In Üsküdar, when getting to and from the hospital becomes difficult, when post-operative follow-up needs to continue in the home environment, or when a chronic illness requires regular monitoring, families often face the same need: safe and continuous health monitoring at home. Home nursing service in Üsküdar defines exactly this—the execution of nursing practices in the patient's own living environment in line with the physician's plan. This article has been prepared to explain, in a neutral and informative tone, what home nursing service means, for whom it may become relevant, and how Private Dr. Emin Paçacı Home Care Center—a Ministry of Health-licensed home care institution based in Üsküdar, Istanbul—approaches this process within a certain framework. The aim is not to promise any treatment outcome; rather, it is to help the reader see what to pay attention to during their decision-making process.
Contents
What is home nursing service in Üsküdar, and for whom does it become relevant?
Home nursing service means carrying out nursing practices in the patient's home environment within the framework of the diagnosis and treatment plan determined by the physician. The key word here is that the service is not an independent practice, but part of a plan for which the medical responsibility rests with the physician. The nurse undertakes the daily or weekly follow-up of the home care process; however, the decision as to which procedure can be performed at home and which requires hospital conditions is based on clinical assessment. This approach defines a structure that enables the patient to receive regular medical monitoring while remaining in their own familiar environment; the psychological comfort provided by the home environment and the continuity of clinical follow-up come together in this model.
The situations in which this service becomes relevant vary from person to person. In general, home nursing follow-up may be considered in the following cases:
- Individuals who experience serious difficulty in getting to and from the hospital, who are bedridden, or whose mobility is significantly restricted.
- Patients who require wound care, dressing changes and regular medical monitoring in the post-operative period.
- People with chronic conditions such as heart failure, COPD, diabetes or neurological diseases who require continuous clinical monitoring.
- Situations in the elderly care process where medical follow-up is needed in addition to daily living support.
Each of these needs is unique to the individual. Since symptoms, accompanying illnesses and social conditions vary, whether home nursing service is appropriate can only be determined by a physician's assessment. For example, in a post-operative patient, the course of wound healing, the presence of accompanying diabetes, or the degree of mobility restriction are factors that directly affect both the frequency of visits and the parameters to be monitored. It is important to note this principle of the article: the text does not explain how a medication should be used or how a procedure should be applied at home; such decisions belong to healthcare professionals.
In the context of Üsküdar, home health is a need area addressed by both the public and private sectors. The Istanbul Metropolitan Municipality's home health structure operates on a model in which applications are received via the Alo 153 Solution Center or an online form, after which teams visit the patient at home to assess their eligibility according to the service criteria. It is stated on the home health service page of the IBB Health Department that this structure also has a facility in Üsküdar. This organization on the public side is meaningful in that it demonstrates that the need for home health in the district is a concrete reality. Families evaluating public and private options together may find it helpful in clarifying the scope of the need and the appropriate form of service.
Core areas of application in home nursing
Home nursing may cover different areas of application depending on the physician's plan. These areas vary according to the patient's condition and treatment plan; the headings below define the general framework of the service and are not an individual application instruction.
The first group is the follow-up of injections and serum applications as planned by the physician. In these procedures, the medical responsibility rests with the physician; the nurse implements the plan and records the process. The second group is the monitoring of vital signs: the regular measurement of basic parameters such as blood pressure, pulse and temperature, and reporting changes to the physician. Monitoring the trends in these measurements contributes—beyond a single value—to the early detection of changes in the patient's general condition. The third group includes wound care and dressing applications; regular monitoring is important in situations such as chronic wounds or post-surgical wound follow-up.
In addition, the follow-up of interventions such as catheters and probes, as well as monitoring adherence to the control plan for chronic illnesses, are areas that may be considered within the scope of home nursing. For example, in an individual with diabetes or heart disease, regular monitoring of the follow-up parameters determined by the physician supports the continuity of the care process. In such chronic conditions, regular monitoring lays the groundwork for observing the patient's adherence to the treatment plan and, when necessary, for the physician to update the plan. Which of these applications can be carried out at home and which require hospital conditions again depends on the physician's assessment.
The common feature of the applications under these headings is that they are part of a care plan rather than simply a list of procedures. Each procedure gains meaning when addressed in relation to the patient's general condition and treatment goals. For the clear scope and procedural details offered by the institution, the page describing home private nursing services can be reviewed; the framework we address here is a neutral summary defining the general application areas of home nursing.
The contribution of home nursing extends beyond enabling procedures to be performed in the home environment. Regular follow-up allows for the early detection of changes in the patient's condition, the maintenance of ongoing communication with the physician, and the documentation of the care process. These records enable different healthcare professionals to access consistent information about the same patient and keep the care traceable. This continuity becomes particularly important in chronic disease management and in the post-operative period. However, what must be kept in mind here is that no service guarantees a specific outcome; each process is shaped according to the individual clinical situation.
Private Dr. Emin Paçacı Home Care Center as a Üsküdar-based home health institution
Private Dr. Emin Paçacı Home Care Center is a Ministry of Health-licensed home health and home care institution located in Üsküdar, Istanbul. Founded in 2015 by Dr. Emin Paçacı, its range of services and capacity were expanded in 2025. The institution states that it bases its service approach on ethical principles, a scientific foundation, and a patient-centered approach.
The core element defining the institution's structure is a multidisciplinary team model that is not reduced to a single service. This structure, composed of physicians, nurses and physiotherapists, aims to address the need for home health within a holistic framework. In this way, home nursing becomes part of a process that can be planned together with the physician's assessment and, when necessary, physiotherapy or palliative support, rather than being a stand-alone application. This integrity may enable different needs to be addressed around a single plan without applying to separate institutions.
The main areas included in the institution's service portfolio are as follows:
- Home doctor visits and medical examinations
- Home private nursing applications
- Home physiotherapy and rehabilitation
- Palliative care (comfort-oriented follow-up in advanced-stage illnesses)
- Wound care and the home application and follow-up of serum/IV treatments
- 24/7 medical emergency assessment and, when necessary, support for the hospital transfer process
The ability to offer these services together removes home nursing from being an isolated heading. For example, while wound follow-up in a post-operative patient is carried out within the scope of nursing, physiotherapy may also be included in the process to regain mobility; and above all of these lies the treatment plan determined by the physician. The Our Services page can be used as a reference for the general framework of the range of services offered by the institution.
Being Ministry of Health-licensed is a point that should be highlighted in this context. In Turkey, home health and home nursing services are subject to a framework regulated by the Ministry, and private centers offering this type of service are expected to be licensed. Working within a licensed structure means that the service is carried out with a defined chain of responsibility, with record-keeping and reporting processes, and with a medical decision-making mechanism. These elements contribute to keeping the care provided to the patient within a documentable and auditable framework. This is a neutral criterion that families evaluating home nursing service can take into consideration.
The home nursing process: assessment, planning and home visits
Understanding how home nursing service works makes the decision-making process easier. The steps below present a framework based on the institution's service definition and the general principles of home health applications; for each patient, the process may vary according to the individual situation.
The first stage of the process is the physician's assessment. The patient's clinical condition, current treatment and home care needs are evaluated by the physician. This assessment is the fundamental step that determines whether home nursing service is appropriate and within what scope it will be carried out. The central role of the physician's assessment forms the medical foundation of the service; for this reason, it is meaningful to address home private physician service in an integrated manner with the process.
The second stage is the creation of the care and nursing plan. In this plan, the frequency of visits, the procedures to be performed and the parameters to be monitored are determined. The plan has a structure that can be updated according to the patient's condition; for example, the frequency of visits can be reduced during the recovery process, or the plan can be expanded when a new need arises. In the third stage, the licensed nurse carries out home visits in accordance with the plan. During the visits, procedures such as follow-up of serum and medication applications, dressing changes and vital sign monitoring are carried out; each visit is recorded and feedback is provided to the physician. This feedback loop is the fundamental mechanism that supports keeping the plan aligned with the current clinical situation.
Some general criteria that families may take into consideration when receiving home nursing service are as follows:
| Criterion | What to look for |
|---|
| License | The service being provided through a Ministry of Health-licensed institution |
| Medical responsibility | Applications being carried out in accordance with the physician's diagnosis and treatment plan |
| Record-keeping and reporting | Documentation of visit notes, materials used and vital sign monitoring |
| Safety | Compliance with standards in infection control, material use and waste management |
| Communication | Answering questions, feedback to the physician, and clarity of emergency management |
These criteria may help families compare different options within a neutral framework; none of them alone means a guarantee of an outcome, they are only indicators aimed at understanding how the service is carried out. In the event of emergencies, the 24/7 medical emergency assessment defined by the institution may come into play, and support for the hospital transfer process may be provided when necessary. It should be noted that the transfer decision is made by the physician and relevant health authorities; home nursing does not replace this decision-making mechanism, it supports it. This distinction is important for correctly understanding the limits of the service.
The holistic framework of home nursing, physiotherapy and palliative care
The need for home health is often not limited to a single heading. In a bedridden patient, the preservation of mobility may come into play alongside nursing follow-up; and in an advanced-stage illness, a comfort-oriented approach may come to the fore. For this reason, planning home nursing together with other services such as physiotherapy and palliative care supports the continuity and consistency of the care.
In patients with mobility restrictions, regular exercise and rehabilitation programs may gain importance alongside nursing follow-up. At this point, home physiotherapy service can be carried out in coordination with the nursing plan. For example, in a patient who has been bedridden for a long time, while nursing follow-up covers vital sign and wound monitoring, physiotherapy may undertake the program aimed at preserving mobility; both areas remain tied to the same physician's plan. In advanced-stage illnesses, the palliative care approach offers a framework that prioritizes the patient's comfort and quality of life; here, nursing follow-up plays a role in the daily implementation of the physician's plan concerning pain and symptom management.
This holistic approach is particularly evident in elderly care processes. Planning daily living support together with medical monitoring creates a structure that shares the burden of both the patient and family members. The home elderly care services content, which addresses the general framework of home care for the elderly and chronically ill patient groups, provides context on this subject.
The practical value of the multidisciplinary approach is that different specialties do not work in isolation from one another, but are coordinated around a single treatment plan. The plan determined by the physician guides the work of the nurse, the physiotherapist and, when necessary, the palliative care team. This coordination contributes to keeping the care carried out in the home environment consistent and traceable; the records shared among teams help transfer information without any disconnection. Nevertheless, it must not be forgotten that each process depends on the individual clinical situation and that final decisions belong to healthcare professionals.
Frequently asked questions
What procedures can a home nurse perform?
A home nurse can carry out applications such as injection and serum follow-up, vital sign monitoring, wound care and dressing changes, follow-up of interventions such as catheters and probes, and monitoring adherence to the chronic illness control plan, in accordance with the diagnosis and treatment plan determined by the physician. Which procedure is appropriate and how it will be planned is determined by the physician, to whom the medical responsibility belongs. The scope of procedures varies from patient to patient; while wound follow-up comes to the fore in one patient, regular vital sign monitoring may take priority in another. For this reason, instead of a standard list of procedures, there is an individual framework based on the physician's plan.
In which cases is it necessary to go to the hospital instead of a home nurse?
This decision is based on the physician's clinical assessment. While some procedures can be carried out in the home environment, some situations may require hospital conditions. In an unexpected deterioration or an emergency, the 24/7 medical emergency assessment defined by the institution may come into play, and support for the hospital transfer process may be provided when necessary. It should be noted that the transfer decision is made by the physician and relevant health authorities. Home nursing does not replace this decision-making mechanism; it undertakes a supporting role of monitoring the patient's condition and conveying the necessary information to the physician.
How are the duration and frequency of home nursing service determined?
The frequency of visits and the duration of the service are determined according to the care plan created by the physician. In the plan, the patient's condition, the procedures to be performed and the parameters to be monitored are taken into account. This plan has a structure that can be updated according to changes in the patient's condition; the frequency may be reduced during the recovery process, or the plan may be reorganized when a new need arises. For this reason, there is no single standard duration; the duration and frequency depend on the individual clinical situation and may change throughout the process.
How are home medical care and nursing planned together?
Home nursing is not a stand-alone application but part of a process that begins with the physician's assessment. The physician evaluates the patient and creates the care plan; the nurse then carries out home visits in accordance with this plan and reports the process to the physician. When necessary, physiotherapy and palliative care teams can also be included in the process around the same plan. This multidisciplinary structure supports the consistency of care and enables different specialties to be coordinated over a shared record.
How is home health service organized in Üsküdar?
In Üsküdar, home health is an area addressed by both the public and private sectors. In the IBB's home health structure, applications are received via Alo 153 and an online form, and teams visit the patient at home to conduct an eligibility assessment. Private Dr. Emin Paçacı Home Care Center, on the other hand, provides service as a Üsküdar-based, Ministry of Health-licensed home care institution. Which option is appropriate is shaped according to the patient's condition and the physician's assessment; families evaluating these options together may find it helpful in clarifying the scope of the need.
For families evaluating home nursing service, the healthiest approach is to first clarify the patient's condition with a physician and determine the scope of the need accordingly. Since symptoms and care needs vary from person to person, it is recommended that the appropriateness of home nursing service be determined through a physician's assessment. Detailed information regarding the scope of the institution's home nursing can be accessed from the relevant service page.