Assess home and socio-economic environment to determine roadblocks to healing: Financial concerns Transportation needs Dietary needs Insurance applications Placement to acute setting Cognitive needs/concerns Resource Advocacy               Assess that the choice/caloric dietary intake is adequate and appropriate to promote healing and compliance related to diagnosis process: Renal diet Cardiac diet Diabetic diet Wellness diet High protein (Aid Healing) Fluid restrictions Salt restrictions High fiber diet Bland diet Tube feedings; PEG, gastronomy TPN - Total parenteral nutrition Supplements to enhance dietary intake, not to replace                 Certified nursing assistant: ADL (Activities of Daily Living) bathing, showering, skin, hair, wound care treatments, transfer assistants, vital signs - call if outside established perimeters Delegated task: catheter care, wound care Reports directly to case manager, RN Supervised every two weeks Light housekeeping Meal preparation
Medical Social Worker   Registered Dietician   Home Health Aides