--00000000000048577d063e712dce Content-Type: text/plain; charset="UTF-8" Content-Transfer-Encoding: quoted-printable Client consent paperwork uploaded - yes OT approved- no Intention is correct HCL: Jennifer Office: Columbus Regional Intake Manager: Shelby Caregiver Manager: Carrie Client Success Manager: Referral Source: Personal network Client Name: Ted Earl Client Address: 3233 Knoll Dr Gahanna 43230 Gated Community/Code/Parking Instructions: Go to the end of the road where there is a roundabout. It is the first driveway on the left big wooded lot large grey house. Front door is around the walk left of the garage door. Home Phone: Contact Person: Donna wife 614-307-0108 Stasia daughter (614) 203-6429 Assessment Completed on: 9/9 Schedule: Live in Start Date: 9/10 Bill Rate: 550 daily Client Narrative: client has had multiple falls recently. Most recent was this past Sunday in the bathroom transported to Mount Carmel East determined to have pancreatic stones surgery 9/9 Prior to hospitalization wife states husband ( ex lawyer)was primarily independent with medication=E2=80=98s and ADLs. He has had more shuffling w= ith ambulation more recently and at times can be gruff currently utilizing Cornerstone for therapies occasionally several days a week wife has expressed that she does not want therapy set up through the hospital. she will reinitiate Cornerstone when she=E2=80=99s ready. Daughter is insisting= that mom have additional care as she is unable to care for client at this time. She still currently works the family business in aviation clients have re-done their swimming pool room into a downstairs master suite with walk-in bathroom spacious for adaptive equipment if needed Caregiver will be utilizing bedroom and bathroom on the second floor and ***will need a monitor*** We are working with Case Management Joanna at Mount Carmel East with a tentative plan for discharge on Wednesday, September 10 awaiting a transfer time in initiation of live-in care Ht: tall Wt: slender Gender: m Routine/Tasks Toileting, personal care, standby assist medication reminders set up to be done via the wife if husband unable to manage independently, laundry, light, housekeeping, i.e. wiping down kitchen bathrooms, vacuuming Picking up groceries running errands, possible transportation to therapy when needed standby assist with ambulation DL: yes Car: yes Cg preference:no Made down the road enjoy a male Caregiver during the day for a fill-in for conversation Cats:no Dogs/Breed: yes Old, quiet, golden retriever Smoking: No and no smokers please Client wife request that Caregiver pick up after herself and not display sugary beverages in common areas Client is not a cooker and has signed up for factory meals to be delivered and utilizes Instacart or Kroger pick up for groceries in which the caregiver may be asked from time to time to pick up Jennifer Roenker LPN CEAL CDP Clinical Senior Home Care Liaison jennifer.roenker@thekey.com Mobile: (614) 955-9210 Office: (614)