Order healthcare needs assignment
Establish a database that includes age, gender, height and weight, medical diagnoses, past
medical history, current health problems, surgery, and functional limitations (e.g.,
impaired sight or hearing, amputation, use of wheelchair or walker).
Personal data Ask the patient:
“What language do you prefer to use?”
“How do you feel about being discharged?”
“What are your expectations for recovery?”
“What do you do to help you cope with stress? Are these things helpful?”
Caregivers Establish the caregiver’s age, gender, relationship to the patient, past experiences with
this illness or treatment, values and beliefs, and cultural practices that might affect
prescribed care. Ask the caregiver:
“Do you live with the patient?”
“What are your expectations about providing care at home?”
“What are your fears about providing care at home?”
Environment Assess the home, noting if there will be barriers to using prescribed assistive devices (e.g.,
wheelchairs or walkers), if the patient will be able to use bathroom facilities safely, and
if hot water, heat, and room for supplies are available.
Assess the community, noting location (such as rural or urban), whether healthcare is
available and accessible, whether transportation is available, and any known
Financial and support Discuss expenses of prescribed care, including dressing supplies, medications, equipment,
resources and special foods.
Discuss available resources, including Medicare and Medicaid, parish nursing, and meal
services to the home.
Discuss, especially if the patient will be living alone, support services and resources and
how they can be accessed. Include friends, church groups, and support groups specific to
the patient’s age and healthcare needs.
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