ASSESSMENTSystematic evaluation using validated tools. Completed within required timeframes and when status changes. Documentation supports care planning. Required for accreditation compliance.
COMPREHENSIVEMy role includes conducting comprehensive assessments, developing person-centered service plans, providing skilled care, coordinating with the healthcare team, monitoring progress, and documenting care provided.
FUNCTIONALCriteria include: age range, geographic catchment, diagnosis/condition, functional level, and service needs. We assess safety, client willingness, and goal alignment.
COGNITIVEA comprehensive assessment includes: reason for referral, medical/surgical history, current health status, functional abilities (ADLs/IADLs), cognitive status, mood and behaviour, social determinants of health, family/caregiver support, and client goals. Review assessment templates in your
MOODA comprehensive assessment includes: reason for referral, medical/surgical history, current health status, functional abilities (ADLs/IADLs), cognitive status, mood and behaviour, social determinants of health, family/caregiver support, and client goals. Review assessment templates in your
NUTRITIONAssessment of dietary intake, preferences, restrictions, swallowing ability. Care plan addresses nutritional needs, assistance required. Monitoring of weight, intake, concerns. Referral to dietitian when indicated. Documentation of interventions.
DOCUMENTINGMy role includes conducting comprehensive assessments, developing person-centered service plans, providing skilled care, coordinating with the healthcare team, monitoring progress, and documenting care provided.
QUARTERLYWe gather feedback through satisfaction surveys, follow-up calls at specific intake points, and regular meetings with referring partners. We also review complaints/compliments related to access. Feedback is compiled and reviewed quarterly.
CHANGESWe notify the client as soon as possible, explain the reason, introduce the new coordinator, provide updated contact info, and have the new coordinator review the care plan with the client.
TEAMMy role includes conducting comprehensive assessments, developing person-centered service plans, providing skilled care, coordinating with the healthcare team, monitoring progress, and documenting care provided.
