Psychosocial Caregiver

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Trace DC21-13

DiraChart Clinical Reference
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1. Purpose and clinical relevance

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8. Interventions performed

Document the skilled interventions delivered this visit; each should connect to a finding and carry a reassessment in Section 10.

  • Psychosocial assessment with evaluation of the support system and the caregiver's capacity.
  • Caregiver-strain screening with coordination of support, respite, and education.
  • Social-determinants screening with coordination of social work, community resources, financial assistance, and transportation.
  • Coping support and facilitation of adjustment to the illness, and advance-care-planning facilitation.
  • Coordination of resources for identified unmet needs, and escalation of any abuse or exploitation concern to Safety for mandated reporting.
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