In-Home Assessment & Monitoring

Choosing the Path for Your Home Health Care Journey

In-Home Health Care Assessment

A registered nurse or therapist will conduct an initial visit to determine the patient’s needs and desired outcomes, and make sure the patient and family understand the services that will be provided, the benefits of home care and the availability of community resources. This information will also be communicated to your physician.

What exactly takes place during the assessment? Think of the assessment as the discovery phase, in which we gather lots of information about the patient’s needs so we can create an individualized plan of care. An experienced clinician conducts the assessment, documenting the patient’s condition:

  • Head-to-toe assessment
  • Medical diagnoses
  • Medications
  • Current health conditions
  • Overall nutrition and appetite
  • Functional abilities/disabilities
  • Ability to carry out daily living activities

The clinician and family also discuss the patient’s:

  • Home environment
  • Safety issues
  • Mental and emotional health
  • Social engagement
  • Support network

We suggest that the family member(s) who will be most involved in the patient’s care attend the assessment. Once this process is complete, we coordinate with the patient’s primary care physician (PCP) to determine the frequency of visits and which services will best assist the patient to safely regain strength and independence at home.

Home Health Care Monitoring

While Options Home Health is providing home health care therapy, nursing or other services, we also undertake regular monitoring. The patient’s condition is assessed to ensure that treatment is going as planned, that the patient’s medical health is improving, that he or she is regaining or maintaining independence and that he or she remains as self-sufficient as possible. Depending on the results of regular evaluations, the patient’s plan of care may be continued or changed, or our services may no longer be needed.