Performs pre-admission screening for patients and caregivers.
Works in collaboration with the nurses to manage and provide holistic care to patients in their homes, including monitoring patients’ general condition and progress.
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Ensure patients and their families/care providers and healthcare stakeholders have access to patients’ ACP documentation via soft/hard copies of the ACP Form.
Seamless and timely access to the documentation on the patients’ ACP Discussion Worksheet to all care providers.
Facilitate appropriate and timely review and update of patients’ Advance Care Plans with patients/their Nominated Healthcare Spokespersons
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