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A community nurse in the PACE program might visit participants in their homes to provide care, monitor health, and educate families on managing this.
What is a home visit?
Re-assesment that follows the initial assessment
What is 180 day assessment?
Nurse serves as a liaison and advocate for the PRT and will mediate and navigate problem areas for the PRT, the family and IDT.
What is HCC?
This federal and state-funded program helps elderly individuals remain in their communities by providing coordinated healthcare services.
What is PACE?
Nurses in the PACE program advocate for this, ensuring participants get the healthcare and services they need and deserve.
What is Patient-Centered Care?
This is the process where a nurse gathers detailed information about a patient's medical history, physical health, mental health, and social factors to create a personalized care plan
What is a comprehensive nursing assessment?
Make sure participants live in a place that’s safe, comfortable, and free from this common hazard, often suggesting grab bars, ramps, or extra lighting.
What is fall precautions?
This is the process where the IDT team collaborates together as healthcare providers to develop a personalized approach to address a patient's medical, physical, emotional, and social needs.
What is care planning?
This nurse provides hands-on care at the PACE clinic, including administering medications, conducting assessments, and supporting the interdisciplinary care team.
What is a clinic nurse?
A community nurse helps elderly participants manage this condition, often involving close monitoring of blood pressure and lifestyle changes
What is Hypertention?
Tool to be used in every community participant assessment for amount of hours participant will need for care at home
What is a Personal Care Tool?
A clinic nurse in the PACE program encourages participants to get this yearly to prevent flu and other seasonal illnesses.
What is a flu vaccine?
Nurses in the PACE program track this information to ensure participants take their prescribed medications correctly, avoiding errors
What is a medication reconciliation?
These practices to prevent the spread of illness and ensure patient and staff safety in the clinic environment.
What is infection control?
Assessment on participants and caregiver preferences for care, availability of family support, home environment, participant’s language and cultural needs, and treatment of care.
What is Home Care assessment?
Reporting a Participant sustains a fall and ends up in the hospital with injuries.
What is Everyone?
Documentation template of measurements and pictures of wounds and wound care interventions.
What is a wound care template?
A nurse in the PACE program helps participants manage this aspect of their care by explaining how to monitor blood sugar or take medications as prescribed
What is participant education?
Acts as this for participants, ensuring they receive the services they need and helping them navigate the healthcare system.
What is an Advocate?
Nurses in PACE collaborate with doctors, social workers, therapists, home care coordinators, and other specialties to provide this type of approach to healthcare.
What is Interdisciplinary approach?