Restorative Health Care’s Personal Assistance Services (PAS) are performed under the Licensed Home Health (LHH) category and although this class of licensure allows for skilled as well as unskilled agency caregivers, RHC only provides skilled caregivers for this program. Skilled caregivers include RN’s and LVN’s who provide physician directed skilled care to clients 21 years of age and older. Skilled care refers to “hands-on” interventions that are only allowed within the scope of practice of a nurse or therapist licensed in the State of Texas.
- Comprehensive RN/LVN assessment with a review of body systems
- Vital signs, patient monitoring, patient measures
- Medication administration (oral, inhaled, topical, subcutaneous, intravenous, per gastrostomy or nasograstric tubes)
- Respiratory support (nebulized treatments, metered dose inhalers, ventilator support, Bipaps, CPAP’s, IPV’s, pulmovests, chest percussion, tracheal/oral/pharyngeal suctioning, tracheostomy care)
- Intermittent catheterizations, indwelling cathether insertion and care
- Enteral feedings, gastrostomy care, nutritional support
- Mobility assistance, home exercise programs (active/passive range of motion)
- Family caregiver teaching and support
This program has a primary focus of providing long-term continuous hourly care utilizing skilled caregivers and case manager oversight to clients who are chronic in nature and have ongoing skilled care needs. A physician-directed client plan of care is followed to ensure patient safety at home, prevent or minimize hospitalizations and acute and emergent care services, prevent long-term complications, and to use a team approach involving family caregivers and physicians to promote optimal health and patient stability. The duration and frequency of services is dependent upon client need, available funding, and available services. Typically, a patient who is cared for under the RHC PAS program has endured some catastrophic event resulting in their medical condition.