Needs Checklist

hand_therapy_smIf you answer yes to any of the questions below, you may want to consider discussing the need for assistance at home with your physician, family or In-Home Care VNA. Please contact us for more information or, for a further assessment of your needs.

 

 

 

 

 

  1. My physical condition does not permit me to care for myself and do the things I was able to do before my hospitalization.
  2. My family is unable to care for all my health care needs.
  3. I don't understand the new diet my doctor has prescribed.
  4. I don't understand my disease and how to control it.
  5. I have more than one medical problem.
  6. My doctor has prescribed some new medicines and I don't understand them.
  7. I had an operation during my recent hospital stay.
  8. I have an unhealed wound and I need assistance with dressing changes.
  9. I have other special medical needs and would feel more confident if I received some additional teaching at home.
  10. My physical limitations may require me to learn to use a wheelchair, walker or other assistance devices to manage at home.
  11. I have been in the hospital twice in the last six months.
  12. I am homebound, making it difficult for me to obtain my medical care.
  13. My doctor says I'll need to receive nutrition and/or medicine through my veins.  

 

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