Who can benefit
- Patients with ECOG 3 performance status — confined to a chair or bed for over 50% of the day, requiring assistance with basic care.
- Patients with ECOG 4 performance status — completely bedridden, fully dependent on another person.
Services offered
Consultations, monitoring, sample collection
- Home doctor's visit (general medicine)
- Vital function monitoring
- Blood glucose measurement
- Sample collection for laboratory tests
- Antibiotic sensitivity testing
Treatments and administration
- Injectable treatments (IV, IM, SC, ID)
- Home infusion treatments
- Port-a-cath infusion treatments
- Evacuating / therapeutic enema
- Bladder lavage
Wounds, pressure ulcers, dressings
- Pressure ulcer care (grade I, II, III, IV) and debridement
- Wound dressings — postoperative and superinfected
- Postoperative suture removal
- Postoperative staple removal
Bedridden patient
- Care of the bedridden patient
- Hygiene and changing of bedridden patients
- Passive feeding of bedridden patients
- Urinary catheter change / removal
- Manual evaluation of fecal impactions
Stomas, drains, cannulas
- Stoma and fistula care
- Drain tube care (with patient training)
- Tracheal cannula care (with patient training)
Urinary catheter & irrigation
- Urinary catheter insertion (male / female)
- Urinary catheter removal
- Bladder irrigation
Recovery and prevention
- Kinesiotherapy and medical recovery
- Therapeutic maneuvers — preventing pulmonary complications (bronchial drainage, tapotement, respiratory physiotherapy)
- Therapeutic maneuvers — preventing vascular complications and decubitus ulcers
Durations under the CNAS contract
- 01Chronic conditions: up to 90 days of care in the last 11 months.
- 02Oncological conditions: up to 180 days of care in the last 11 months.
- 03Care episode: up to 15 days (or 30 days with medical justification).
- 04Recommendation validity: up to 30 calendar days from issue.
All services are performed on the recommendation of the family doctor or specialist, based on a signed and stamped medical document (Annex 31C).
Annex 31C — Recommendation for home medical care
Annex 31C is the official CNAS form required to access home medical care services. It is filled in by the family doctor or specialist and is valid for up to 30 calendar days from issue.
What the form contains
- Patient details (name, ID number, address, address where care is delivered).
- Oncological diagnosis (YES / NO).
- ECOG status (3 or 4).
- List of the 25 types of recommended care services, with frequency.
- Recommended duration and medical justification.
- Doctor's signature and stamp.