protocol for fully functioning information & assistance - Western ...

Needs/Preferences/Values of Consumer and Caller
It is often helpful to let the caller, if an older person/person with a disability, tell the I&A
Specialist about a typical day. While the caller is talking, the I&A Specialist needs to listen for
the areas listed below and prompt them to talk about these areas as supportively as possible.
What are the Consumer’s Primary Needs and Level of Support required?
• Physical problems and strengths
• Hospitalizations in the past 30 to 90 days
• History of falls
• Medications
• Activities of daily living (ADL’s/IADL’s)-bathing, dressing, toileting, housekeeping, meal
prep, lawn care, transportation
• Cognitive status
• Emotional Status- examples of depression or mental health concerns
• Home environment-stairs, home conditions, adaptive aides in place or needs
• Support network-family, friends, neighbors, church, existing agencies
• Financial status-on benefit programs? Social Security, SSI, SSDI, Ability to meet basic
needs with financial situation
• Risk of institutionalization
Are there indications of caregiver stress in the household and/or with caregivers who provide
support?
1. Rating of current stress level on a scale from 1-10 with 1 being no stress and 10 being
extremely stressed?
2. Experiencing an increase in illness? Cold, flu or intestinal problems?
3. Receiving regular medical check- ups?
4. Regularly spending time on activities s/he enjoys?
5. Noticeable changes in sleeping habits since becoming a caregiver?
6. Employment status?
7. Feeling anxious or irritable more often?
8. Having someone to talk to about his/her feelings?
9. Having difficulty concentrating and making decisions?
10. Satisfied with the amount of support from his/her family?
11. Feeling others understand what s/he is going through?
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