Weekly monitoring (1-hour visit each week) to assist with vitals, medication setup, visits to MD appointments, mediation with family, MMSE (Mini-Mental-State Exam); coordination with caregiver agency staff to ensure family and caregiver are aligned with Care Plan; crisis and ongoing clinical oversight and recommendations to prevent hospitalization
Clinical recommendations/oversight by RN, social worker and/or a healthcare advocate
Coordination/communication with physicians, family members and specialists
Accompaniment to and Advocacy at MD appointments to assist the client in better understanding his/her medical needs and relay information to the client’s family
Referrals to services for client’s ongoing needs (skilled home care, non-skilled home care, durable medical equipment, counseling, MD, rehab, dietitian, housing, legal, financial services)
Documentation of health history/medication list for MDs
Nursing care (wound care; gastrostomy tube feedings; head-to-toe assessment; notifications to MDs regarding significant findings and to begin intervention; last-minute home visits if client isn’t feeling well)
Coordination of all home care services
Evaluation for and arrangement of durable medical equipment
Liaison to long-distance families
Provision of community resources and setup of Emergency Response System (e.g. Lifeline)
Assistance with personal errands
Contact Us Today!
Use the form below to email us and we’ll get back to you shortly.