Ordinary care

“ The care and skill with which the sick are treated in hospitals, infirmaries, and even private houses, are far greater than they were; the improvement and extension of nursing are more than can be described; the care which the rich bestow on the poor, whom they visit in their own homes, is every day saving health and life; and, even more effectual than any of these, is the work done by the medical officers of health, and all the sanitary authorities now active and influential in every part of the kingdom. ”

“ The public care little for medical titles, or for those artificial distinctions which, for the more convenient subdivision of labour, we have established amongst ourselves; they look for men who will prove useful to them in time of need—men in whom they can place confidence, whom they may admit without fear into the bosom of their families, whose feelings and behaviour are those of gentlemen, who are skilled to relieve their bodily sufferings, and to whom they may open the secrets of their hearts and turn for sympathy and advice in seasons of affliction. ”

“ Whatever methods are employed, the principle already enunciated must be maintained that the patient in his own interest and in that of his family must be the subject of uninterrupted care and supervision. ”

“ Today, as an increasing number of people are being released from acute care settings and returning to their communities in need of complex home health assistance, Visiting Nurse Associations have been quick to respond. ”

“ The Tendency of Evolution.—The importance of such institutions as those we have been discussing will become ever greater. Indeed, the great majority of sick persons will ultimately receive institutional care. The functions we have been considering, at present administered by the community at large and by the local authority, will eventually be taken over by the State. ”

“ Each day, thousands of hardworking men and women bring vital home health care services to Americans who are incapacitated by illness, age, or disability. Working in association with more than 12,000 home care agencies across the country, these dedicated professionals and volunteers play an important part in our Nation's total health care system. ”

“ It is not until we realize that we have not a cure already, that we do hustle around to get it. It is not until we realize that we are now very helpless in medicine that we shall labor in a way to become less so. At present the best that we can do for most patients is to explain what the trouble is, let them know what is going to happen, to preach some hygiene, and above all to make them realize that we care and suffer with them. That is the essence of medical work and of the social assistant's work in the dispensary and in the home. ”

“ Thousands of nurses, therapists, social workers, home health aides, and others provide our Nation's home care services, and each of them deserves our recognition and heartfelt thanks. With understanding and compassion, they do more than prolong life—they enhance its quality. ”

“ Today, a poor child who gets sick has access to a family doctor. Under this bill, nearly 4 million poor children could be denied quality medical care. If they got sick, they'd have to pray for charity care at a crowded hospital emergency room. ”

“ Like the nurse she may recommend that a child be placed under the care of a psychologist, a physician, a more expert teacher, a kindergartner, or that a social agency be called upon to assist in improving the sanitary, health, or financial features of the home environment. ”

“ The administrators and employees of home health care agencies work closely with government agencies and with concerned private organizations, including hospitals, to give patients a welcome alternative to institutionalized care. Home health care treats the patient and his or her family members, attending to needs both physical and spiritual, in an atmosphere that fosters dignity, healing, and independence. Secure in familiar surroundings, patients find comfort in the support of their loved ones, while receiving efficient, effective health services, free from institutional constraints. ”

“ The home situation clearly has to be considered as well as the physical ailment in almost every case requiring medical care. Thus the task is a coöperative one between the social worker and the medical scientist. ”

“ Without the possibility of affording these patients the requisite aid during the course of their illness, the care of the sick, according to the statement of our physicians, would in most cases be useless. ”

“ Our home health care system includes untold numbers of churches, volunteer groups, private agencies, and families, as well as government programs. All Americans can be proud of this effort for those in need, and of this national commitment to our American values of strong family life and neighbor helping neighbor. ”

“ And for those of use who make the rules, and we can provide health care to ourselves and our families, then we should be able to provide the same kind of health care to the rest of the citizens who hired us to represent them. ”

“ And when families have nowhere to turn when their loved ones are harmed by health care plans' bad decisions, when there's a denial of specialist care or emergency care when they're plainly needed and recommended by physicians, when those kinds of things happen, we know we have to take action.
Whether in managed care or traditional care, every single American deserves quality care. ”

“ The health department of a modern city is charged with a double duty: it has to care for cases of disease, and it has to suggest and enforce laws to keep the city sanitary. The former task—the treatment of sickness—is much more widely recognized as the proper function of the medical profession ”

“ Our people must have a sense of well-being about their health and that of their children and families. My health care reform plan will guarantee them access to the finest health care system in the world and make that care affordable. ”

“ Let us also give much-deserved thanks and recognition to the dedicated men and women of our home health care system who help us care for our loved ones, preserve their independence, and keep our families intact. ”

“ Services You will also be entitled to all forms of treatment in general or special hospitals, whether as an in-patient or as an out-patient. These include, for instance, maternity care, sanatorium treatment, care of mental health, and all surgical operations. The help of consultants and specialists of all kinds will be made available to you as national resources allow, whether at hospital, at special health centres, or at home.
Your doctor will arrange this help when you need it. ”

“ Preventing low birth weights and infant mortality from other causes; reducing disability levels; and increasing the feasibility of home care in cases of severe chronic illness are objectives of high priority. Health professionals and staff members of State and local social service agencies can improve the effectiveness of health care delivery as they cooperate fully in these approaches. ”

“ For example, during the 19th and early 20th centuries the burdens of serving as research subjects fell largely upon poor ward patients, while the benefits of improved medical care flowed primarily to private patients. ”

“ The combination of professional services with such situations can add to the effectiveness of home health care. National Home Care Week, 1988, reminds us of the good that results when families and home care providers put into practice the respect we all owe to everyone in need of such care. ”

“ What between boards of health and sanitary boards, combined with great medical skill, the most sickly children were by nursing brought to the years of maturity and allowed to marry. Many thoughtful people used to wonder what this would all come to, if decrepit and diseased life was to be taken care of and perpetuated in this way. ”

“ It can preserve the dignity and independence of individuals and prevent or postpone institutionalization for millions of patients each year. In a significant number of cases, home care can even reduce the cost of medical treatment. ”

“ Article 36
⁠Medical and healthcare institutions of all types and at all levels shall divide responsibilities and cooperate with each other to provide citizens with such all-round and full-life-cycle medical and healthcare services as disease prevention, healthcare, treatment, nursing, rehabilitation, and palliative care. ”

“ In other words, she can meet the thousand and one personal services which in themselves might be disagreeable and prove pure drudgery, not merely with the stern will to do them because they are a necessary part of obtaining a desired end, but also for the sake of adding to the comfort and well-being of each patient in her care. ”

“ The health care system shall give preference to the training and employment of local community health workers, and focus on primary health care while maintaining strong links with other levels of health care services. ”

“ Special care should be taken to quiet fears in these directions; they should be assured that they are groundless, told they will be allowed to communicate with their friends, that they will be visited by their family, and that all their interests will be cared for. ”

“ Our steadfast commitment to the health and welfare of our children is especially important for those who have special health care needs. Children who suffer from chronic physical, developmental, behavioral, and emotional conditions require specialized services in their communities. I encourage parents and caretakers to recognize these health problems, to obtain specialized care as necessary, and to monitor their children's conditions closely in order to give them every advantage toward leading a successful, fulfilling life. ”

“ America's community health centers are a vital part of our healthcare safety net, providing primary care services to uninsured, low-income families and individuals, regardless of their ability to pay. ”

“ Through the resources of a health care system second to none, this Nation strives to protect all of our children from preventable diseases, to encourage behavior that fosters good health, and to treat their episodic illnesses. ”

“ All indications point to much greater accomplishments in the future. We are emerging from an era of custodial care and entering one of prevention, scientific investigation, and highly specialized treatment along entirely different lines. ”

“ They offer a wide range of services, including hospice care, personal care, homemaking, social services, nutritional counseling, specialized nursing care, and occupational, physical, and speech therapy by registered nurses. ”

“ A properly organized system of public health services including medical and dental care, which would stress the prevention rather than the cure of illness should be extended to all our people in both rural and urban areas. This is an enterprise in which Dominion, Provincial and Municipal authorities, as well as the medical and dental professions can cooperate. ”

“ In the main, however, the care of the health of the people is a governmental function, whether it has to do with the prevention of sickness or the satisfactory medical treatment and nursing of the sick.
There is no early prospect of voluntary workers becoming unnecessary; for average human nature, as represented on governmental bodies, is shortsighted and needs much education, morally and intellectually, before it will undertake the whole sphere of work called for in the interest of the welfare of the mother and her child. ”

“ It is, to begin with, an inherent drawback of any general Destitution Authority for the work of Curative Treatment that it is necessarily a "mixed" Authority, having to deal, not with [285] patients suffering from any one disease, but with persons of the most diverse needs, and requiring treatment of very different nature. To entrust to one and the same Authority the care of the infants and the aged, the children and the able-bodied adults, the sick and the healthy, maids and widows ”

“ These, when judiciously applied, will prove invaluable to emigrants, travellers, voyagers, and other parties beyond the reach of legitimate medical assistance; and, under opposite circumstances, will, in general, enable those who have the care of the sick the better to second and carry out the instructions and efforts of the physician for the benefit of their charge. ”

“ Use proven models of health care benefits, service delivery and payments that control costs and overutilization, with emphasis on preventive care and chronic disease management using evidence-based outcomes and a health benefit model that promotes a primary care medical home ”

“ Historically, the care provided by Visiting Nurse Associations has enabled many individuals who are chronically ill or disabled to remain in their homes. Such care provides a setting that is familiar to them and is characterized by the physical and social support of family, friends, and loved ones. ”

“ Patients who in their own homes enjoy sanitary and hygienic care; who may have a room of ample size for their exclusive use, which is thoroughly aired, day and night; who are provided with the "right kind of nourishment," [Pg 419] and who will obey implicitly the rules which the physician, who is conversant with this particular method of treatment, will lay down, may be assured that a prompt response will ensue. The intelligent reader will understand that this statement does not apply to patients in the last stages of the disease. ”

“ But above and beyond this element has been the quiet and persistent growth of the work among board-of-health officers, medical societies, club women, church organizations, physicians, nurses—in fact, among all bodies of men and women especially interested in child welfare. ”

“ The public authorities shall carry out a policy of preventive care, treatment, rehabilitation and integration of the physically, sensorially and mentally handicapped by giving them the specialized care they require, and affording them special protection for the enjoyment of the rights granted by this Part to all citizens. ”

“ Home health care is an American tradition. When illness strikes our loved ones, we wish to care for them at home unless hospital or other care is clearly needed. This care is supplemented by the many members of our system of home health care providers who give special assistance to families and can make the difference in preventing, postponing, or limiting institutional care. ”