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Documentation in Long-Term and Home Healthcare Setting

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
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Hospitals-II

Hospitals-II

Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
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Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...

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Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...

Restorative Care

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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...

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Related Experiment Video

Updated: Mar 6, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

The Hospital at Home program: no place like home.

M Lippert¹, S Semmens¹, L Tacey¹

¹Hematology, Oncology, Blood and Marrow Transplant Program, Alberta Children's Hospital, Calgary, AB.

Current Oncology (Toronto, Ont.)

|March 9, 2017

Summary

A pilot Hospital at Home (H@H) program successfully provided pediatric cancer and blood disorder therapy at home. This approach reduced family burden and improved quality of life, proving feasible for specialized care.

Keywords:

Pediatrics chemotherapy hematology home care program development

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Area of Science:

Pediatric Oncology
Hematology
Blood and Marrow Transplantation

Background:

Pediatric cancer treatment imposes significant burdens on families, impacting quality of life due to frequent clinic visits and hospitalizations.
Home-based care models are needed to alleviate these burdens.

Purpose of the Study:

To describe the development and implementation of a Hospital at Home (H@H) program for pediatric hematology, oncology, and blood and marrow transplant (BMT) patients.
To assess the feasibility and impact of home-based care on patient and family well-being.

Main Methods:

Developed and implemented a H@H program delivering chemotherapy infusions, supportive care, antibiotics, hydration, and patient/family teaching in the home setting.
Served 136 pediatric patients (ages 1-4) between 2013-2015, conducting 1701 home visits.

Main Results:

The H@H program primarily served oncology patients (82%), followed by hematology (11%) and BMT (7%).
No adverse events were reported during the study period.
Family surveys indicated reduced daily disruption and satisfaction with specialized nursing care. Staff noted H@H facilitated early discharge through out-of-hospital monitoring and education.

Conclusions:

A dedicated H@H program for pediatric hematology, oncology, or BMT patients is feasible.
The pilot program demonstrated potential for improving patient quality of life and offering cost-benefits for families and the healthcare system.