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Physiotherapy at Home

Physiotherapy is a therapy that makes use of physical techniques to relieve pain and increase mobility. Just like as a machine our body also needs regular maintenance to keep it mobile. Physiotherapy maximizes the range of movement in joints, muscles and bones. It also helps us to improve fitness, balance, mobility, strength as well as injury prevention and treatment.

Many benefits are available of physiotherapy. It helps to reduce orthopedic, neurological, cardiopulmonary and cardiac problems among infants, children, adult and geriatric population. Physiotherapy plays a major role to treat some of the orthopedic disorders like arthritis, fractures, joint disorders, back and neck pain, sports injuries, amputation and post-operative conditions.

Orthopedic physiotherapy: Orthopedic physiotherapy takes place in a private practice, depending on the stage of the condition. Physiotherapy treatment may involve therapeutic exercise to improve strength, range of motion and endurance and to correct postural and muscle imbalance, joint mobilization, manipulation and soft tissue massage as well as stretching and trigger point therapy to reduce stiffness and relieve pain.

Neurological disorders: Patients with neurological disorders such as stroke, multiple sclerosis, cerebral palsy, parkinson’s disease and spinal cord injury can benefit greatly with physiotherapy treatment. Interventions focus on muscle re-education and control, rehabilitation of fine and gross motor skills, improving daily function, regaining strength and flexibility, learning how to perform safe transfers, restoring and improving gait and training in the use of mobility aids.

Child care physiotherapy: For children suffering from cerebral palsy physical therapy plays a central role in managing the conditions; it focuses on function, movement and optimal use of the child’s potential. Physiotherapy uses physical approaches to promote, maintain and restore physical, psychological and social well-being. Physiotherapists also teach parents how to handle their child at home for feeding, bathing, dressing and other activities, and give advice on mobility devices.

Cardiopulmonary conditions: cardiopulmonary conditions respond well to physiotherapy interventions. Cardiopulmonary physiotherapists work with patients in a variety of settings. They treat acute problems like asthma, acute chest infections and trauma; they are involved in the preparation and recovery of patients from major surgery. They also treat a wide range of cardiac and respiratory conditions like Chronic Obstructive Pulmonary Disease (COPD), cystic fibrosis (CF) and post-myocardial infarction(MI). Intervention also includes manual therapy and exercise to help clear secretions in the lungs, counseling about risk factors, patient’s education to prevent future recurrence and modification of behavior.

Pain management: in any number of cases for both chronic pain or pain resulting from an accident or injury, physiotherapy will aid in pain management improving your quality of life so you can resume your daily activities, sports and hobbies.

Physiotherapist will assign a number of therapeutic exercises to practice at home between appointments. Many people think that once they are shown how to do the exercises they will no longer require assistance from their physiotherapists. This is a wrong concept. Without regular appointments chances are you will not be able to progress to complete recovery and could even make matters worse. Those who are completely bed ridden can also get treated at their own home. Some professional therapists also provide the services at your own place. Your physiotherapist will first check your improvement and then can increase or change your exercises according to match your progress. Sometimes they will reduce your exercise if you seem to be having difficulty. Physiotherapy plays an important role for a number of treatment programs and when disregarded can stop you from regaining your strength and health.

Palliative Care at Home

While most terminally ill people die in hospital, many would prefer to die at home. But funding constraints and medical models mean it’s a choice not often available. The aim of home palliative care is to achieve the best possible quality of life for the person with a life-limiting illness and to provide a special end-of-life care service in familiar surroundings, with family and other loved ones at hand. Real palliative management includes a holistic and integrated approach that looks after the whole person, not just their physical symptoms but also their psychosocial and spiritual needs.

The service is provided by specially trained community care workers who work as part of the existing multidisciplinary community palliative care teams. Care provided is determined by the patient and their family in consultation with the community palliative care team and may include assistance with personal hygiene, domestic assistance and shopping-providing  cares with vital support during the end of life stage. In consultation with the Community Palliative Care team and the patient’s doctor, it may also include basic nursing care. the delivery of end of life care may be consecutive hours or may be spread over several weeks.

The great benefit of this care is that the family can focus more fully on the needs of their loved one and can make the most of their final time together, knowing that there is professional care support at hand to help them through this most important and difficult time. All care workers are trained in pain and symptom management; grief, loss and self care; essence and ethical issues in palliative; and most importantly communication.

Patients who have expressed a wish to diet at home or remain at home for a long as possible are subject to few criteria:

  • The patient should have either a deteriorating or terminal condition.
  • Family care is physically/emotionally unable to continue care at home without support.
  • There is limited family support.
  • There are specific cultural/spiritual issues necessitating extra support.
  • Functional ability of patient is poor.

When treatment is no longer likely to work, palliative care is there to help patients live in the comfort of their home and die with dignity.

Geriatric Care

The medical care of senior and elderly people is called Geriatric Care.it is not only to just look after  the basic medical needs but also for the psychological social needs of seniors.

As the human body starts to grow old the body parts along with the mind starts to show th signs of aging. During old age most of the people start to suffer with several types of disease as the body function decrease. Here are some examples:

Vision: In general old people have poor vision. Some even have cataract or glaucoma.

Hearing: They may also suffer with the less ability of hearing.

Endocrine: Elderly people easily get tired or even sick due to diminished endocrine function and decreased metabolism.

Heart: They may prone to cardiovascular and related disease like hypertension, diabetes etc.

Brain and nerves: Due to nervous disorder some of them may suffer with dementia, Alzheimer’s

and Parkinson’s disease.

Bone and Muscles: Now a day’s most of the senior suffering with osteoporosis, arthritis due to lack of Calcium and bone related disorder.

With better medical facilities and change in lifestyle, life span has increased. The increase in lifespan has come with its share of problems. With todays’ stressful life old people feel lonely and their boon of long life becomes a curse. Life of the elderly people becomes lonely as most of their juniors are getting emigrated to different countries or cities due to their profession. Even while living in the same city people are preferring nuclear families.

During aging physiological as well as psychological changes occur in human beings. We should deal appropriately with these changes. Care and support at home can help older people in overcoming insecurity. Little concern can go a long way in helping them. Family and friends have a major role which is mentioned below.

Providing a safe and comfortable environment at home will boost their mental strength. Some adjustments and cooperation can aid a lot. Respecting their opinion and suggestions can make them feel being part of the family.

  • Engaging them in their earlier habits like morning walk, meeting friends, shopping for household etc. can help to reduce anxiety.
  • Taking over of some financial responsibilities can also make them to feel relaxed.
  • Regular health checkup can make them feel fit and healthy.
  • Encouraging them to take up a new hobby can excite and nurture the child in them.
  • Yearly vacation can give them a new lease of life.

Most of all some time spent with them like having dinner together, watching television,

listening to their daily concerns can give them a fulfilling old age.

Diagnostics at Home

Diagnostic and monitoring device is one of the biggest product segments of global home healthcare market with highest share. Home diagnostics is gaining recognition as gadgets drives down the cost and provides a reliable degree of accuracy. With increasing health awareness among people, increase in number of young and geriatric people diagnosed with chronic disease such as diabetes, cardiac disorders and respiratory diseases, the demand for home diagnostics is expected to grow even more in the next few years.

People buy their at-home diagnostic tests and health-monitoring devices at pharmacies or online. At home diagnostic products include blood pressure monitors; blood cholesterol level monitors; heart-rate monitors; blood glucose monitors, A1C test kits, and monitoring supplies (including lancets and test strips); home pregnancy and ovulation tests; and kits that require a blood or other tissue sample to be sent out for testing, such as test kits for blood cholesterol levels, HIV, hepatitis C, and DNA tests that can be used to prove paternity. The latest to be added in this category is at-home cancer testing device for screening lung, breast and prostate cancer. Some of the key industry participants global home diagnostic market includes 3M Health Care, Bayer AG, Abbott Laboratories, Phillips Healthcare, Cardinal Health, Inc. F.Hoffmann-La Roche ltd., Medtronic, Inc., Omron Healthcare, Inc. and Invacare Corporation among others.

Currently the largest market for home tests is blood glucose monitoring (BGM). When tracing the history of home testing it can be seen that some of the technology developments, from initial urine dipsticks for finger-stick testing, are where smaller and smaller amounts of sample are now required. Most home diagnostic systems provide a single test result; but in future a panel of tests might be more applicable and that the output of these results would need to be displayed in an easy to understand manner for the home user.

Alongside the technology improvements, more recently greater focus is seen on providing better data for the patient to manage their disease. Devices that now provide the calculation of bolus amounts of insulin that the patient should take care based on their carbohydrate intake and blood glucose are becoming available. Easier analysis of the results of testing and sharing of that data has become more common place.

Dental Care at Home

Everyone can maintain good dental health throughout their life by adopting good oral hygiene practices and by having a healthy diet. Oral health is important not only for adults but for babies as well. Good dental care starts well before first baby teeth arrive. Cleaning of gums couple of times a day with damp face washer or gauze is essential. As soon as the teeth arrive, clean them twice a day. Small, soft toothbrush without any toothpaste can be introduced to children under 18 months. Once the child is over 18 months old, toothpaste can be used. Water and milk are best for babies, toddlers and preschoolers. Encourage them to have health food instead of junks.

As an adult, oral health is often associated with risk factors such as diet, smoking and alcohol. Our eating and drinking habits play an important role in the development and prevention of tooth and gum problems.

The following tips will help keep the teeth in good condition:

  • Fluoride helps to protect against tooth decay. Drink plenty of tap water, as it usually contains fluoride. If tap water is not available use fluoride toothpaste.
  • Along with brushing, use floss to clean between the teeth. Tongue cleaning should be incorporated into daily routine as it removes odor-causing buildups. Mouthwash can be used to reduce the microbial load in the oral cavity and to reduce bad breath.
  • Learn to indulge in health food habits instead of unhealthy ones. Try nutritious snacks like fresh fruits, vegetables, cheese, natural yogurts etc.
  • Quit smoking, limit alcohol intake and avoid recreational drugs.

Pregnant women should keep their teeth and gums healthy during and after pregnancy, especially those who experience morning sickness with vomiting and/or acid reflux. It is advisable to rinse the mouth immediately after each vomiting and/or acid reflux episode. To protect the softened enamel surface, smear toothpaste over the teeth and leave it for 30 minutes before brushing.

Older adults should chew sugar free gums to reduce tooth caries. Those with dentures should clean their gums and tongue twice a day. Dentures should be washed be washed after each meal using brush with mild soap (avoid toothpaste).

Apart from all these, it is mandatory to have regular oral health checkups, preferably at least once every 6 months. Seek advice from an oral health professional if a problem arises. Dental wellbeing is a lifelong commitment. And as we all know commitment requires care and patience.