For Whom Is This Service?
Individuals who reside in Oregon or Washington, this is due to RN licensure requirements.
Assessment, consultation, teaching and patient advocacy
Most often those services overlap with each other and are provided during the same appointment. They are offered via video or phone conferencing or in-person, in the client’s home, or a hybrid of both. All nursing services are in addition to medical services the individual is receiving, such as from their Naturopath, Medical Doctor, Medical Specialist, Home Health or Hospice team members or Hospice Medical Director.
They are provided for health issues which have already been evaluated by the individual’s medical provider/s and are not a substitute for medical treatment or professional health care advice. No nursing skills which would require an order from a qualified medical professional are provided. These nursing services are offered as an extra layer of support.
Focused nursing assessments cover information about the individual’s overall health, symptoms, concerns, wishes and goals. They can cover the following areas: Physical, psychological, cultural, spiritual, environmental, psychosocial and safety.
Assessment findings will be provided to the individual or their qualified representative in writing. They may choose to share some or all of this information with members of their medical team.
Consultations are intended to answer the individuals and/or their loved ones and caregiver’s questions or concerns. They may involve multiple individuals, taking as much time as desired.
Teaching and education involves, but is not limited to these topics:
• Planning for future care
• Health conditions and symptom management
• Palliative and hospice care
• Local and general end of life resources
• End of life options and caregiving
Nursing Advocacy focuses on the individual’s rights, health and safety, supporting the individual to explore and state their own health care choices, goals and wishes. With the individual’s permission, advocacy also means to keep those choices, goals and wishes in mind when interacting with the individual’s loved ones, caregivers and medical professionals.
Carola offers to meet with the individual as well as their loved ones prior to an important medical appointment to explore their goals and wishes. She can also provide resources and help them formulate questions for their medical provider.
“We were lucky to have Carola as the Hospice Nurse for our mom. Her compassion, patience and commitment were amazing. She was present, caring and listened to mom and us. She was able to connect with mom, having difficult conversations, even using humor, to understand her wishes. When needed, she called the doctor with her assessment findings. She provided valuable information at the right time as well as practical guidance and emotional support.”
“Carola Stepper, RN is a dedicated professional to her patients and families in her sincere, caring nursing qualifications.”