홈 케어 간호: 노인을 위한 서비스 및 혜택

방문 간호사는 노인을 위한 필수 가정 간호 서비스를 제공하여 노인의 건강과 웰빙을 향상시킵니다.

### 가정 간호의 이해: 방문 간호사의 인사이트
* 🏥 방문 간호사는 특히 노인을 대상으로 **환자의 가정에서 직접 필요한 간호와 건강 관리**를 제공함으로써 중요한 역할을 합니다.
* 👵 이러한 서비스는 개인의 건강 상태에 따라 **가정 방문, 방문 간호, 목욕 등 장기요양보험에서 주로 활용**됩니다.
* 도착 즉시 간호사는 **혈압, 맥박, 체온, 혈당 수치**와 같은 기본 건강 지표를 평가하여 환자의 필요에 따라 간호를 조정합니다.
* 💪 특히 뇌졸중이나 파킨슨병과 같은 질환이 있는 경우 재활 운동은 **경직을 예방하고 근력을 유지하기 위한 운동**에 중점을 둡니다.
* 💰 가정 간호 서비스 비용은 일반적으로 간호 기간에 따라 **방문당 7,000원부터 시작**하여 병원 방문보다 저렴한 편입니다.
* 📋 이러한 서비스를 이용하려면 먼저 국민건강보험공단으로부터 필요한 지원 수준을 결정하는 **장기요양 등급**을 받아야 합니다.
* 🏡 전반적으로 가정 방문 간호는 **노인의 건강 상태를 크게 향상**시키며, 더 나은 건강 관리를 위해 이러한 서비스를 고려하는 것이 필수적입니다.
* 💬 정혜진 간호사는 전반적인 건강 및 복지 향상을 위해 **가정 방문 간호 서비스에 대한 이해와 활용의 중요성**을 강조합니다.

Hello, this is the dementia specialist YouTube channel, Smart Doctor, with Jeong Hye-jin. Today, we are going to have a guest. We will be discussing home care with a visiting nurse from our connected home care team. Could you please introduce yourself?

Hello, I am Park Mun, a nurse, and I am Jo Yeon-sook. Nice to meet you. Today, we are here with Hyun-sook to talk about home care. Could you introduce what a visiting nurse does?

Usually, when people think of nurses, they think of those who work in hospitals. However, visiting nurses go directly to patients' homes, providing necessary nursing care and health management. They visit homes directly and bring the necessary nursing supplies with them. Ah, I see. It's for the elderly.

Among the various services provided under long-term care insurance, we have home visits, visiting nursing, and visiting bathing. Among these, visiting nurses are currently providing services. Individuals with long-term care grades tend to utilize these services frequently; some may only use visiting bathing while others may also take advantage of visiting nursing. The type of individuals who utilize visiting nursing can vary significantly based on their health status. The content of visiting nursing and health management changes considerably according to the health conditions of the beneficiaries. Some may require nursing interventions, while others may need rehabilitation, depending on their health status and functional abilities. Generally, elderly individuals with long-term care grades often have dementia or have difficulty moving.

Among these individuals, there are those who require medical assistance that goes beyond everyday care, such as those with bedsores or various catheters due to health issues. Visiting nurses, like teachers, come to provide care for these individuals. I am curious about what the nurses do when they arrive. The activities vary depending on the health condition, as not every home is the same. 

To check the basic health management status, they assess blood pressure, pulse, temperature, and blood sugar levels. The care can be divided into two categories: rehabilitation and treatment. Rehabilitation involves exercises to prevent stiffness, helping to maintain or improve the current muscle strength. Treatment, on the other hand, addresses various needs among the patients, including managing catheters.

There are people who have urinary catheters and other medical devices that can be exchanged, disinfected, and managed at home. In the field of rehabilitation, if a person is generally healthy, it is okay, but for those who have experienced a stroke or have Parkinson's disease, joint stiffness can also be alleviated through exercise. That's right. The effects of exercise do not improve after just one or two sessions. Therefore, elderly individuals should engage in joint exercises consistently, without overexerting themselves, according to their health status. Additionally, we provide education to caregivers to help prevent joint stiffness or, in cases where stiffness has already occurred, to ensure it does not worsen. In fact, for elderly individuals, if they fall and suffer a hip fracture or if arthritis is severe, their mobility can be significantly affected.

If the time spent unable to move increases, muscle strength gradually declines, and those who used to walk well may struggle to do so. If the state of being bedridden lasts for a long time, it will require a significant amount of time for recovery, which can be challenging. However, if we assist quickly when the initial condition arises, recovery can be more resilient. Regarding treatments, there are various types of tubes, but when we visit elderly patients, we often find that those with nasal tubes or urinary catheters are generally in a severely bedridden state. When we take those patients to the hospital to replace even one tube, the entire family often has to mobilize, or we have to call a private ambulance to manage it. But if a doctor like Ho comes in and takes care of it, it seems incredibly simple. In reality, many patients around us appreciate this, so in such cases, the caregivers also...

I'm very satisfied. Also, pressure sore treatment can be done at home, and skin wound care can also be provided at home if necessary. Once you visit an elderly person's house, how much time does it usually take? It typically takes a short time, usually between 40 to 60 minutes. Sometimes it may exceed 60 minutes, and in those cases, the fee might vary slightly, but it's not a significant difference, usually just a few thousand won. The fee for the service can differ based on the duration, right? Yes, it can vary a bit. The long-term care insurance for the elderly has different rates for each service, and yes, that's correct. The cost varies based on the time spent. Let me explain briefly: usually, if you receive home nursing services for more than 30 minutes and less than 60 minutes, the cost for the caregiver is about 7,000 won per visit. The rest is...

If you receive the costs from the facility, when you visit four times, you would be able to receive home visiting nursing services once a week for a month, which amounts to about 28,000 won. This is much cheaper than a visit to the hospital. However, there is a home nursing fee for services lasting less than 30 minutes, but it rarely stays under that time. If you do a little bit of this and that, it usually goes over 30 minutes. I also have a case where I provide insulin administration, give diabetes medication, and check blood sugar levels, which are basic medication management services. In that case, it takes about 20 minutes for me to provide the service. If someone wants to try home visiting nursing and thinks that it might be necessary for our elderly, how can they apply for home visiting nursing? First of all, you need to receive a grade for long-term care.

To receive a grade, and based on that grade, the content of the service will determine the level of assistance. First of all, you need to have a grade; if you do not have one, you should first apply for a grade at the National Health Insurance Corporation's Long-Term Care for the Elderly department. Once you receive your grade, you can apply for home care or visiting nursing services. If you contact a nearby visiting nursing agency, they will take care of the process for you. However, when you receive your grade, it will indicate what level you are assigned, but in addition to that, there is a standard long-term care utilization plan. This plan specifies what services are appropriate for the individual, and even if visiting nursing is mentioned, you can still access those services. Therefore, if you wish to use nursing services and do not have a grade, you should include visiting nursing in your application from the beginning.

You need to express your intention to utilize the service, and since there are different levels of care, if there is no home visit nursing included in the standard long-term care plan, you should contact the organization to apply for it. This process is necessary. Today, we had a conversation with visiting nurse Jo Yeon-soo, and to summarize, the visiting nurse goes directly to the elderly person's home to provide basic health management, medication management, nutritional management, rehabilitation, and various treatments. Anyone with a long-term care grade for the elderly can utilize home nursing services. The cost that caregivers need to bear is about 7,000 won per visit. If you wish to use home nursing, please contact a nearby home nursing center. If you do not have a care grade, you will need to go through the process to obtain one. If you do have a grade, you can consult to find out which nurse can provide what level of service.

You can receive home visit nursing services if you agree on the frequency and duration of the visits. From the perspective of those providing the service, we often worry about the moments when you need to go to the hospital. We suggest that it would be beneficial to go, but we understand that there are many difficulties that can cause hesitation. However, since there are many limitations to the medical services provided at home, we sometimes need to emphasize the importance of taking you to the hospital. If you were not aware of home visit nursing services until now, I hope you start looking into them today. Utilizing these services can significantly improve your basic health status compared to before receiving home care. This has been Jeong Yeo-jin from the dementia specialist YouTube channel, Smart Doctor. Thank you.

방문 간호사가 알려주는 방문 간호의 모든 것

치매에 대한 모든 정보를 의사와 간호사가 직접 알려주는 국내최초 치매 전문 유튜브 채널입니다. 
채널 관련 문의는 mina@hellohi.net 으로 주세요 :)

치매 똑똑

가정 간호에서 방문 간호사의 역할

방문 간호사는 환자의 가정에서 직접 필수 간호 및 건강 관리를 제공하며, 특히 노인 및 장기 간호가 필요한 개인을 대상으로 합니다.

방문 간호사의 서비스는 수혜자의 건강 상태에 따라 달라지며, 필요에 따라 재활 운동과 의료 치료를 제공합니다.

일반적인 활동에는 활력 징후를 평가하고 카테터 및 상처 치료와 같은 의료 개입을 관리하는 것이 포함됩니다.

노인을 위한 의료 기기 및 재활 관리

뇌졸중이나 파킨슨병과 같은 질환으로 관절이 경직된 사람들이 꾸준한 운동을 통해 집에서 요도 카테터와 의료 기기를 관리할 수 있습니다.

간병인을 교육하는 것은 관절 경직을 예방하거나 완화하고 낙상이나 골절 후 이동성을 지원하는 데 매우 중요합니다.

침상에 누워 있는 환자의 초기 단계에서 신속한 지원은 보다 탄력적인 회복으로 이어질 수 있으며, 의료용 튜브를 교체하는 관리에는 종종 상당한 가족 동원이나 사설 구급차 서비스가 필요합니다.

욕창 및 피부 상처 치료를 포함한 노인 가정 간호 서비스는 일반적으로 40~60분 정도 소요됩니다.

서비스 요금은 기간에 따라 다르며, 간병인은 30~60분 방문 시 약 7,000원을 청구합니다.

장기요양보험은 각 서비스마다 다른 요율을 적용하므로 병원 방문보다 가정 간호가 더 저렴한 옵션이 될 수 있습니다.

노인을 위한 가정 간호 서비스 이용하기

재택 간호 또는 간호 서비스를 받으려면 먼저 국민건강보험공단에서 장기요양 등급을 받아야 합니다.

등급에 따라 이용할 수 있는 지원 및 서비스 수준이 결정됩니다.

등급이 없는 경우 처음부터 신청서에 방문 간호를 포함시키고 서비스 이용 의사를 밝히는 것이 중요합니다.

가정 방문 간호 서비스의 중요성

가정 방문 간호 서비스는 방문 빈도와 기간에 대한 동의가 필요합니다.

의료진은 종종 병원 치료가 필요한 환자에 대해 걱정하고 가정 의료 서비스의 한계로 인해 그 중요성을 강조합니다.

이러한 서비스를 활용하면 환자의 기본적인 건강 상태를 크게 개선할 수 있습니다.