
Care Coordination
Determined by the unique needs of each individual our Care Coordinators provide the following supports:
-
Conduct an assessment and develop an initial Care Plan
-
Facilitate Advance Care Planning
-
Provide ongoing psychosocial support
-
Initiate referrals to hospice services
-
Facilitate healthcare navigation to link with other support agencies i.e. transportation services
-
Provide information and education on end-of-life issues
-
Advocate for increased services
-
Liaise with Community Palliative Care Physician
-
Liaise with the Residential Admissions Coordinator when transition into our Residential Care Program is planned