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Handouts are here! Click on this link. - Selman-Holman & Associates

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4/20/2009<br />

He’s got all kinds of people helping him out.<br />

Some<strong>on</strong>e helps with his pers<strong>on</strong>al c<str<strong>on</strong>g>are</str<strong>on</strong>g>,<br />

some<strong>on</strong>e else helps him with getting his<br />

groceries. Of course he was complaining about<br />

how they never show up and how they d<strong>on</strong>’t do<br />

what they <str<strong>on</strong>g>are</str<strong>on</strong>g> supposed to do.” “He has 3 kids<br />

that all want to be in charge.”<br />

The kids were all t<str<strong>on</strong>g>here</str<strong>on</strong>g> when I was trying to<br />

admit him. I asked which <strong>on</strong>e gets his meds<br />

refilled and they all said, “I do!!”. I wanted to<br />

ask, “If all of you order the meds then why <str<strong>on</strong>g>are</str<strong>on</strong>g><br />

4 of them empty??, but, I didn’t.”<br />

“Anyway, the whole situati<strong>on</strong> is a disaster. I<br />

just d<strong>on</strong>’t know what we could do for him.”<br />

Management & Evaluati<strong>on</strong> due to his unstable<br />

Plan of C<str<strong>on</strong>g>are</str<strong>on</strong>g><br />

◦ Coordinate c<str<strong>on</strong>g>are</str<strong>on</strong>g>givers’ efforts to assure the c<str<strong>on</strong>g>are</str<strong>on</strong>g><br />

plan in place accomplishes the Plan of C<str<strong>on</strong>g>are</str<strong>on</strong>g> as<br />

ordered by the physician<br />

• Coordinate the purchasing of medicati<strong>on</strong>s<br />

• Communicate with physician(s)<br />

i • Update Plan of C<str<strong>on</strong>g>are</str<strong>on</strong>g> PRN<br />

• M<strong>on</strong>itor issues as related to memory disorder<br />

• Coordinate c<str<strong>on</strong>g>are</str<strong>on</strong>g>givers to assure<br />

• Necessary tasks <str<strong>on</strong>g>are</str<strong>on</strong>g> accomplished<br />

• Services <str<strong>on</strong>g>are</str<strong>on</strong>g> not being duplicated and t<str<strong>on</strong>g>here</str<strong>on</strong>g>by wasted<br />

Mary Taylor has been <strong>on</strong> your service for<br />

3 recerts. She has had therapy and a<br />

home health aide. Mary has<br />

progressed well and has met all of the<br />

goals that she and the therapist had<br />

set. The therapist states that she will<br />

need to discharge Mary at the end of<br />

<strong>this</strong> cert. The therapist is c<strong>on</strong>cerned<br />

about Mary living al<strong>on</strong>e without the<br />

assistance of home health. The<br />

therapists reports that Mary is:<br />

14

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