Services

Resident–Centered Services

People living at Our House require a broad-based care system, one that is tailored to each resident. The residents are at the center of developing their care plan to meet their own range of individual needs. This care system is generally divided into one of three categories: Palliative for those requiring end-of-life care; Maintenance for those who require 24-hour care and whose health is not fluctuating frequently; and Transitional for those whose health has improved to a point where a discharge plan is appropriate.

Regardless of the category of care a resident may need, many face severe challenges such as cancer, liver failure, mental illness, HIV-related dementia, and addiction. These challenges affect the ability of the resident to follow prescribed drug regimens and potentially compromise his or her health status. Challenges such as these may also affect a resident’s quality of life and their ability to live in a group setting.

To foster the highest quality of life possible for each resident, Our House utilizes an interdisciplinary care system that is characterized by collaboration, consensus and shared case management. This system is guided by a professional team comprised of specialized nursing services, social work, and occupational therapy services.

Social Work

Social Work at Our House recognizes and addresses the complex psychosocial needs of people with HIV/AIDS. Social Work helps to create a community that is responsive, compassionate, and accepting while providing services to residents and their families. Social Work promotes and respects the values of acceptance, self-determination and individuality. A Mental Health consultant also participates in weekly care conferences to assist with appropriate medications for depression and mood stabilization as well as behavioral issues affecting the ability of the resident to live constructively in the Our House community.

Social Work services:

         
  • Provide a smooth admission to Our House, working with the prospective resident, family & friends, insurance providers to meet all admissions requirements
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  • Provide resident/family orientation
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  • Assist with setting up appropriate payment plan
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  • Complete comprehensive psychosocial assessment
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  • Coordinate with other mental health services to meet the needs of the resident
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  • Coordinate financial and social services
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  • Provide non-legal assistance with wills, directive to physicians, powers of attorney, and funeral arrangements
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  • Offer counseling and support
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  • Assist with coordinating bereavement follow-up
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  • Develop discharge planning; secure housing, plan move, and follow up on resident
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  • Obtain therapies and pastoral care which improve resident quality of life.
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Occupational Therapy

As is the case around the country and in Oregon, greater numbers of Our House residents are living longer with AIDS and present a more complicated array of daily living needs. In response, Our House instituted an Occupational Therapy program in 1999.

Occupational Therapy directly addresses the daily challenges of living with HIV/AIDS by enhancing the ability of the person to engage in and perform basic daily living activities, such as medication management, eating, dressing, toileting and bathing. Quality of life is often measured by the amount of control a resident has over his/her daily activities. Occupational therapy services support the resident in maintaining as much independence as possible, adapting as the resident declines over time.

Occupational Therapy Services provide:

     
  • Physical rehabilitation
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  • Remediation
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  • Adaptive treatment
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  • Discharge planning including an environmental assessment of housing
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  • Client-centered goal setting in the areas of activities of daily living, self-care, and productivity
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  • Avocational / vocational activities
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  • Recreational activities

 

Specialized Nursing Services

At Our House residents receive nursing services delivered by a nursing team expert in the field of HIV/AIDS. Residents are monitored, evaluated and supported by a team of nursing staff at all times,  including an RN, and a Certified Medical Assistant or a Certified Nurses Aide. The Our House Medical Director is available for consultation.

The Our House nursing team:

     
  • Provides skilled nursing services as necessary, as well as assessment, evaluation, monitoring and supervision of unstable medical conditions.
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  • Helps residents manage complicated medication regimens, proper nutrition, medical appointments and palliative care.
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  • Advocates with resident families, friends, health care providers and pharmacies or other suppliers to promote the best quality of life for residents.
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  • Incorporates alternative therapies, including acupuncture, dietary supplements, nutrition, therapeutic touch, Reiki and massage as the resident wishes.
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  • Provides support with activities of daily living such as laundry, bathing, grooming and transferring.
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  • Provides education to residents about their disease, their symptoms and medication and allows them to participate in their care.

The Swan House Caregiver Team:

     
  • Provides weekly health consultant visits for assessment, evaluation and monitoring of symptoms and problems that arise.
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  • Assists residents with activities of daily living such as laundry, bathing, grooming, dressing and transferring.
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  • Administers medication to residents.
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  • Provides for meals and snacks for all residents.
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  • Incorporates alternative therapies, including acupuncture, dietary supplements, nutrition, therapeutic touch, Reiki and massage as the resident wishes.
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  • Advocates with resident families, friends, health care providers and pharmacies or other suppliers to promote the best quality of life for residents.
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  • Coordinates medical appointments and transportation.
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  • Provides education to residents about their disease, their symptoms and medication and encourages them to participate in their care.
  • The Neighborhood Housing and Care Nurse:
       
    • Provides education to clients about their disease, medications, how to manage symptoms and how to utlilize their health care resources.
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    • Assists residents in medication managment.
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    • Provides generalized health advice in conjunction with their health care provider.
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    • Assesses and evaluates client’s ability to manage their health and any problems that may arise.
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    • Advocates for clients.

 

Wells Fargo - Circle of Life, Sustaining Sponsor Circle of Life
Sustaining Partner

The Elizabeth Taylor AIDS Foundation Quality of Life
Sustaining Partner