Characterization of Home Care Services and care for children with special health care needs.
Diana Augusta Tres, Rafael Gue Martini, Beatriz Rosana Gonçalves de Oliveira Toso and 1 others
PMID 35876465WHAT IT FOUND
In seven Brazilian home-care services, all 18 children with special health needs required psychomotor and social rehabilitation; 13 needed oxygen, 12 gastrostomy, 10 tracheostomy and 9 ventilation.
Caregivers were trained verbally, in writing and by demonstration.
Key findings
01All 18 children attended by the services needed psychomotor and social rehabilitation.
02Of the 18 children attended, 13 needed oxygen therapy, 12 used gastrostomy, 10 had tracheostomy and 9 used invasive or non-invasive mechanical ventilation.
03Six services reported delegating procedures to caregivers; seven used verbal guidance, six used written guidance and five used demonstration.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
Only seven home care services participated, and 18 children were attended between May and July 2020, so the picture may not represent all services. It was descriptive and had no comparison group or patient outcomes, so it cannot show that home care improves health. Data were reported by professionals through an online form, not by direct observation or patient or family interviews. The study covered only enabled home care services in Santa Catarina that cared for children, which limits generalisation.
The easy way to misread this
Do not read these counts as proof that home care services improve child outcomes. The study described seven services and 18 children, with no comparison group and no measured outcomes.