Home Health Services

Home health nurses can check vital signs, manage medications, care for surgical wounds, handle IV medicines and teach families how to care for drains or catheters. Physical therapists help rebuild strength and balance after surgery or long hospital stays. Occupational therapists focus on daily tasks such as bathing and dressing, and may suggest equipment. Home health aides can help with personal care during visits. Social workers may also be available to connect you with community resources. The exact services depend on your needs and your doctor's orders.

Home health services usually require a doctor's order that describes the care you need. Medicare generally covers home health when you are considered homebound and need skilled nursing or therapy on a part-time or intermittent basis, and similar rules apply to many private plans. Ask your doctor or hospital discharge planner to make the referral. You often have a choice of certified agencies, so ask about their experience with cancer patients. Confirm coverage details with your insurer before services begin.

Home health care is different from private-duty caregiving, which provides longer hours of help with meals, housekeeping and supervision and is usually paid out of pocket. It is also different from hospice, which focuses on comfort when curative treatment is no longer the goal. Some patients move between these types of care as needs change. Ask your care team to explain which option fits your current situation, and revisit the question after major changes in treatment or health. Your social worker can explain how the different types of care fit together and which ones your insurance covers.

1. 1

   Ask your oncologist or discharge planner whether you qualify for home health services.

2. 2

   Request a list of certified home health agencies and ask about their cancer care experience.

3. 3

   Confirm with your insurance plan what visits and services are covered before care begins.

4. 4

   Keep a notebook where each visiting nurse or therapist can leave notes for the family.