Acute Issues / Needs
- Inform the hospital-based medical team of health, medication and treatment histories of the client
- Follow the progress of the hospitalization to improve patient/family understanding and communication with the medical team
- Assist in the post-hospitalization transition to reduce the need for re-hospitalization
- Facilitate communication to the private physicians and other related providers (therapists, rehab personnel) of the events of the hospitalization
Ongoing Needs
- Obtain previous medical records to formulate a medical summary for all the physicians on the case
- Medication review for potential interactions and education to the client about their medicine
- Accompany the client to his/her doctor appointments to ensure the questions are being asked and that the plan is understood
- Facilitate communication between all the physicians involved to ensure all members of your team are informed with up-to-date information MORE
- Educate the client and family on the health issues, care and options available
- Assist the client/designee to become independent in their care
- Evaluate needs to make the clients environment safer
- Coordinate follow-up tests/appointments
We serve the Entire Southern Arizona Community
Serving Tucson, Oro Valley, Sahuarita, Marana, Tubac, and Green Valley
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