Home care services work with elderly, sick or disabled people to provide them with care adapted to their situation. In order to provide them with the best medical service, health  personnel  and structures provide personalized solutions. What are these different services? What are their specificities? Essential Autonomy answers you.

The Home Nursing Services (SSIAD) for hygiene and nursing care

The staff (nurse, nursing assistant) provide hygiene and nursing care on a continuous basis, including weekends and public holidays. These services prevent  hospitalizations , assist during post-hospitalization convalescence, promote home care and delay the loss of autonomy . They are managed by public establishments (CCAS and hospitals) or by associations.

SSIAD staff

The state-qualified nurse coordinator ensures the organization and coordination of interventions (processing of requests, assessment of needs, development of an action plan, implementation and monitoring of interventions). It also supervises caregivers (development of schedules, compliance with labor law and contracts).

The state-certified nurse provides nursing care (dressings, injections, treatment preparation, etc.) in collaboration with the nursing auxiliaries.

The state-certified nursing assistant works under the responsibility of a nurse. He intervenes in the acts of hygiene and nursing (toilet, dressing, help with mobilization, etc.) with the people in care. It stimulates them and prevents health problems.

The SSIAD teams provide nursing care (toilet) and nursing procedures (dressings, distribution of medication, injections, etc.), but also coordinate with other medical and paramedical workers.

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Hospitalization at home (HAD), after traditional hospitalization

Hospitalization at home  (HAD)  allows a rapid return home after traditional hospitalization. It is provided by a multidisciplinary team (nurses, nursing auxiliaries, physiotherapists) who provide the necessary care day and night.

Granted on medical prescription and with the agreement of the health insurance medical adviser, it is intended for patients whose state of health requires complex and coordinated medical care without however requiring the constant presence of a medical team. Admission to HAD will be made after request from the treating doctor or hospital doctor, and after agreement from the coordinating doctor of the HAD service.

Day hospital: part-time hospitalization

At the request of the attending physician or after hospitalization, the day hospital  allows patients to return home in the evening, after treatment. It is intended for people requiring care that cannot be performed on an outpatient basis and does not justify full hospitalization.

At the day hospital , diagnoses are made, medical procedures are carried out and psycho-geriatric follow-up, re-education or rehabilitation are provided.

What are the differences between SSIAD and HAD?

SSIAD and HAD are two health structures that aim to avoid hospitalization and that allow patients to benefit from medical and paramedical care at home.

However, while the HAD mainly covers technical, frequent and long-term care, the SSIAD, medico-social services, aim to provide all types of care that can contribute to keeping elderly or disabled people at home. Moreover, while a multidisciplinary team will organize the HAD, the care delivered within the SSIADs is programmed by the nurse coordinator of the structure, CCAS, hospital or association.