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Alora/EVV
Alora
EVV
Home
About
Services
Skilled Services
Nursing Services
Wound Care
Ostomy Care
Catheter Care
G-Tube Feeding
Vital Signs Monitoring And Report To PCP Doctor
Safety Supervision
Symptom Monitoring
Mobility Support
Speech Therapy
Evaluation/Diagnosis/Prevention of speech impairment
Swallow evaluation and management
Cognitive communication
Medical Social Worker
Providing adequate resources for clients in the community
Implement Short/long term planning of care
Physical Therapy
Improve Mobility & Strength
Aid inside/outside ambulation
Range of motion, Positioning & Transfers
Balancing & Gait
Create an exercise plan
Occupational Therapy
Restore Function
Promote ADL functions
Non-Skilled Services
Home Health Aide
Medication reminders
Vital signs monitoring & Report to Clinical Nurse
Mobility support
Forms
Administrator Competency & Job Description Form
Clinical Manager Job Description Form
Home Health Aide Competency & Job Description & Skill Validation
LPN Competency Job Description Form
MSW Competency Job Description Form
Occupational Therapist Assistant Job Description Form
Occupational Therapist Job Description Form
Physical Therapist Assistant Job Description Form
Physical Therapist Job Description Form
RN Job Description & Performance Evaluation & Competency Form
Speech Therapist Job Description Form
Resources
Employement
Alora/EVV
Alora
EVV
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Patient Advance Directives Statement
Patient Advance Directives Statement
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I understand that an advance directive includes:
A living will.
Durable power of attorney for health care.
Any other written document executed by the patient, signed and dated that express the patient’s health care treatment decisions.
I understand that additional information is included in my home care folder
.
I understand that the Agency will honor all of my advance directives.
(Required)
I would like more information regarding advance directives.
I would like to execute one or more advance directives.
I have a living will:
(Required)
Yes
No
copy obtained:
(Required)
Yes
No
If No: describe patient’s wishes
(Required)
I have a durable power of attorney:
(Required)
Yes
No
Name
Telephone
I have an advance directive:
(Required)
Yes
No
• Do Not Resuscitate (DNR)
• Cardiopulmonary resuscitation (CPR)
copy obtained
(Required)
Yes
No
If No: describe patient’s wishes
(Required)
I have reviewed and understand my “Patient Advance Directives Statement” as described above and have been given written information concerning advance directives and my rights and responsibilities.
I have a Patient-Selected Representative:
(Required)
Yes
No
Name
(Required)
Telephone
(Required)
Patient or Legal Representative
(Required)
Agency Representative
(Required)
Date
(Required)
MM slash DD slash YYYY
Date
(Required)
MM slash DD slash YYYY
Δ
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About
Services
Skilled Services
Nursing Services
Wound Care
Ostomy Care
Catheter Care
G-Tube Feeding
Vital Signs Monitoring And Report To PCP Doctor
Safety Supervision
Symptom Monitoring
Mobility Support
Speech Therapy
Evaluation/Diagnosis/Prevention of speech impairment
Swallow evaluation and management
Cognitive communication
Medical Social Worker
Providing adequate resources for clients in the community
Implement Short/long term planning of care
Physical Therapy
Improve Mobility & Strength
Aid inside/outside ambulation
Range of motion, Positioning & Transfers
Balancing & Gait
Create an exercise plan
Occupational Therapy
Restore Function
Promote ADL functions
Non-Skilled Services
Home Health Aide
Medication reminders
Vital signs monitoring & Report to Clinical Nurse
Mobility support
Forms
Administrator Competency & Job Description Form
Clinical Manager Job Description Form
Home Health Aide Competency & Job Description & Skill Validation
LPN Competency Job Description Form
MSW Competency Job Description Form
Occupational Therapist Assistant Job Description Form
Occupational Therapist Job Description Form
Physical Therapist Assistant Job Description Form
Physical Therapist Job Description Form
RN Job Description & Performance Evaluation & Competency Form
Speech Therapist Job Description Form
Resources
Employement
Alora/EVV
Alora
EVV
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