Health concerns impacting independence Feeling lonely, down or socially isolated Recent falls Memory loss or confusion Pain Risks, hazards or safety concerns in their home Weight loss or nutritional concerns Special needs Patient/Client Function* Based on your knowledge is the patient/client able to: With a little With a lot of Completely Without help Not known help help unable Get out of bed or chairs easily? Completely Without help With some help unable Not known Eat their meals? Go to the toilet? Walk easily? Shower or have a bath? Manage their own medications? Travel in the community? Go shopping for groceries? Prepare their own meals? Do housework? Manage money? Patient/Client Function: How can you use this information? If you have answered help” for most activities and little help” for a few activities, the patient may benefit from “without “some/a access to one or more Commonwealth Home Support Program (CHSP) services. Access to these services would be determined by an assessment undertaken by a Regional Assessment Service (RAS). If you have answered a lot of help” or unable” for a number of activities, the patient may benefit from more “with “completely extensive support such as a Home Care Package or may benefit from Residential/Respite Care or Transition Care. Access to these programs would be determined by an assessment undertaken by an Aged Care Assessment Team (ACAT). Recommendation* I want to recommend my patient/client for: Recommended if your patient has a low level of Comprehensive assessment by an Aged Complete function and would benefit from access to a Home Care Assessment Team (ACAT) section A Care Package or Residential Care Recommended if your patient has a high level of Home support assessment by the Complete function and would benefit from access to CHSP Regional Assessment Service (RAS) section B services Section A: Recommended for ACAT Assessment To support aged care assessment, please specify the aged care programs your patient would benefit from: Residential Care Residential Respite Home Care Package Short Term Restorative Care
Health concerns impacting independence Feeling lonely, down or socially isolated Recent falls Memory loss or confusion Pain Risks, hazards or safety concerns in their home Weight loss or nutritional concerns Special needs Patient/Client Function* Based on your knowledge is the patient/client able to: Without help With a little help With a lot of help Completely unable Not known Get out of bed or chairs easily? Without help With some help Completely unable Not known Eat their meals? Go to the toilet? Walk easily? Shower or have a bath? Manage their own medications? Travel in the community? Go shopping for groceries? Prepare their own meals? Do housework? Manage money? Patient/Client Function: How can you use this information? If you have answered “without help” for most activities and “some/a little help” for a few activities, the patient may benefit from access to one or more Commonwealth Home Support Program (CHSP) services. Access to these services would be determined by an assessment undertaken by a Regional Assessment Service (RAS). If you have answered “with a lot of help” or “completely unable” for a number of activities, the patient may benefit from more extensive support such as a Home Care Package or may benefit from Residential/Respite Care or Transition Care. Access to these programs would be determined by an assessment undertaken by an Aged Care Assessment Team (ACAT). Recommendation* I want to recommend my patient/client for: Comprehensive assessment by an Aged Care Assessment Team (ACAT) Complete section A Recommended if your patient has a low level of function and would benefit from access to a Home Care Package or Residential Care Home support assessment by the Regional Assessment Service (RAS) Complete section B Recommended if your patient has a high level of function and would benefit from access to CHSP services Section A: Recommended for ACAT Assessment To support aged care assessment, please specify the aged care programs your patient would benefit from: Residential Care Residential Respite Home Care Package Short Term Restorative Care