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A Home Care
Nurse will assess, monitor, and help
facilitate your ability to maintain living at home. Care
Management services may include the following; however, the
program will be tailored to address individual needs:
An initial
comprehensive nursing assessment of your physical and
psychosocial status, which will include an evaluation of the
skin, cardiovascular, respiratory, neurological,
musculoskeletal, gastrointestinal and renal system.
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Special
attention will be given to activity tolerance and functional
status as they relate to level of self care.
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Current
nutritional status will be evaluated.
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Current health
conditions will be reviewed. You will provide a medical
history.
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Current
medications will be reviewed.
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A safety
evaluation of your home will be conducted.
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Emotional and
cognitive status will be evaluated.
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The assessment
will include physical evaluation, observations and
interview.
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Adaptive
equipment needs can be assessed.
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Create a plan to include areas of
concern, plans of action, goals and assessment of results.
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A weekly home visit for assessment of
medications compliance, general health status and associated
needs.
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A weekly weight and vital sign
measurement.
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Coordination of additional home care
assistance as identified and requested.
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Coordination of treatment with current
physicians.
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Telephone reports or emails to
appropriate family designee as needed.
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A monthly written report to a
designated family member which outlines status, verification
of hours/time spent with care management and suggestions
where appropriate.
These services
would be scheduled and provided during the normal hours of
business operation Monday through Friday, 8:30 AM to 4:30 PM.
In event of an emergency, the on-call Surrey staff member can be
reached by cell phone, however, be aware that Care Management
services are not intended to be an alternative for emergency
medical care and treatment. The Care Management Program is under
the supervision of a staff nurse. The charges for the Care
Management Program are as follows:
| 1. |
Initial Assessment and
Plan of Care by a RN |
Free |
| 2. |
Care Management by an
RN |
$75/hour |
| 2. |
Mileage related to
services |
Federal
rate/mile |
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