What does a nurse-based assessment offer you?
Registered nurses are trained to undertake a wide range of assessments which fall into 4 broad categories:
- Initial - a short assessment type to inform care planning and an initial actions for health and safety
- Focused - an assessment focused on a particular body system or region and detailing all aspects of functioning
- Managed - an assessment which is done at a number of time points - can be daily, weekly, monthly, annually, biannually, over shorter to increasing duration, etc
- Comprehensive - a detailed type of assessment which takes in all aspects of the person from their lived circumstance to their health and other needs. Comprehensive assessments may also look at a number of issues and how they co-exist within a person enabling plans to consider a range of issues at the same time.
Nurses also work in lot of areas including disability services, pyscho-social nursing, paediatrics, learning and disability supports, neurology, with continence issues, with feeding issues and in behaviour management just to name a few roles they fulfil which are highly relevant to the NDIS.
Our nurses can help people NOT in the NDIS or community and other organisations and businesses too (see the Other Reasons For Assessments section). And you may like to know our nurses can tailor educational programs for staff, carers, and volunteers.
SchemeWise nursing assessments are a community nursing initiative which can augment information you may need to provide the NDIA about how your disability and health issues co-exist. Nursing assessments can enable the NDIA to gain a better understanding of you, where you live, how you interact in your community, and how your circumstance affect the services an supports you need to reach and achieve your goals.
SchemeWise nursing assessments can help in three different ways:
PROVIDE PRE-PLANNING INFORMATION - if you need more information to help the NDIA decide how it can provide support for you than obtaining an assessment before you see your Local Area Coordinator to develop your plan is the best option. A nursing assessment can provide additional functional and capacity-based information for this process.
PROVIDE RE-ASSESSMENT INFORMATION - this kind of assessment can occur if the NDIA has concerned your information but has advised that it does not have the information needed to decided if you should receive supports. While this does not happen often, if it does occur to you, a SchemeWise nursing assessment can consider psychosocial, health and disability issues and provide holistic advice in the form of a focused or comprehensive report. the nursing assessment considers the information you have already provided from doctors, carers, family, psychologists, therapy providers, etc, and seeks to distil this into how your circumstances impact ou on a day-to-day basis. Especially when other providers are unable to give you additional information, a nursing assessment may be a way of helping the NDIA understand you!
PROVIDE INFORMATION FOR PLAN REVIEWS - a SchemeWise nursing assessment can also be used to provide additional or new information when a planned or unplanned NDIS review is required. Most often an unplanned review occurs if your circumstances change as opposed to your annual plan review process. Either way, when a review occurs a nursing assessment can add new information by assessing health, disability, functional and capacity issues across various body systems. It can also draw linkages into how a health issue may impact the services and supports you use or allow the NDIA to gain a better understanding of why you need higher levels of support to achieve your goals.
How is a nurse assessment conducted?
When nurses engage with a person they consider all aspects about them in designing care. A SchemeWise nurse will come to your home and talk with you about what your supports, needs and services are. They will spend time with you understanding what the issue you need assistance with is and ask for any information you have about it. They may, if required, look at physical, psychological, cultural, lived environment and circumstances to help understand you. And they may also ask about family, personal history or other issues you think are important. This part of the assessment can take 1 - 3 hours.
After the nurse leaves they will prepare a report outlining the assessment need and what actions they took along with relevant history about you. from this they will make a set of recommendations for care, support and services to assist you. the report can take from 2-5 days to do after SchemeWise nurse visits you. You will receive the report in electronic and hardcopy forms once it is completed.
What is the cost?
SchemeWise registered nurse assessments are undertaken at the applicable NDIS rate (or agreed commercial rate if this suits your circumstances) - whether you are already in the NDIS or seeking further information to support pre-planning ahead of joining the NDIS. Whichever the case, the cost is usually less than seeing a specialist doctor or other specialist provider.
If you are already an NDIS participant, your NDIS plan may be able to cover the cost of a nursing assessment report. When you talk to SchemeWise we can advise you further on this.
For those people wanting to undertake a pre-planning report you must cover the cost of a nursing assessment yourself. ust remember that the cost is often much less than seeing a specialist and getting a report. It may also be more useful for the NDIA as a specialist often restricts their reports to the thing you are seeing them about whereas a nursing assessment can consider all the range of information, impacts, and other issues which need to be included.
SchemeWise can provide a guide price when you talk to us about getting a report.
- Continence issues
- Feeding issues - swallowing, mouth health, perenteral, PEG
- Neurological issues - impact of stroke, brain injury, concussions, Parkinson's, MS, others
- Endocrine issues - such as diabetes, hormones (e.g. thyroid, gut)
- Skin integrity & wound issues
- Renal issues - including dialysis, kidney disease, or acute problems arising with other conditions
- Gastro-intestinal issues - vomiting, feeding, bowel care, etc
- Mental health issues - schizophrenia, bipolar, BPD, depression, anxiety and OCD issues
- Thinking and learning issues - including intellectual disability
- Sight and Hearing issues
- Cardiovascular issues - and how these impact your life
- Nutrition, Diet & weight management
- Mobility issues - planning for safety at home and in the community
- Psychosocial planning - safety plans, community engagement, etc
- Activities of daily living - assessing where deficits are present and the types of needs to live independently
- Needs assessments - broader letter-based recommendations to seek funds at a plan review
- Nurse-based Physical Assessment
- Social Assessments
- Pulmonary issues
- Functional issues - including Care and Needs
- Chronic Pain management
- Hepatic conditions
- Reproductive health - from teens through rest of life
- Services access issues - determining if you are able to access services on just and reasonable terms or whether you may need a service designed to meet your specific needs (and support coordinator or other support involvement)
- Medication issues (this assessment considers the effects of prescribed medications only and is designed to provide context around how medications affect a person in their daily life. Nurses cannot comment on why a medication is prescribed, the dose provided, etc.). Our nurses can also hlep put in place options to remember to take medications.
- Make recommendations aornd personal safety - such as alert alarms for family or services so you can live as independently as possible.
A further type of assessment is known as a co-morbidity assessment. These are a comprehensive assessment type which looks at a number of the above areas together to draw evidence about impacts on you overall. These assessments are generally much more complex and SchemeWise will advice you whether this type of assessment will be necessary to ensure you have the best information available to you. These assessments are not commonly required, however they can be helpful in broader processes like going to the AAT. Reports of this nature often include relevant survey's of the literature as well as relevant statistics from sources like the AIHW and ABS.
OTHER REASONS FOR ASSESSMENTS
There are a lot of reasons people may seek assessment, education and training, not just for NDIA procedural issues.
Here are some further examples we manage:
- You have had a fall and suffer a concussion OR you keep having falls and you feel there may be risks at home and don't know what to do?
- As a result of a medical condition a second one arises and you need to understand how to management them both
- Your condition is complex and you, your carers or family require further education/training for you to be safe.
- An acute issue arises and you may have gone to hospital. However, when returning home you need to replan your support environment BUT DON'T have support coordination in your plan.
- Your have come home from hospital and now have additional equipment needs OR need to use hospital-type equipment like pumps, oxygenation devices, or sleep apnea machines, etc.
- There has been a critical incident and you and your staff require support, education or training to understand the causes or effects of the incident (please note critical incident debriefing and relates services require a team of 2 people - this is a requirement of good practice).
SCHEMEWISE NURSES also provide concussion management for anyone in the community NOT JUST NDIS participants. The intent of assessment is to ensure safety and promote a return to health and usual activities. On this basis we manage members of local sports clubs, people whom have accidents at home or in the community or at school. Our clients are children aged 10+ to adult. We can also support organisations like primary and secondary schools, colleges, universities, community centres, day program providers, aged care providers, facilities managers, sports organisations, transport providers, etc in understanding and managing clients whom may have a concussion or acquired brain injury.
At SchemeWise we can help you get started... and keep going!
Why not speak with us today...