Balanced nutrient diet, high in protein.

Fluid intake to be adequate.

Daily weight to monitor I&O's.

Rest in between activities.

Family support, Monitoring patient changes.

Monitor sodium intake so we don't see third spacing.

Monitor labs and vitals, report any changes.

family support to help monitor I&O's, weight, (AMS) and physical changes and emotional changes.

Avoid smoking and drinking alcohol.

Treatment/ Care plan between what patient wants as well as family.

Living situation, is the patient safe at home?

Transportation, does the family or the patient have transportation to get to app.

Support groups for patient as well as family.

Education to help family or patient understand why the loss or disease is happening.

Mental health, due to the loss or anticipation of loss of a loved one.

Limited mobility due to aging can cause grief.

Secondary loss or mass grief due to multiple losses in a close time frame or due to new onset of a disease.

Family could be having anticipatory grief because of the new onset of a disease.

Loss of freedom for patient and family.

Is the patient a DNR or a full code?

Does the patient have a living will?

Is the family aware of the patients wishes?

Who is the POA?

Get hospice involved.

Does the patient want to die at home or is it best to put patient in a skilled facility.

Get palliative care involved.

How does the patient transfer or are the bed bound?

ADL'S can patient help or do the need full care?

Bed alarms, chair alarms, fall mats and assistive devices.

Home health care or skilled if patient needs help with ADL's.

Spiritual care for family and patient.

Well lit lighting.

clear path if patient is mobile to get to where they need to be.

Monitor for changes in patient baseline.

If new medication is started educate patient and family on what to look for in changes in the patient and report and changes to the provider.

Treatment plans

PT/OT

Support groups

Exercise plans

Follow up appts

Monitor vital signs and I+O