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Home care services

Treatment of chronic diseases at home

Treating people at home in their living rooms, instead of at the hospital, is an approach that can improve quality of life for many patients.[1,2] “People with severe or chronic diseases often suffer from depression and anxiety. They have the feeling that they are powerless and have little control over their life,” says Heike Spaderna, Professor for Health Psychology at the University of Trier. Being able to choose the treatment time and having more time for yourself and your family can make a big difference in terms of mental health.

Where will we get well fastest?
Female nurse is greeted at the open front door by a man standing at the entrance to the apartment building with a young boy in his arms.
Two female hands embrace a small model house from both sides.

“A key point for successful treatment at home is the fact that the patients are not alone. Having family or friends to help out and competent caregivers to monitor the treatment is crucial.”

Prof. Dr. Heike Spaderna, Professor for Health Psychology at the University of Trier
female nurse and male patient standing in the front door of patient's home
If these conditions are in place, treatment at home may be an enormous psychological advantage for the patient.[2]
Claudia and Matthias Hatscher during home dialysis. Claudia sitting near by Matthias both looking straight to the camera.
Two female hands embrace a small model house from both sides.

“Home dialysis has major advantages, even from a medical perspective. People who receive their treatment at home are healthier and have better results than patients in dialysis centers.[3,4,5]”

Simone Klein, Head of the Home Hemodialysis Service at B. Braun in Germany
Man lying on a bed, upper body elevated by pillow or backrest. A dialysis machine can be seen in the background.
Male nurse prepares an infusion bag on a table in a brightly lit living room. Hand sanitizer can also be seen on the table.
A woman with very short hair is lying next to a boy on a sofa, both with their upper bodies raised. They look at each other with a smile. In the background, a male nurse hangs an infusion bag on a rack.

 References 

  1. Health Quality Ontario. In-home care for optimizing chronic disease management in the community: an evidence-based analysis. Ont Health Technol Assess Ser. 2013 Sep 1;13(5):1-65. PMID: 24167539; PMCID: PMC3804052.
  2. Persson HL, Lyth J, Lind L. The Health Diary Telemonitoring and Hospital-Based Home Care Improve Quality of Life Among Elderly Multimorbid COPD and Chronic Heart Failure Subjects. Int J Chron Obstruct Pulmon Dis. 2020 Mar 9;15:527-541. doi: 10.2147/COPD.S236192. PMID: 32210547; PMCID: PMC7069558
  3. Ting GO, Kjellstrand C, Freitas T, Carrie BJ, Zarghamee S. Long-term study of high-comorbidity ESRD patients converted from conventional to short daily hemodialysis. Am J Kidney Dis. 2003 Nov;42(5):1020-35. doi: 10.1016/j.ajkd.2003.07.020..
  4. Weinhandl ED, Nieman KM, Gilbertson DT, Collins AJ. Hospitalization in Daily home hemodialysis and Matched Thrice-Weekly In-Center Hemodialysis Patients. Am J Kidney Dis 2015 Jan;65(1):98-108. doi: 10.1053/j.ajkd.2014.06.015.
  5. Rydell H, Ivarsson K, Almquist M, Segelmark M, Clyne N. Improved long-term survival with home hemodialysis compared with institutional hemodialysis and peritoneal dialysis: a matched cohort study. BMC Nephrology (2019) 20:52. https://doi.org/10.1186/s12882-019-1245-x
  6. Braet A, Weltens C, Sermeus W. Effectiveness of discharge interventions from hospital to home on hospital readmissions: a systematic review. JBI Database System Rev Implement Rep. 2016 Feb;14(2):106-73. doi: 10.11124/jbisrir-2016-2381. PMID: 27536797.
  7. Linertová R, García-Pérez L, Vázquez-Díaz JR, Lorenzo-Riera A, Sarría-Santamera A. Interventions to reduce hospital readmissions in the elderly: in-hospital or home care. A systematic review. J Eval Clin Pract. 2011 Dec;17(6):1167-75. doi: 10.1111/j.1365-2753.2010.01493.x. Epub 2010 Jul 13. PMID: 20630005
  8. ​Pironi L, Boeykens K, Bozzetti F, Joly F, Klek S, Lal S, Lichota M, Mühlebach S, Van Gossum A, Wanten G, Wheatley C, Bischoff SC. ESPEN guideline on home parenteral nutrition. Clin Nutr. 2020 Jun;39(6):1645-1666. doi: 10.1016/j.clnu.2020.03.005. Epub 2020 Apr 18. PMID: 32359933.
  9. ​Bischoff SC, Austin P, Boeykens K, Chourdakis M, Cuerda C, Jonkers-Schuitema C, Lichota M, Nyulasi I, Schneider SM, Stanga Z, Pironi L. ESPEN guideline on home enteral nutrition. Clin Nutr. 2020 Jan;39(1):5-22. doi: 10.1016/j.clnu.2019.04.022. Epub 2019 May 30. PMID: 31255350.