Policy Manual sample

MDT Home Health Care Agency, Inc. - Barriers and safety hazards in the home environment - Any other relevant information that may affect the patient’s goals - Pertinent prognosis - Laboratory values - Medication history, including drug allergies, drug sensitivities, medication compliance and past adverse drug reactions. - Current medication use, including prescribed and over-the-counter medications - Nutritional status - Diet, including the therapeutic regimen, if any, reason for the therapeutic regimen, and its route of administration - Medication equipment in the home The mental component: • Orientation/memory • Reasoning/judgment • Neuro/emotional/behavioral status • Ability to read/understand material • Depression and suicide risk • Substance abuse • Coping mechanisms The social component: • Identification of the responsible party • Identification of an emergency contact • The patient’s involvement with social and community resources • Role changes and family dynamics • Financial, economic and community resources • Communication strengths and barriers, literacy and language skills • Availability and capability of caregivers • Environmental and safety concerns • Advance Directive decisions • language preference The environmental component: • Identification of safety and health hazards • Presence of adequate living arrangements • Home environmental assessments which include the potential for safety and security hazards (e.g., water, heat, cooling, refrigeration, throw rugs, furniture layout, bathroom safety, cluttered stairways and blocked exits, unsecured doors, lack of smoke detectors, and fire risks) • Instructions and interventions are directed to minimizing safety risks and preventing injury The economic component: • A review of the financial resources available to pay for the services/care provided Functional limitations: • The patient's ability to ambulate • Documentation of all functional limitations • Documentation of ability to complete Activities of Daily Living (ADL) and Instrumental Activities of Daily L-3 Home Health Agency Client Assessments