Home Health Care Services Lawrence MA

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Elder Services of the Merrimack Valley, Inc.
(508) 683-7747
360 Merrimack Street, Building 5
Lawrence, MA
Services
In-home Care

Data Provided By:
Home Health Vna Inc
(800) 933-5593
360 Merrimack Street Build 9
Lawrence , MA
Ownership Type
Private
Services
Nursing, Physical, Occupational Therapy, Speech Therapy, Medical Social, Home Health Aide

Home Health VNA Merrimack Valley Hospice and HomeCare, Inc.
(978) 552-4000
360 Merrimack Street
Lawrence, MA
Services
Nursing homes, In home, Hospice

Data Provided By:
Comfort Home Care, Llc
(978) 685-4700
39 Haverhill Street
Methuen , MA
Ownership Type
Proprietary
Services
Nursing, Physical, Occupational Therapy, Home Health Aide

Accessible Home Health Care
(978) 686-3262
800 Turnpike Street Suite 300
N Andover, MA
Services
Non-Medical Home Companion & Personal Care, Skilled Nursing/Specialized Care, Family Respite Care, Alzheimer's Care, Dementia Care, Parkinson's Care, Multiple Sclerosis Care, Pre-post surgery Care, Stroke Care, Hospice Supportive Care, R.N. Pre-fill of medication Care, Physical & Occupational Therapy, Medication Reminders & Assistance, Mobility Assistance, Companionship/Cognitive and Creative Stimulation, Wound Care, Therapy, Injections, Bathing/Showering/Grooming/Dressing, Errands, Transportati
Payment Options
Insurance, Private Pay

Data Provided By:
International Health Solutions
(978) 689-1907
599 Canal Street
Lawrence , MA
Ownership Type
Proprietary
Services
Nursing, Physical, Occupational Therapy, Speech Therapy, Medical Social, Home Health Aide

Elder Services of the Merrimack Valley, Inc.
(508) 683-7747
360 Merrimack Street, Building 5
Lawrence, MA
Services
Nursing homes, In home

Data Provided By:
Home Health VNA Merrimack Valley Hospice and HomeCare, Inc.
(978) 552-4000
360 Merrimack Street
Lawrence, MA
Services
Hospice Care, In-home Care

Data Provided By:
Conlin's Pharmacy, Inc.
(866) 878-7876
30 Lawrence Street
Methuen, MA
Services
Nursing homes, In home

Data Provided By:
Gentiva Health Services
(978) 681-5403
220 Sutton Street
North Andover, MA
Services
Nursing homes, In home

Data Provided By:
Data Provided By:

Cost and Effectiveness of Home-Based Rehab After Joint Replacement

The hospital stay after a total hip or total knee replacement has been shortened by almost half. To make up the difference in care, outpatient (home-based) rehab has increased. Surgeons from Canada study the effect of this change on outcomes at three and 12 months after surgery. They compared the costs and complications between two groups.

The first group had inpatient rehabilitation after surgery. This involved a longer hospital stay. The second group was discharged sooner and received follow-up care at home. Everyone in both groups had the joint replacement for arthritis or osteonecrosis. Patients with fractures, tumors, or revision joint replacements were not included.

Outcomes were measured using three different surveys (questionnaires). These included the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Short Form-36 (SF-36), and the Hip and Knee Satisfaction Scale. These tools helped measure pain, function, motion, and stiffness.

Everyone completed the surveys two weeks before surgery. They were randomly placed in one of the two groups before surgery. There were no differences in the patients placed in both groups in terms of age, diagnosis, body weight, gender, or education. Surgical care was equal between the two groups otherwise. They repeated the questionnaires three months after surgery and again at the end of one year.

Everyone stayed in the hospital for at least five days. All patients received the same basic physical therapy from day one. At the time of discharge, group one was transferred to inpatient rehab. Group two was discharged to home. Both groups continued to see a physical therapist for the same rehab program after transfer or discharge.

The cost of care was calculated for both groups. The focus was on direct healthcare costs. This did not include physician fees, medications, or indirect costs to the patient and/or family.

Analysis of the data showed that the average number of home-based rehab visits was eight. The average number of days in the inpatient rehab facility was 17 days. Infections were more common in the inpatient group but postoperative complications were similar otherwise.

Both groups had dramatic improvement in all areas measured after surgery. Patients in both groups continued to improve for up to the full 12 months of the study. This was equally true for both total hip and total knee patients.

The cost was six times greater for the inpatient group compared with the home-rehab group. In the United States, this difference is reportedly 10 times greater. Since the outcomes were the same, the authors suggest following a home-based rehab program for all ases of uncomplicated total hip or total knee patients. This policy may be especially helpful in facilities where transfer to an inpatient rehab facility is delayed due to a shortage of beds.

Inpatient rehab care is still recommended for anyone with serious health concerns or the likelihood of postoperativ...

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