Decision to Nurse at Home

 

Key Considerations
 

 

 
Is the Care Long-Term?

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Taking on the role of caregiver may mean having to make changes in your lifestyle. This may not be significant if the care is temporary.  Long-term caregiving is very likely to impact your work, family time, personal time and sleep.  Remember if you have decided to take on the role, be prepared to make changes.  Discuss with your doctors if you are uncertain of the duration of care.  Consider the availability of community resources and see how you can integrate with your care plan.  You can find some services here which may facilitate your caregiving roles.

 

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What are the Cares Required?

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Cares can vary from simple maintaining of hygiene to more complex tasks such as tube feeding and administering home dialysis.  Your healthcare professionals will teach you the require skills and supervise you until you are comfortable and competent in doing it yourself.  In some cases, such as chemotherapy, you may need to accompany the person for outpatient treatment.  Find out from your healthcare professional exactly the cares required so that you know how best you can manage your time.

 
How Much Care is Required?
 
Determine the amount of time you can devote to your loved one's care needs. Assess his level of abilities to cope with the activities of daily living, such as eating and dressing.  If he is alert and can move around with minimum supervision, encourage him to be as independent as possible.  These will help to lighten your responsibilities and also improve the person's morale.  However, if the person needing care is comatose or paralytic, then more attention is required by you.  Also, do consider the frequency you need to accompany him for medical appointments if you have to make arrangement for time-off from your work.

 


What are Your Own Needs and Capabilities?

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Be sure to understand your own needs because you may have to make major changes in your lifestyle if the care is long-term.  Take a step back to assess your situation as objectively as possible, reviewing all the choices open to you.  Consider the reduced amount of private time you will have to pursue your own interests or hobbies and the uncertainty of what the future holds.  Evaluate the need to make adjustments on your current employment.  If you were to reduce your work hours, determine the implications for your financial needs and career advancement.  Review the financial situation of your family and decide on a budget that you will be able to provide.  You should hold frank discussions before embarking a plan.

 


What are the Care Recipient's Preferences?

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From the care recipient perspectives, no places is like home.  One usually prefers the familiar environment and be taken care of by someone he knows.  Be sure to understand your his needs.  If possible, includes him in the decision-making process and listen compassionately to his concerns.  List down the points affecting your decision and weigh the pros and cons of each point.  If you really cannot render homecare, explain to him.  A sick person needs a lot of reassurance from their loved ones.

 

Do You Have a Team of Caregivers?
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Expect that you will, at times, become exhausted and will need to find a way to rest.  Hence, you have to recognise that you need the help and support of others.  Before you ask for assistances, identify and make a list of the tasks required in caring for your loved one.  Determine the tasks you can complete and those to be completed by others.  Get support from the people affected by your decision.  Do not be afraid to ask for help.  Check with your siblings, relatives, friends, and even neighbours to see if they can help.  You may also like to engage domestic helpers to be part of your team.  Also, do consider services in the community, such as volunteers and home nurses, where you can pull resources
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Have You Discuss the Problem Honestly?

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You have to discuss the matter with
those who are affected by your decision Face up the facts and do not be blinded by feelings.  Discuss frankly on the expenses and how much you can afford.  Do not feel guilty or ashamed to admit if you may be jeopardizing your own health or well-being in providing care at home.  You need to make those affected understand how the choice is made, and in this way they will be more willing to bear with any bad consequences.  Remember, it is a very emotional time for all involved during this decision making phase.  It may be helpful to bring in a third party, who is neutral, for opinions from a different perspective.