Assessment & Care Plan

Home Visits

By evaluating the elderly adult in their present environment, we can best determine their functional abilities, medical condition, mental status, family involvement, and financial resources. We meet with the senior citizen three times over a 7 day period and utilize a social services/nurse team approach to assure that all of their physical, mental, emotional, and environmental needs are addressed.

Our assessment includes:

Pre-conference phone interview to share information about our company, review client and family goals and get preliminary details of the client's needs.

Assessing the elderly adult's interests and social support network, amount and type of support needed for current care, transportation issues, environmental issues, ability to relate to others, family dynamics, etc.

Collect medical data including current medical history, past medical history, medications, care received to date, results of recent lab work or diagnostic tests, etc.

Evaluate the mental and emotional status including, the individual's memory, ability to make appropriate decisions, and care for himself/herself on a daily basis.

Assess cognitive brain function of Alzheimer's and other dementia patients.  

Assess the physical capabilities, including mobility and ability to function in the home.

Determine if the elderly person is able to manage his or her finances, to what degree and  if assistance would be helpful.

An analysis of living arrangements including the maintenance condition of house, condo or apartment and possible safety hazards or improvements that can be made as a precaution.

A review of the client's current advanced directives and make recommendations if needed.
 
Referrals to needed Elder Law Attorneys and medical professionals for complex cases.

Recommendations / Care Plans are established to meet client needs and a written summary of findings and recommendations from the assessment are sent to the senior citizen and their family within a week of the assessment completion.

Evaluating the senior's needs

• Medical Condition
• Mental Status
• Functional Ability
• Family Involvement
• Financial Resources
• Home & Safety Issues

At Senior Advocates of Brevard, we make the wishes, values, and preferred environment of the older adult part of our recommendation. We evaluate the ability to live alone and provide resources and/or referrals that enable the older adult to stay at home as long as possible.

We examine the following:

• Ability to handle finances
• Safety of home environment
• Physical abilities and disabilities of aging adult
• Ability of Alzheimer's and other dementia patients
• Legal documents such as advanced directives or guardianship documents
• Needed referrals to elder law attorneys or other medical professionals

Summary Report

• Prepared and delivered to family promptly
• Written summary of assessment report
• Written recommendations and referrals