Monday, December 06 2004
Providing Home Nursing
MOHD SALLEH Abdul Rashid, 80, was a sportsman in his younger days. He was also a chatterbox and lived for his family until his sixth stroke recently left him unable to move or speak.
He now spends his days on a hospital bed at home where his loved ones care for him and tend to his needs with the help of mobile home nursing agency Home Nursing Providers Sdn Bhd.
When the agency first began visiting Mohd Salleh, representatives arrived twice daily to dress his bedsores, provide counselling, exercise and massage and change catheter and drip tubes. The family has since learnt how to take care of some of these tasks and the agency only visits once a day.
Mohd Salleh's wife Noraini Abu Bakar, 71, tends to him at night. “It was a shock to him but I think he has accepted it. The personal touch is important and that is what made me decide to tend to him at home. I think he is more secure with his family,” added his daughter Norizan. Norizan also admitted that at first, the family did not know what to do but the hospital had recommended the agency and it had been a good move.
|Norizan (left)talking to her father as Yakob
(right) and Noraini look on.
“He is doing much better now. We took him out for Raya in a wheelchair and relatives have been visiting him. Although he cannot talk, he uses facial expressions. We read to him and tell him all the gossip. And he refuses to eat if my mother does not feed him,” she added.
Home Nursing Providers managing director and nursing officer Yakob Abdul Rahman W. Scholer stressed that it was not a nursing agency or a hospice service but one where family members were coached to care for the patient and advice was given.
It serves as a link between the clinic or hospital and the client in his home setting. There will be initial assessments and consultations to determine the kind of nursing care a client needs. Records are also kept to keep track of the client's progress.
“The idea is not to have people staying in the hospital unless medically necessary. “Nursing care means looking after all aspects of a person from nutrients, body care and mobilisation to emotional and social needs,” he added.
He also said there were cases where family members did not know the right way to care for someone, causing the patient to be dehydrated or suffer bedsores. “It is heartbreaking to see families neglect their parents. All elderly people need is for their loved ones to be supportive. They do not need much sometimes except for someone to hug or kiss them,” he added.
The services provided included for the elderly, stroke and Parkinson's disease patients, post-natal, respite care and post- operative. Currently, there are four registered fulltime nurses, six home nursing assistants and two assistant nurses.
Matron Fadzilah Abdul Hamid trains the assistants while the service also helped clients “shop” around for reasonably priced items such as hospital beds besides providing beanbags as “support” for the bed-ridden patient. “We are not a rich man's nursing agency. And if there are clients who cannot pay the full amount, we will bring it down to cost prices,” Yakop added.
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