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Companion care, adult (e.g., iadl/adl); per 15 minutes

HCPCS code

Companion Care, Adult (S5135)

Name of the Procedure:

  • Common Names: Companion care, adult.
  • Technical/Medical Terms: Companion care, adult (e.g., IADL/ADL); per 15 minutes.

Summary

Companion care involves non-medical assistance provided to adults who need support with daily activities. This may include help with household tasks, errands, and social engagement. The aim is to enhance quality of life and independence in the comfort of one's own home.

Purpose

  • Medical Conditions: Elderly individuals, adults with disabilities, recovering patients, those with chronic illnesses.
  • Goals: To provide support with Instrumental Activities of Daily Living (IADLs) and Activities of Daily Living (ADLs), ensuring safety and improving quality of life.

Indications

  • Symptoms/Conditions: Difficulty managing household tasks, limited mobility, social isolation, risk of falls, cognitive impairment.
  • Patient Criteria: Elderly individuals, patients with physical or mental disabilities, adults recovering from surgery or illness.

Preparation

  • Pre-procedure Instructions: No specific preparation is needed; however, initial assessments by healthcare providers to determine individual needs and customize care plans are essential.
  • Diagnostic Tests: None required for the companion care itself.

Procedure Description

  1. Initial Assessment: The healthcare provider evaluates the patient's needs and preferences.
  2. Care Plan Development: A personalized care plan is created.
  3. Daily Assistance:
    • Household Tasks: Cleaning, cooking, laundry.
    • Errands: Grocery shopping, medication pick-up.
    • Social Engagement: Conversations, accompanying to social events.
    • Personal Care: Assistance with bathing, dressing, feeding if necessary (though focused more on non-medical needs).
    • Tools/Equipment: No special tools required, but mobility aids may be used.
    • Anesthesia/Sedation: Not applicable.

Duration

Each session is billed per 15 minutes. The total duration depends on individual needs and care plan.

Setting

Performed in the patient’s home.

Personnel

  • Healthcare Professionals: Trained caregivers, sometimes supervised by a registered nurse or other healthcare providers for care planning and assessment.

Risks and Complications

  • Common Risks: Minimal; primarily related to potential unmet expectations or caregiver-patient mismatch.
  • Management: Regular evaluations and open communication to adjust care plans as needed.

Benefits

  • Expected Benefits: Improved daily functioning, enhanced safety, social interaction, and overall quality of life.
  • Realization Time: Immediate improvements in daily living with ongoing benefits over time.

Recovery

  • Post-procedure Care: Continuous, as part of daily living support.
  • Expected Recovery Time: Not applicable, as this service is ongoing.
  • Follow-up Appointments: Regular reassessments to adjust care plans.

Alternatives

  • Other Options: Home health care services, assisted living, adult day care centers.
  • Pros and Cons:
    • Home Health Care Services: Provides medical care; more comprehensive but can be more expensive and less personal.
    • Assisted Living: Offers 24/7 care but requires relocation.
    • Adult Day Care Centers: Social engagement and activities; not suitable for all-day care.

Patient Experience

  • During Procedure: Continuous support; patients can expect to feel assisted and less burdened by daily tasks.
  • Pain Management and Comfort Measures: No specific pain to manage, but ensuring the caregiver-patient relationship is strong and communication is clear enhances comfort. Regular feedback helps tailor care to patient comfort levels.

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