Home care typically refers to services provided to persons in their own homes whether by professionals or nonprofessionals. Home health care is not a synonym but rather a subset of home care. Provided by an agency, home health care includes skilled nursing care that involves assessing the client's condition; discerning specific health issues and concerns; intervening to address health problems, to carry out medical orders, and to implement nursing therapies; and evaluating care outcomes while maintaining contact with the physician(s) who ordered the care. Physicians are responsible for ongoing evaluation and monitoring of Medicare home-care clients, a requirement rendered difficult by the fact that such clients must be homebound or able to leave home only with marked effort. Other professionals who provide home ...

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