Services
Nurse Advocate & Crisis Response
INDIVIDUALIZED SUPPORT
Available during crisis situations.
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Coordinate follow-up visits and appointments with specialists.
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Encourage individuals to be proactive.
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Supporting rights and respective wishes.
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Ensure understanding and approval of health plans.
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Available to meet at emergency room to assist with planning, transportation, and coordination.
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Interpreting medical terms in a way that makes sense to clients.
Assessment & Monitoring
DECREASING INJURY AND ILLNESS
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Communicate with the provider when changes in health are noted, to obtain orders for simple tests, if indicated.
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At-home assessments (medical, safety and psychosocial.)
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Monitoring for adverse effects of medications and promote proper medication regimen.
Transportation
PERSONAL CHAUFFEUR
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Assisting with transportation in crisis situations.
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Providing transportation to and from appointments, from hospital discharges and personal events.
Coordination & Transition of Care
SIMPLIFYING HEALTHCARE NEEDS
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Guidance navigating the medical system.
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Maintain good communication between primary, and specialty providers, along with family for continuity of care.
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Accompany to clinic appointments and during hospital discharge for clarity and understanding
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Coordinate follow-up visits and appointments with specialists.
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Monitor the medical record to avoid duplicate tests and/or procedures to decrease costs.
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Medication set up and management.
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Arrange other services, such as home care, if needed.
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Identifying living arrangements which fit the preferences and needs of the individual.
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Focus on remaining safely at home for as long as possible.
Family Liaison
BRIDGING COMMUNICATION
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Aiding with additional services and community resources.
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Regular communication with loved ones and providers.
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Assisting with Advance Health Directives to ensure wishes are a priority in the individual treatment plan.
