the care giving team
Attending
Physician
- Certifies the terminal prognosis
- Assesses patient needs, manages symptoms,
prescribes treatment - Directs & approves the plan of care
- Coordinates care with the Interdisciplinary
Team (IDT)
Medical Director
- Co-certifies the terminal prognosis with the
attending physician - Leads the Interdisciplinary Team in the
development of a plan of care - Provides consultation to other physicians
regarding hospice care
Registered
Nurse
- Assesses patient & family needs
- Develops a plan of care to meet identified needs
- Coordinates team visits & ensures
implementation of approved plan of care - Coordinates care with attending physician,
primary care giver and/or Care Center staff - Ensures symptom control & pain management
- Provides patient/family teaching as needed
Social
Worker
- Assesses patient & family emotional, social,
spiritual & financial needs - Develops a plan of care to meet identified
needs - Provides direct counseling or refers patients &
families to appropriate community agencies - Provides bereavement support
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Chaplain
- Assesses patient & family spiritual needs
- Develops a plan of care to meet identified needs
- Provides direct counseling
- Assists with memorial preparations
- Provides consultations to community clergy
Home Health Aide
- Provides direct personnal care to patient
- Provides comfort measures, reports identified
needs to RN Case Manager - Provides emotional support to patient & family
Volunteers
- Provides companionship & support to patient &
family - Provides needed non-medical services, such as
letter writing, errands, & respite time for family - Provides support at time of death & during
bereavement
Dietician
- Assesses patient's nutritional needs
- Provides patients & family members with nutritional education
- Implements a nutritional program which will assist in meeting the patient's nutritional needs
see also
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