Policy Manual sample

MDT Home Health Care Agency, Inc. • Patient’s/family’s goals for pain management and their satisfaction with the current level of pain • control Common physical symptoms other than pain are assessed at the time of admission and on an ongoing basis based on policies and procedures/protocols for symptom identification and management. Common symptoms include, but are not limited to: • Nausea and vomiting • Anorexia • Constipation • Anxiety • Restlessness • Dyspnea • Dehydration • Skin breakdown • Sleep disorders The mental component: • Orientation/memory • Reasoning/judgment • Emotional/behavioral status • Depression and suicide risk • Substance abuse • Coping mechanisms The physical health component: • Diagnosis • Vital signs • Identification of additional health problems or pertinent health history, including recent hospital stays • Review of medications • Allergies • Special nutritional needs or dietary requirements and weight loss • Complete pain and other symptoms assessment • Head to toe assessment • Equipment and supply needs • Patient/family preferences for treatment and concerns • Other needed information that could impact the level of services required to meet the patient and family needs The physical component: • Coordination • Flexibility • Strength • Health history, chief complaint • Vital signs The social component: • Identification of the responsible party • Identification of an emergency contact • Availability and capability of caregivers • Role changes and family dynamics • language preference Home Health Agency - - Skilled Professional Services C-7