Name of the Procedure:

Homemaker Service, NOS; per 15 minutes (S5130)

Common name(s): Homemaker Services

Technical/medical terms: Non-Skilled Home Care, Domestic Assistance, Custodial Care Services

Summary

Homemaker services refer to non-medical assistance provided to individuals in their homes. These services help with daily living activities such as housekeeping, meal preparation, and running errands. They aim to support the individual's independence and improve their quality of life, especially for those who have difficulty performing these tasks themselves.

Purpose

Homemaker services address the needs of individuals who have difficulties managing daily household tasks due to age, disability, or chronic illness. The primary goal is to ensure a safe and healthy living environment and promote the well-being and independence of the patient.

Indications

Homemaker services are indicated for individuals who may:

• Have chronic illnesses or disabilities.
• Be recovering from surgery or medical treatments.
• Be elderly and require assistance with housekeeping tasks.
• Have limitations that make day-to-day activities challenging.

Preparation

• Pre-procedure Instructions: No specific medical preparation is required. The patient or caregiver may need to identify specific tasks that need to be addressed.
• Diagnostic Tests or Assessments: Not applicable for homemaker services.

Procedure Description

1. Assessment: Initial assessment to determine the specific needs and preferences of the patient.
2. Planning: Development of a customized care plan outlining the tasks to be performed.

3. Service Delivery:

   • Housekeeping: Dusting, vacuuming, laundry, and general cleaning.
   • Meal Preparation: Cooking and meal planning in alignment with dietary needs or restrictions.
   • Errands: Grocery shopping, picking up medications, etc.
   • Other Support: Assistance with organizing the home, paying bills, or scheduling appointments.

   Tools and Equipment: Basic household cleaning supplies, cooking utensils, and any specific tools required by the patient’s needs.

Anesthesia or Sedation: Not applicable.

Duration

Each session is billed based on 15-minute increments. The total duration depends on the care plan and patient's needs.

Setting

The service is performed at the patient's home.

Personnel

• Non-medical caregivers or home aides trained in homemaker services.
• Case managers or social workers (for initial assessments and care planning).

Risks and Complications

• Common Risks: Minimal, as the procedure is non-invasive.
• Rare Risks: Possible miscommunication about tasks or unmet expectations. To manage this, regular feedback and adjustments to the care plan are necessary.

Benefits

• Ensures a clean and safe living environment.
• Improves quality of life and promotes independence.
• Provides companionship and reduces the burden on family caregivers.
• Benefits can usually be realized immediately after the service is provided.

Recovery

• Post-Procedure Care: Not applicable.
• Recovery Time: Immediate resumption of normal activities.
• Follow-up Appointments: Periodic evaluations to adjust the care plan as needed.

Alternatives

• Other options include moving to assisted living facilities or utilizing more specialized home health services.
• Pros: Assisted living provides a wider range of services but may be more costly.
• Cons: Specialized home health services may include medical care but could also be more expensive and not necessary for all patients.

Patient Experience

• During the Procedure: The patient will experience household tasks being performed on their behalf, allowing them to focus on resting or other personal activities.
• After the Procedure: The patient should experience a cleaner, more organized living space which contributes to overall well-being and reduced stress. Pain management and comfort measures are generally not necessary for this type of service.