Managing Higher Acuity Clients in Home

Acuity Clients in Home

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There has been a growing trend toward providing higher acuity care in the home setting in recent years. With advancements in medical technology and the desire to reduce healthcare costs, home care is becoming an increasingly popular option for patients with complex medical needs. However, managing higher acuity patients in the home care setting requires unique skills and resources.

Managing high-acuity clients in their homes is a critical task that should be taken seriously. As a healthcare professional, it is essential to understand the complexities of the care provided and its associated risks. Proper management of higher acuity clients requires a comprehensive understanding of their needs, formulation of a care plan, monitoring and follow-up, and effective assessment and care coordination.

This blog will explore some key considerations for managing higher-acuity patients in home care:

Assessing Patient Needs

The first step in managing higher acuity patient’s in-home care is assessing their needs. It involves thoroughly assessing the patient’s medical condition and their social and environmental circumstances, including the client’s medical condition, psychosocial needs, cognitive and functional limitations, lifestyle, and support services. Factors such as the patient’s ability to perform activities of daily living, their home environment, and the availability of caregivers and other support services must all be considered when developing a care plan.

It is important to provide appropriate clinical care such as medications, wound care, and symptom management, monitor progress, monitor laboratory values and vital signs, and provide necessary follow-up visits or phone calls. The goal is to ensure the client receives adequate care while avoiding unnecessary or duplicative services.

Developing a Care Plan

Once the patient’s needs have been assessed, a comprehensive care plan can be developed. This plan should be tailored to the individual patient and consider their medical needs, personal preferences, and other factors. The care plan should outline the specific interventions that will be required and the frequency and duration of those interventions. It should also include provisions for monitoring and reporting any changes in the patient’s condition and a plan for emergencies.

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Providing Skilled Nursing Care

Home care for higher acuity patients often involves providing skilled nursing care. It can include a wide range of interventions, such as wound care, medication management, and monitoring of vital signs. Skilled nursing care can be provided by licensed practical nurses (LPNs) or registered nurses (RNs) who have received specialized training in providing care in the home setting or they can be accessed through virtual meeting using telehealth communication solution.

Ensuring Safety

Safety is critical when managing higher acuity patients in the home care setting. Home care providers must ensure that the patient’s home environment is safe and free from hazards. It may involve installing safety equipment such as grab bars and non-slip mats and making modifications to the home to accommodate medical equipment. Caregivers must also be trained in infection control procedures to prevent the spreading of infectious diseases.

Effective assessment and care coordination is needed to ensure the client’s safety and well-being. It includes arranging for in-home care services, such as groceries, meals, and housekeeping, as well as transportation and access to medical appointments. Communication with family and other caregivers is critical to promoting a successful home care environment.

Regular Monitoring 

Healthcare professionals should understand their high-acuity clients’ medications, dosages, and side effects, recognize when symptoms of disease or other medical issues arise, and how to respond. It is important to assess the client regularly and monitor for any changes in condition which could indicate a new or worsening problem. Healthcare professionals should also be trained to provide education and support to their higher acuity clients and, in difficult times, discuss difficult health decisions, such as advance care planning or hospice care.

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High-Risk Management

Finally, healthcare professionals should be aware of the risks of managing high-acuity clients in the home. These risks include the potential for medication errors, infection risk, lack of adequate follow-up for changes in condition, and neglect or abuse. Healthcare professionals must be aware of the risks associated with home care and be prepared to respond appropriately should any of these risks arise.

Coordinating Care

Managing higher acuity patients in the home care setting requires close coordination and communication among all care team members. It may include the patient’s primary care provider, specialists, home health aides, and family members. Regular communication is essential for ensuring that everyone is on the same page regarding the patient’s care plan and for identifying and addressing any issues.

How Telemedicine Plays a Crucial Role in High-Acuity Clients

Telemedicine has become increasingly useful in managing higher-acuity clients in their own homes. This is due to its ability to provide convenient, personalized care and its potential to facilitate a better quality of life for these clients. Telemedicine offers a variety of advantages that can help clients in their homes who require medical care for more serious health concerns.

One of the main advantages of telemedicine for higher-acuity individuals is the convenience it provides. Through telemedicine, patients can access medical care without having to leave their homes, meaning that they are able to stay safe and comfortable in their home environment. Additionally, transportation to and from healthcare providers can be challenging for higher-acuity individuals, so telemedicine offers a more convenient option. Another benefit of telemedicine is that it gives patients access to specialists who may not be available in their local area, meaning they can receive more personalized care and treatment.

Telemedicine can facilitate better communication between healthcare providers and patients, resulting in better-coordinated care. Video consultations allow healthcare providers to observe a patient’s condition, including their physical status, coordination, and speech. 

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It makes it easier for providers to distinguish between various symptoms and make precise diagnoses, leading to a more efficient patient-care process. Furthermore, remote monitoring tools, such as wireless alarms and wearable health devices, allow providers to monitor and view a patient’s health from a distance. This can help with the early identification of medical issues and, ultimately, reduce the need for hospital visits.

In addition to the medical benefits, telemedicine can improve a higher acuity individual’s quality of life. For example, video consultations allow for greater social interaction and reduce feelings of isolation, which can be problematic for higher-acuity individuals. Additionally, having access to care in the home can reduce stress, anxiety, and fear because it eliminates the need to leave home or go to busy and potentially overwhelming medical facilities.

Overall, telemedicine has many advantages in helping higher-acuity individuals manage their health care in their homes. The convenience, communication, and quality of life improvements offered by telemedicine have already significantly impacted these individuals’ lives and will likely continue to do so in the future.


Managing higher acuity patients in home care requires a comprehensive and coordinated approach. It involves assessing the patient’s needs, developing a tailored care plan, providing skilled nursing care, ensuring safety, and coordinating care among all care team members. With proper planning and resources, home care can be a safe and effective option for managing higher acuity patients while providing them comfort and familiarity with their own homes.

Higher acuity clients in the home require a complete understanding of their needs, plan of care, assessment, and knowledge of medication management and care coordination. By being informed and aware of the potential risks associated with home care, healthcare providers can effectively manage higher-acuity clients in their homes.

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