Paid individual providers can also provide health services through programs such as California's In-Home Supportive Services (IHSS), or may be paid privately. This care is provided by registered nurses (RNs), licensed practical nurses (LPN's), physical therapists (PTs), occupational therapists (OTs), speech language pathologists (SLPs), unlicensed assistive personnel (UAPs), home health aides (HHAs), home care agencies (HCAs) and medical social workers (MSWs) as a limited number of up to one hour visits, addressed primarily through the Medicare Home Health benefit. These Medicare-certified services may include short-term nursing, rehabilitative, therapeutic, and assistive home health care. Home health services help adults, seniors, and pediatric clients who are recovering after a hospital or facility stay, or need additional support to remain safely at home and avoid unnecessary hospitalization. For terminally ill patients, home care may include hospice care. For patients recovering from surgery or illness, home care may include rehabilitative therapies. Home health care is different non-medical care, custodial care, or private-duty care which refers to assistance and services provided by persons who are not nurses, doctors, or other licensed medical personnel. In-home medical care is often and more accurately referred to as home health care or formal care. Care may be provided by licensed healthcare professionals who provide medical treatment needs or by professional caregivers who provide daily assistance to ensure the activities of daily living (ADLs) are met. Home care (also referred to as domiciliary care, social care, or in-home care) is supportive care provided in the home. For the 2015 Czech film, see Home Care (film).
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