Our Services: RMG Health Primary Service Program

RMG Home Nursing-Care Program for People with Disabilities:

Our "home nursing-care program" is the provision of Attendant Care (customary custodial healthcare services) that is coupled with traditional public health primary care prevention plans. The program is so designed that members would not have to burden family members by depending on them for care (although the Agency recognizes the rights of informal services). The Home Nursing Care program services are personalized (not generalized) services.

I. Who Should Request the Home Nursing-Care Program:

The Home Nursing-Care Program (HNCP) is for people with disabilities. A disability as defined by the Americans with Disabilities Act of 1990 (ADA) is "a physical or mental impairment that substantially limits one or more of the major activities of such individual". A person's disability¹ could be in the area of ambulation (inability to walk without assistance), communication (impairment in sight, hearing, and speech), or cognition (learning disability, mental retardation, Alzheimer's disease or other form of dementia, or an emotional disorder such as severe depression, anxiety, or schizophrenia).

II. How Does the Home Nursing-Care Program Operate:

The Home Nursing-Care Program is designed to be staffed and maintained as to best meet the needs and desires of its members. Ordinarily, people with disabilities may need assistance with activities of daily living (ADLs) and/or instrumental activities of daily living (IADLs). ADL includes basic activities such as moving from one place to another, getting up from chair or out of a bed, bathing, dressing, eating, and toileting. IADLs include less primary tasks but still important function such as balancing checkbook, preparing meal, performing light housekeeping, taking medication, using the telephone, etc. Both ADL and IADL services primarily constitutes the common or traditional Attendant/Custodial care services. In addition to traditional custodial care, Home Nursing-Care Program added preventive, promotive, curative, rehabilitative, and supportive care organized to meet the basic health needs of the Home Nursing-Care Program member, his/her family, and community. The latter services are provided by nurses. ¹ Jack McNeil. 2001. Americans with disabilities: Household economic studies. Washington, D.C.: US Department of Commerce, Economic and Statistics Administration, US Census Bureau.

Benefits of the Home Nursing-Care Program:

• Members receive services where they live, which may be their own home or supported apartment, or alternative residential setting (such as residential care apartment complexes, community-based residential facility, adult family homes, etc). • Members receive interdisciplinary case management consisting of, at a minimum, a social worker and a registered nurse. The interdisciplinary team conducts a comprehensive assessment of member's needs, abilities, preferences and values with his/her family members. The assessment looks at areas such as: activities of daily living, instrumental activities of daily living, physical health, nutrition, environmental health, autonomy and self-determination, communication and mental health and cognition. • Members (or their authorized representatives) participate in determining the services they receive. The interdisciplinary team provides support and information to make sure that members are making informed decisions about their needs and the services they will receive. Members have control over their long term care budgets. • Nurses and paraprofessionals (home health aides, certified nurse aides, personal care attendants, and direct support professionals) deliver services. Each service staff (or independent contractor) has been personally interviewed; the personal work references checked, and each have successfully passed a criminal background check. • Home Nursing-Care Program is focused at reducing hospitalizations, improving health directed lifestyles, identifying environmental hazards and working with families to reduce them, collaborating with doctors and health care providers to ensure that the most appropriate care is provided and that good working relationship are operative. Back to our services directory