Comprehensive Assessment

A comprehensive and objective assessment of current strengths, needs and goals of service including function, health, safety, and cognitive status.

LDC recognizes each person’s individual and unique qualities and abilities. We engage each client in a thorough evaluation assessing functional performance and safety in their home and how they are adjusting emotionally to changes in abilities and health, and what changes are really occurring in their thinking or cognitive skills that impair their ability to perform a task safely or independently. For example:

  • Someone may be doing well getting around physically but they often forget why they walked into the other room, walk away from a stove and forget to turn it off, or take the wrong medications/forget to take their medications all together.
  • Someone may have good thinking skills, but they have poor mobility and they are at high risk for falling especially in the bathroom. They may be weak and don’t have the energy to cook and do other daily tasks.

Comprehensive assessments includes:

  • Functional and safety assessments
  • The Whole person
    • Physically‐mobility, strength, range of motion, endurance,
    • Mentally/cognitively‐short & long term memory, problem solving, judgment, attention, communication
    • Emotionally‐adjustment, self-awareness, motivation, aliveness, stress, fears, joys, affect, assertiveness, moods
    • Spiritually‐beliefs, connectedness, inner strengths, inspiration, faith, philosophy
  • The Home or setting the person lives
    • Examine how the person performs their daily tasks at home.
    • Identify any obstacle, obstructions, ease of access, reach
  • Bathrooms‐mobility, in/out of shower, on/off toilet
  • Bedroom‐ mobility, on/off bed, rolling in bed
  • Kitchen‐mobility, reaching cupboards oven refrigerator, oven, safety
  • Living areas‐mobility, on/off furniture
  • Transportation‐driving, public system, other
  • Past medical history
  • Current medical status
  • Medical and emergency contacts and supports
  • Medications
  • Financial plan‐living will, medical power of attorney, insurance
  • Family and other supports‐who is involved, how much and what doing
  • End of life plan‐extraordinary measures, living situations/location, wishes, type of care, palliative, hospice, medical management, funeral

Individualized care plan

Recommendations specifically tailored to match the needs of the client and care team including home modifications to maximize safety and independence, medical and health care issues, community resources and services for seniors, housing options, and more.

After collecting all the pertinent information in the assessment from the client and the family, a life plan or plan of care is designed to meet the person’s specific needs. The life plan typically consists of recommendation to help keep your family member healthy, and as safe as possible in the least restrictive setting to maximize independence and quality of life. Recommendations may include:

  • Make appropriate adaptations in the house such as bathroom rails and bath chairs
  • Find a home health aide matching the assistance indicated
  • Connect with community services like senior transportation, and chore services
  • Purse medical interventions such as physical therapy, medication management, pain management and more.