In this paper we discuss and address multifold security challenges involved in the implementation of remote healthcare in smart homes. These security challenges are derived from real-world, industrially relevant scenarios. Validated security techniques and mechanisms providing certain security properties can be captured and implemented in security patterns, which can be applied in order to satisfy security requirements in the smart home healthcare scenarios. The presented results are parts of our ongoing research effort aiming at the development of an integrated security framework for remote healthcare and ambient intelligence systems.