Premier Home Health Care
Transitional Care
Visits List
RN COPD CLINICAL PATHWAY - Visit 6
Validation
1
Expected Outcomes
2
Interventions
3
Signature
Patient will verbalize actions to access community resources
Yes
No
select "Yes" or "No"
Patient will demonstrate optimal level of independence in ADLs/IADLs
Yes
No
select "Yes" or "No"
Patient will demonstrate ability to maintain safety in home environment
Yes
No
select "Yes" or "No"
Patient will attain pulmonary stability
Yes
No
select "Yes" or "No"
Complete patient assessment
Yes
No
select "Yes" or "No"
Discuss discharge plans or needs for alternate services
Yes
No
select "Yes" or "No"
Identify community supports available to ensure safe discharge to the community
Yes
No
select "Yes" or "No"
Evaluate patient’s compliance with self-monitoring of disease process
Yes
No
select "Yes" or "No"
Discuss the benefits of the annual flu shot and the pneumonia vaccine if over 65, or under 65 with risk factors
Yes
No
select "Yes" or "No"
Assess current ADLs/IADLs activity and tolerance levels
Yes
No
select "Yes" or "No"
Provide needed information to teach patient about telehealth follow-up
Yes
No
select "Yes" or "No"
Coordinate with clinical team as needed
Yes
No
select "Yes" or "No"
Finished
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Validation states
2
Alerts
3
Payment Info
4
Other Info
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