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Initial Services

Phase 1:  Making an Assessment

  • Our 4-step process begins with an individualized comprehensive assessment of the client in his or her home environment.  The assessment includes:

  •  Consultation with the client and family members to determine their goals for the initial assessment

     In-home assessment of the older adult to identify functional, health, nutritional, social, and cognitive needs or abilities

     Fall risk assessment

     Home assessment to determine safety risk factors

     Assessment of the need for durable medical equipment and assistive devices

    		 

 

Phase 2:  Developing a Care Plan

An individualized, written plan of care will be developed and presented during a care conference involving the client and family.  Facilitating agreement between the client and family is a key element of the care planning process.  Education in medication management, home safety, energy conservation techniques, or other tips to maintain independence will be provided as part of the individualized care plan.
 
  • Phase 3:  Identifying Resources

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    • Resources will be provided to the client and family based on the client's personal preferences and the individualized care plan.  These resources may include:

       In-home services

    •  Rehabilitation services

    •  Senior centers

    •  Physician services

    •  Legal and financial services

    •  Social services

    •  Assisted living or nursing homes

    •  Counseling

    •  Support groups

     

     
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