Adult Treatment

Medication Management Provided by Qualified Licensed Nurse
Provide specific management of anticoagulant by monitoring patients. PT/INR, reporting results to referring physician and adjusting medication dosage based on physician’s recommendations.

• Labs are done at home and reports are communicated to physician by fax, email and/or phone.
• Can be used preoperatively to assure minimal risk for excessive bleeding.
• Can be used in Patients with (to name a few):
• DVT
• TIA
• CVA, etc.

This treatment consists of psychiatric trained and certified Nurses conducting full Neuro-psych evaluations for the following diseases (among others):

• Anxiety Disorders with Agoraphobia or Panic Attacks
• Alzheimer’s disease and related dementias
• Agitation
• Depression
• Paranoid Delusions
• Epilepsy
• Gait Disorder
• Parkinson’s Disease
• Stroke

Treatment can be any or all of the following:

• Disease Management-instructing the patient and/or caregiver of the nature of the disease and how best to manage it.
• Medication management-teaching patient and/or caregiver of the medication(s) that have been prescribed to the patient.
• Including side effects, contraindications, etc.
• Administration of injectable medications (i.e. Haldol Decanoate, etc.,)
• Assuring adherence to pharmaceutical therapy and compliance with overall treatment(s) suggested by the physician.

ALC understands the difficulties that a family faces when a loved one’s medical condition affects their safety and independence. We also understand that each individual’s needs are different. That’s why we offer companion services. Our companions provide the necessary assistance needed at home to maintain a safe and independent lifestyle.

We begin by reviewing your needs through discussions with involved family members and as necessary we consult with the physician(s) of the care recipient, social workers, hospitals, or anyone or entity that was or is involved in the care recipient health care. We then, in conjunction with the involved family members, develop a customized program to manage the care recipient daily needs. We match your needs to the best possible caregiver, bring them to your home and ask you to participate in the selection process.

After the ALC companion has been placed in your home, we continue our unique system of continued personalized contacts through telephone check-in, home visits. Most important, we continually communicate with the caregiver who is providing care to you.

Some of the services provided include:​
• Reminder services (medications, dates, routines, etc.)
• Assisting with mobility
• Hygiene Assistance
• Meal preparation/Diet monitoring
• Light housekeeping
• Errands and Shopping
• Joyful companionship
• Organizing and reading mail
• Making and escorting to appointments (doctor appointments and social engagements)
• Assisting with pet care
• Entertaining (games, crafts, reading, etc.)
• Home safety evaluation
• Fall Prevention
• Complete Home Safety Evaluation.
• Clinical Evaluation of Risk Factors for patient.
• Physical and occupational therapy for muscle strengthening and gait improvement.
• Originate regular exercise program to be followed upon completion of therapy.
• Treats the following diagnoses:
• History of falls or recent fall
• Gait/Balance deficit
• Motor sensory problems
• Visual impairment
• Cerebral trauma
• Functional decline

The ALC Home Health, Inc. Low Vision Department will implement and evaluate a multi disciplinary, home-based health care program on for the direct benefit of homebound older adults with vision impairment residing in Miami-Dade and Monroe County. This program will utilize a Registered Nurse to conduct home health assessments that include visual functioning in order to identify service needs and implement home-based low vision care, necessary vision rehabilitation services, and other allied health care services. This program will enable ALC Home Health Care, Inc. to reach those homebound individuals who have been unable to access community based low vision and vision rehabilitation services. The main goal of this program is to improve functional ability, assist in reaching full potential by properly utilizing a patient’s remaining vision, psychosocial adaptation and psychological well-being (life satisfaction and depression) of homebound older adults with vision impairment.

Skilled Services​:
• Assessment by Registered Nurse.
• Attention to Concurrent Medical Issues.
• Medication Management & Compliance.
• Family/Caregiver Education and Support.
• Community and Social Reintegration.
• Occupational Therapy.
• Enhancement of Existing Vision Capacity through eccentric viewing exercises.
• Physical Therapy – Fall Prevention Training.
• Education to Access Community Services and activity programs for this condition.
• Identifying areas where improved lighting and contrast can assist the patient’s ability to focus.
• Recommend proper visual aids based on patient’s exact needs.
• Assist in identifying areas where reduced clutter can minimize safety hazards.
• Assist in teaching patient to utilize other senses to improve ADL’s Retraining in ADL’s.
​
Low vision related conditions:
• Macular Degeneration
• Glaucoma
• Optic Nerve Atrophy
• Cataracts
• Diabetic Related Retinopathy
• Retinitis Pigmentosa Myopia

Nurse to evaluate all body systems to assure that there are no significant cardiovascular issues (CHF) which would interfere with the ability to provide aggressive Lymphedema Therapy.

​Treatment consists of the following:
• Wrapping-as requested by physician.
• Lymphatic massages to move fluid.
• Monitoring to ensure compression device is utilized properly.
• Exercise regimen/general physical therapy-use of muscles in affected area is vital to maximizing the movement of excess fluid. Exercise focuses on gentle contraction of muscles in arm or leg.
• Mechanical Compression Device can be used in conjunction with Therapy to provide long term treatment due to the chronic nature of this disease.

• Disease Management and teaching.
• Medication Reconciliation, Management, and Monitoring.
• Home delivery medications and any medical equipment that maybe needed.
• Home IV infusion (Including chemo therapy).
• Labs at home (If patient is under our care).
• Treatment of Pressure Ulcers and Post-Operative wounds.
• Treatment of Slow or Non-healing Surgical Wounds.
• Pain Management of physical and psychological effects of pain.
• Lymphedema therapy
• Behavioral Health nursing for manager of associated depression and anxiety.
• Social Work services to provide guidance with community based.

Patient Benefits​:
• Home based monitoring of blood pressure, blood sugar, pulse oximetry, spirometry, and weigh – Excellent tool for CHF; Hypertension, Hypotension, CABG, Diabetes, COPD, End Stage Renal Disease, and Morbid Obesity (just to name a few of the common diagnoses).
• A positive tool used in conjunction with our skilled nursing services for better overall outcomes for patients seven days a week.
• Equipment is easy for the patient and family to use and is the most clinically accurate monitoring system available seven days a week.
• Behavior Modification through empowerment and education seven days a week.
• Patients and Caregivers receive coaching and guidance for managing their own care, while having clinical oversight to assist in making positive choices seven days a week.
• Special attention is paid to weight, blood pressure, heart rate and oxygen saturation seven days a week.
• Preventative and pro-active care seven days a week.
• This program allows the patient to take an active role in their health and provides them with the right information and incentive to make healthy lifestyle choices seven days a week.

Physician Benefits:
• Provides physicians with daily reports which help to reduce emergency room visits, physician visits, phone calls to physicians and re-admissions to the hospital.
• Registered nurses dedicated to analyzing the daily reports for all patients, look for trends in the data (i.e. early morning elevated B/P that normalizes after the medication is taken, or a gradual weight increase, etc.). He /she can review the findings with the patient to identify potential behaviors that may have contributed to the abnormal readings.
• This info is also reported to the Physician for further review/investigation and possibly for changes in treatment or medication.
• This real data becomes actionable data. The Physician feels confident making changes because they are based on legitimate documentation, not self-reported.
• Provides the ability to PROACTIVELY monitor disease states which traditionally are only treated AFTER a clinical manifestation.

ALC’s comprehensive wound healing division made up of wound care certified nurses, patient care coordinators and wound care consultants whom provide specialized treatment for a wide range of acute and chronic wounds. Regardless of how simple or complicated a wound may be, ALC’s program is designed to achieve optimal results. Our nurses are available to physicians for consulting and assist in developing individual treatment plans. Our therapeutic services also include:

• Wound evaluation.
• Consultation for appropriate wound dressing.
• Pressure relief.
• Patient and family education.
• Progress photos and reports.
• Treatment of underlying health problems and co morbidities.

Types of wounds cared for:
• Venous Stasis Ulcers (including Proofer Wrapping)
• Diabetic Ulcers
• Pressure Ulcers
• Surgical Incisions/Wounds
• Traumatic Wounds
• Abscesses
• Complicated Wounds
• Ostomy Management
• Skin Tears

Here are some of the advantages that ALC’s Wound Healing Division has to offer:​
• Detailed communication with physician’s to provide collaboration of care
• Certified professionals (including patient care coordinators and caregivers) will work together to maximize patient outcomes..
• Unique Ready Care Program for patients in need of V.A.C. Therapy.
• We have KCI V.A.C.’s in stock at our corporate office:
• Easier access to devices.
• Assist in facilitation of approval process and delivery of device.
• Faster authorization (as quick as 15 minutes from receipt of complete patient/ wound information) process for patients in need, these quicker discharges from facilities.
• Constant communication, training and consulting directly from KCI’s nurses and Patient Care Coordinators.