Initial Client Assessment

Physical, Mental, Cognitive, & Psychosocial Evaluation (to Determine Independence Level & Safety)

Coordinate all medical & surgical history

Medication review

Nutrition & dietary evaluation

Home safety & fall prevention evaluation

Advanced Directive/POLST Review

Regular in-home visits

Professional recommendations (in-home caregiving, placement options, medical, legal, financial)

Ongoing evaluation of independence level as needs change

Routine communication to responsible party, client, family or third party providers

Interview, hire, train & oversee caregivers/other third party providers

Caregiver/Family counseling & conflict resolution

Client counseling facing new life altering diagnosis

Act as a Liaison for families both local and out of area

Medical appointment scheduling & coordination

Escort client to/from doctor's appointments & inform family/responsible party of results

Communicate with medical providers such as doctors and discharge planners

Consultation with third party providers & other professionals

Facilitating end of life care discussions (Advance Directive/POLST)

Grief & loss/bereavement counseling