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Chronic Care Programs


Living with a chronic disease can be challenging, but patients who take an active role in their own care can make more informed choices and are less likely to be rehospitalized down the road. Our Chronic Care Management programs focus on involving patients in the health care process so they can achieve more independence and a better quality of life.

The goal of each of our programs is to decrease hospitalizations for the long term. We use the most current medical evidence to develop our clinical and patient education, and plans for patient care.

Heart at Home

All heart conditions, no matter how complex, are managed under the Heart at Home program. First Home Healthcare, LLC clinicians provide detailed assessment and education to help patients successfully manage medication, symptoms, mobility and other aspects of care. If needed, they will coordinate other services, including physical therapy, special equipment and nutritional education. Our goal is to provide the information and skills needed to stay safely in the home after home health care has ended.

Wound Care at Home

Wound care is frequently complicated by other conditions that make care more challenging. First Home Healthcare, LLC implements the most current evidence-based practices, incorporates the latest techniques, and uses the most advanced products to improve healing and ultimately enhance the patient’s and family’s quality of life. Forming a partnership with the patient, caregiver, personal physician, physical therapist, WOCN/ET certified nurses and home health aides enables First Home Healthcare, LLC to address every aspect of wound care.

Diabetes at Home

Patients with Type 1 and Type II diabetes have different needs for education and medical supervision. First Home Healthcare, LLC skilled clinicians are prepared to provide customized support for each of these conditions based on the individual patient’s needs. The education First Home Healthcare, LLC provides is valuable whether the diabetes is newly diagnosed or longstanding, as information for the successful management of diabetes has expanded greatly in recent years and treatment is better than ever before. The First Home Healthcare, LLC clinician focuses on each patient’s specific needs, improving quality of life and enabling patients to achieve their best health status.

Rehab at Home

Helping patients regain independence is our ultimate goal. In our Rehab at Home program, an individualized plan is developed for each patient after a clinical evaluation. Our clinicians coordinate services for the management of acute and chronic diseases including congestive heart failure, chronic obstructive pulmonary disease, diabetes and cerebral vascular accident. Our clinical team uses therapeutic skills to assist the patient in improving strength, mobility, balance, swallowing and communication disorders.

Orthopedic Recovery at Home

A combination of skilled nursing care and therapeutic rehabilitation in the home creates an excellent environment for recovery after an orthopedic surgery or injury. Skilled in the care of joint replacements, orthopedic injuries and complex orthopedic disease patients, our clinicians provide the skilled nursing and licensed therapeutic care to support patient recovery based on established clinical protocols. Our goal is to assist the patient in reaching the highest possible level of independence in the comfort of their home.

COPD at Home

Living with Chronic Obstructive Pulmonary Disease (COPD) is stressful for patients and their families. Our skilled clinicians provide care, therapies and education that improve their ability to manage COPD and enjoy an improved quality of life. Patients and caregivers are encouraged to actively participate in creating the management plan and trained in the skills needed to comply with the plan. Adhering to a structured care plan will help prevent or delay complications and achieve the best possible outcome.

Chronic Kidney Disease at Home

Patients and families coping with Chronic Kidney Disease have the support of First Home Healthcare, LLC clinicians who provide ongoing assessment, timely treatment and coordination with physicians, renal clinics and other health care providers. Our skilled clinicians provide information and education to support the patient and family, improve the patient’s quality of life and decrease the overall stress level that this condition creates. With reliable information about the disease and its management, patients with Chronic Kidney Disease can control their condition and minimize its impact.

Pain Management at Home

Chronic pain significantly impacts quality of life for patients and their families. Our pain management program is designed as a team approach, actively involving patients, caregivers, skilled nursing professionals and other therapeutic disciplines as needed. Together, we develop a holistic treatment plan based on each patient’s individual condition. Using the best clinical evidence currently available, First Home Healthcare, LLC clinicians work with the patient and family, teaching the skills needed to help them continue to control pain after the home health care has ended.

Balanced at Home

Falls are the leading cause of nonfatal, unintentional injuries treated in a hospital ER department–and the leading reason for admission to a skilled nursing facility. In the U.S. alone, one of three adults over the age of 65 falls each year, and more than half fall more than once. This annual rate increases to one of two over the age of 80. First Home Healthcare, LLC Balanced at Home Program is a comprehensive geriatric program that evaluates each patient to develop a systematic approach to treatment. The goal is restoration and management of the balance disorder to facilitate safe, independent living within the home.



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