Home Nursing Care in
Horana.
Home nursing care in Horana usually starts when someone comes home unable to move or swallow. BetterHands places qualified nurses across Horana, Pokunuwita, Munagama and Wagawatta — from LKR 9,000/day.
Turning is the whole difference between healthy skin and a sore that lasts months.
Why home nursing in Horana is about skill, not hours.
Horana is inland, and a serious stroke is treated in Colombo or at District General Hospital Nagoda rather than at Base Hospital Horana.
The patient comes back weeks later, unable to move one side, often unable to swallow safely, with a feeding tube and a page of instructions.
Families here almost always try first. That is not the problem, and this page is not written to suggest otherwise.
The problem is that turning someone every two hours, giving feeds at the right angle and rate, and spotting a stage-one pressure sore are three separate trained skills.
Because none of them look difficult from the outside, nobody warns a family until something has already gone wrong.
Therefore what a nurse adds here is not company or hours. It is the technique that keeps a chest clear and skin intact.
Where a recovery at home stalls
Four things that send someone straight back to hospital.
None of these are anyone’s fault. In houses across Horana they are what happens when untrained love runs for three months without relief.
A chest infection from a rushed feed
The feed goes in fast, or the head goes flat too soon afterwards. Aspiration pneumonia is the commonest reason a stroke patient goes back into hospital.
A sore that starts on the third night
Turning holds for two days, then everyone is exhausted. Skin over the sacrum breaks down within a week and takes months to heal, if it heals.
A tube kept going by guesswork
Position unchecked, flushes skipped, medicines crushed that should never be crushed. The tube blocks, and the trip to have it replaced costs a whole day.
One relative carrying all of it
Usually a daughter, usually alone, usually for months. The care does not fail because she stops trying. It fails because nobody can lift, feed, turn and chart alone indefinitely.
What a nurse does in Horana, and where she stops.
The work is repetitive by design. Position checked, feed given slowly, patient sat up afterwards, skin inspected, everything written down.
The limits are absolute. A displaced tube is not replaced at home, and a deep pressure sore is not debrided on a bed in a front room.
However, where the tube is secure and the skin is intact, months of this can be done at home — and done better than in a busy ward.
- Tube position confirmed before every feed, without exception
- Feeds given at the prescribed rate, with the head kept raised afterwards
- Two-hourly turning and positioning, on a written schedule
- Pressure areas inspected and recorded daily, not weekly
- Family taught the safe parts so the routine survives between visits
- No tube re-insertions at home, and no debridement of any sore
Straight answers
Home nursing in Horana, in brief.
What does home nursing care in Horana cover?
Tube feeds given safely, the patient turned and positioned on a schedule, pressure areas inspected daily, and observations charted so a deterioration is visible before it becomes an emergency.
What will a nurse refuse to do?
Re-insert a displaced feeding tube, debride a pressure sore, or keep feeding someone who is coughing on every feed. Each of those needs a hospital, and recognising it quickly is most of the clinical skill.
How quickly can a nurse start in Horana?
Usually within 24 to 48 hours, and same day where a discharge is arranged. The free assessment looks at the bed, the tube, the skin and who has been turning them so far. The written placement guarantee applies from the first visit.
What we provide
Clinical nursing for Horana households.
Immobility brings its own list — feeds, skin, medication and chest care — and each part has a page that goes further than this one can.
Clinical Nursing
Every procedure a nurse may carry out in a house, tube feeding included, with the limits written down rather than left to the moment.
Clinical Nursing Services Sri Lanka
Wound Care at Home
A pressure sore is a wound with a cause that has not gone away. Dressing it without fixing the position underneath achieves very little.
Wound Care at Home Sri Lanka
Medication Management
After a stroke there is usually a long list — blood pressure, anticoagulants, statins. Given through a tube, several of them need crushing rules followed exactly.
Medication Management Sri Lanka
Post-Operative Care
Where immobility followed an operation rather than a stroke, the recovery has a different shape. This page covers that fortnight in full.
Post-Operative Care Sri LankaHome Nursing Care
The main national page, covering cost, scope and how a placement is arranged. Read it before ringing round, so you know which questions matter.
Home Nursing Care Sri LankaOur Nursing Service
What each nursing level is trained and permitted to do. The quickest way to check whether your discharge instructions can be followed at home.
Home Nursing Care ServiceWhere we serve
Nurses across Horana, Pokunuwita and Munagama.
Daily nursing inland only works with a nurse who lives inland. Every placement around Horana is made on that basis, and the last stretch of lane is confirmed before day one.
How it works
From a discharge nobody explained to a routine that holds.
The discharge summary and the bed, together
Tube type and size, feed regime, turning schedule, existing skin damage. We look at the actual bed and mattress, because both decide what is possible.
Skin mapped and photographed on day one
Sacrum, heels, hips, elbows. Everything afterwards is compared against that first record, which is how a stage one is caught while it is still reversible.
A feed and turn schedule written on the wall
Not held in someone’s head. Where family members share the night, a written schedule is the only thing that survives a bad week.
Matched to a nurse living in the area
This work needs someone from Horana or Pokunuwita who can attend the same day. We do not place someone travelling ninety minutes each way for it.
Charted observations for the review
Feeds, output, temperature, skin and mobility. The clinic then sees a trend rather than one bad afternoon, which changes what gets decided.
Family stories
What families tell us.
“I have tried other home care services in Colombo but BetterHands stands apart. Their caregivers are consistent, reliable, and genuinely care about the people they look after.”
Sanduni K.
Galle
“Our mother lives alone in Wellawatte while we work overseas. Her BetterHands companion visits daily and calls us every week. For the first time in years, we are not constantly worried.”
Nimal & Kumari J.
Wellawatte, Colombo 06
“The caregiver who looks after my elderly father in Borella is patient, gentle, and reliable. She manages his medication and meals perfectly, and he genuinely looks forward to her visits each morning.”
Anoma D.
Borella, Colombo 08
FAQs
Home nursing care in Horana — questions families ask.
A professional nurse is LKR 9,000 per day. Many households here use a nurse for the clinical work and a trained caregiver at LKR 4,500 for the rest of the day. One annual registration fee of LKR 20,000 applies. Pokunuwita, Munagama and Wagawatta carry no travel supplement.
Yes, and for most families it is the only realistic option. The nurse checks tube position before every feed, gives it at the right rate and angle, flushes it properly, and keeps the head raised long enough afterwards. Rushing any of those causes aspiration.
Roughly every two hours, day and night, adjusted for skin and comfort. That is the part families in Horana find hardest to sustain alone, and it is also the part that decides whether pressure sores appear at all.
We assess and photograph it, take the pressure off immediately, and dress it to the plan the treating unit sets. A deep or undermined sore is a hospital matter. Anyone offering to debride one on a bed at home is telling you something useful about themselves.
No. A displaced tube is replaced where its position can be confirmed, because a feed into the wrong place is a life-threatening event rather than an inconvenience. We stop feeds, secure the patient and arrange the trip to Base Hospital Horana or Nagoda.
Horana town, Pokunuwita, Munagama, Kandanagama, Wagawatta, Poruwadanda, Handapangoda, Millewa, Bellapitiya, Batugampola, Ingiriya and Bandaragama. Estate lanes that vehicles cannot finish are confirmed with the nurse in advance.
Clinical skill, or a break for the family?
If what is missing is the technique, this is the page. If what is missing is rest for whoever has been doing the caring, the 24-hour Horana page deals with relief and continuous cover instead.
Transparent pricing
Membership first, then simple daily rates.
One annual membership covers coordination, payroll, and unlimited caregiver replacements. After that you pay a flat daily rate for the level of care you need.
BetterHands Annual Membership
LKR 20,000
One-time annual registration fee
- Unlimited caregiver replacements at no additional cost if you are not satisfied
- Payroll management and caregiver administration
- Ongoing coordination and support from the BetterHands team
- Access to all services covered under the BetterHands membership
Step two — daily service rates
Duties below are what each role normally provides — your care plan is tailored during the free assessment.
Caregiver
Daily living support and companionship
LKR 4,500/day
Most families start here — a parent who is managing, but should not be alone all day.
- Friendly conversation and companionship
- Bathing and personal care assistance (if required)
- Medication reminders and general supervision
- Simple meals and refreshments
- Short walks and light activities (if appropriate)
- Day-to-day assistance and emotional support
Nursing Assistant
Personal care plus basic clinical support
LKR 6,000/day
Common where diabetes, blood pressure or early-stage dementia needs daily monitoring.
- Everything in the caregiver role
- Vital signs monitoring (BP, blood sugar, SpO₂)
- Medication reminders and administration support
- Basic wound and continence care
Professional Nurse
Complex medical and post-operative needs
LKR 9,000/day
Usually after a hospital discharge, a stroke, or where wounds and IV care are involved.
- Everything in the nursing assistant role
- PHSRC-registered clinical nursing
- Wound care, injections, and IV therapy
- Catheter, NG tube, and post-operative care
Daily rates are charged in addition to the one-time annual registration fee of LKR 20,000. The same daily rates apply to day care, night care and live-in support — no shift premiums, no travel supplements for any district. Hospital bystander cover is priced by shift length instead — see that service page for its packages. A free care assessment is provided before any commitment.
Arrange home nursing care
in Horana.
Tell us what came home with your relative and who has been managing it. A qualified nurse can be matched within 72 hours, and the first visit sets the routine.
1,000+
Caregiver profiles
96%
First-match success
Trained
Caregiver training
72
Hours to placement