we are required to do an assessment, not a complete physical assessment, but a needs assessment, support systems, payor source (or lack thereof);
Sometimes I can't believe these gals have a license, as skin issues are missed, DNR orders not started, etc, Do a quick note about the cc, labs,tx, ivf's. iv meds, check to see if meet IP criteria, must see all clients every day. favorite part is making a difference in the lives of folks, someday gonna write abook!!!!! i guess the thing we do most often is deal with families (sometimes irate, sometimes crazy, sometimes unrealistic, sometimes illiterate /speak only croatian whatever the daily crisis may be, Right now I have a real interesting (hair on fire, trying to solve this one),,,
78 y/o man came back to hospital -- just released1 week prior from our sister hospital after hip pinning, Sent back toi Assisted living/residential home no skilled care. Came back to us with dehydration, acute on chronic renal failure, hip is draining, etc, Now on dialysis, dobhoff down, etc etc. There is no family willing to help ( gent had spent 27 years in jail for murder, so is estranged from family. MY job... figure out how to pull a DPOA out of my hat!!! working on that this week. I love a challenge.. Poor little guy is so confused..... i do get a lot of elders with no advicacy at all.
wish me luck