, including: Outcomes: Case Study 2: Post-Surgical Recovery and Rehabilitation at Home Patient Profile: Procedure: I have recently undergone a hip replacement as I was suffering from very bad arthritis. It has been difficult for me to recover from the surgery as I can’t go for walks in the hospital, and I am in a great deal of pain. Intervention: Mary’s care team decided that rehabilitation would be best performed at home: Outcomes: Case Study 3: Palliative Care for Terminal Illness Patient Profile: At the time, 79-year-old Robert was diagnosed with terminal cancer that no longer responded to aggressive treatment. He chose to receive palliative care at home, focusing on therapeutic goals aimed at comfort and quality of life, while avoiding interventions with uncertain outcomes or potential harm. Intervention: Robert’s palliative care plan included: Outcomes: Case Study 4: Managing Diabetes with Home-Based Care Patient Profile: After switching to a ketogenic diet, she reported improved blood sugar control and reduced blood fat levels both of which are linked to a lower risk of heart disease and stroke. ‘Susan had had type 2 diabetes for years and hadn’t been able to achieve better blood sugar levels because of poor glycemic control, which is how I would describe that term,’ says Phinney. Pólicková’s diabetes stabilized faster at lower doses, suggesting that the ketogenic diet was responsive in her body. ‘She had no hypoglycemia, she had less insulin,’ says Feinman. Intervention: Susan’s care team implemented a home-based diabetes management program that included: Outcomes: These case studies show how home-based clinical care can contribute to the success of home care by delivering individualized, patient-centered care in the home to the benefit of improved health outcomes, a quality of life consistent with medical goals, and a better patient and family experience. Whether in the context of chronic condition management, surgery recovery post-acute care, or palliation, home-based care provides a flexible and efficient way to meet the many differing needs of patients. Around the world, there are developing models of care tied to primary care that demonstrate a new way of healthcare delivery – high-touch, high-tech, and high-value care to improve the patient and family (or staff or informal caregiver) experience while still achieving or even exceeding health outcomes.
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