| NURSES . | PHYSIOTHERAPISTS . | DIETICIANS . | PSYCHOLOGISTS . |
|---|---|---|---|
| Description of care activities provided Report of level of autonomy achieved, and of adherence to therapy Indication about the material supplied at discharge Indications regarding pain resolution, medications taken and indications provided on how to recognise and manage any side effects Indication of dressings and medications and concerning the management of the wound and skin Indications regarding home care | Description of the programme and its progression, of the difficulties encountered and results obtained Indications regarding maintenance of physical activity at home so as to avoid symptoms, type of exercises and safety limits Detailed instructions on caring for the patient, and on continuing the long-term rehabilitation or maintenance in other settings Modes for involving the family/caregiver | Description of problems detected and definition of their causes Documentation of the nutritional programme adopted Indications and recommendations for maintaining changes in eating habits Activation of continuing care for artificial nutrition or for achieving/maintaining the prescribed nutritional plan | Description of the psychological and psychosocial situation observed and indications given to the patient/caregiver Description of the disease awareness and management skills Problems related to treatment adherence and motivational and psycho-educational intervention implemented Description of the strategies for preserving and/or stimulating cognitive capacities Activation of psychiatric counselling and/or social services |
| NURSES . | PHYSIOTHERAPISTS . | DIETICIANS . | PSYCHOLOGISTS . |
|---|---|---|---|
| Description of care activities provided Report of level of autonomy achieved, and of adherence to therapy Indication about the material supplied at discharge Indications regarding pain resolution, medications taken and indications provided on how to recognise and manage any side effects Indication of dressings and medications and concerning the management of the wound and skin Indications regarding home care | Description of the programme and its progression, of the difficulties encountered and results obtained Indications regarding maintenance of physical activity at home so as to avoid symptoms, type of exercises and safety limits Detailed instructions on caring for the patient, and on continuing the long-term rehabilitation or maintenance in other settings Modes for involving the family/caregiver | Description of problems detected and definition of their causes Documentation of the nutritional programme adopted Indications and recommendations for maintaining changes in eating habits Activation of continuing care for artificial nutrition or for achieving/maintaining the prescribed nutritional plan | Description of the psychological and psychosocial situation observed and indications given to the patient/caregiver Description of the disease awareness and management skills Problems related to treatment adherence and motivational and psycho-educational intervention implemented Description of the strategies for preserving and/or stimulating cognitive capacities Activation of psychiatric counselling and/or social services |
| NURSES . | PHYSIOTHERAPISTS . | DIETICIANS . | PSYCHOLOGISTS . |
|---|---|---|---|
| Description of care activities provided Report of level of autonomy achieved, and of adherence to therapy Indication about the material supplied at discharge Indications regarding pain resolution, medications taken and indications provided on how to recognise and manage any side effects Indication of dressings and medications and concerning the management of the wound and skin Indications regarding home care | Description of the programme and its progression, of the difficulties encountered and results obtained Indications regarding maintenance of physical activity at home so as to avoid symptoms, type of exercises and safety limits Detailed instructions on caring for the patient, and on continuing the long-term rehabilitation or maintenance in other settings Modes for involving the family/caregiver | Description of problems detected and definition of their causes Documentation of the nutritional programme adopted Indications and recommendations for maintaining changes in eating habits Activation of continuing care for artificial nutrition or for achieving/maintaining the prescribed nutritional plan | Description of the psychological and psychosocial situation observed and indications given to the patient/caregiver Description of the disease awareness and management skills Problems related to treatment adherence and motivational and psycho-educational intervention implemented Description of the strategies for preserving and/or stimulating cognitive capacities Activation of psychiatric counselling and/or social services |
| NURSES . | PHYSIOTHERAPISTS . | DIETICIANS . | PSYCHOLOGISTS . |
|---|---|---|---|
| Description of care activities provided Report of level of autonomy achieved, and of adherence to therapy Indication about the material supplied at discharge Indications regarding pain resolution, medications taken and indications provided on how to recognise and manage any side effects Indication of dressings and medications and concerning the management of the wound and skin Indications regarding home care | Description of the programme and its progression, of the difficulties encountered and results obtained Indications regarding maintenance of physical activity at home so as to avoid symptoms, type of exercises and safety limits Detailed instructions on caring for the patient, and on continuing the long-term rehabilitation or maintenance in other settings Modes for involving the family/caregiver | Description of problems detected and definition of their causes Documentation of the nutritional programme adopted Indications and recommendations for maintaining changes in eating habits Activation of continuing care for artificial nutrition or for achieving/maintaining the prescribed nutritional plan | Description of the psychological and psychosocial situation observed and indications given to the patient/caregiver Description of the disease awareness and management skills Problems related to treatment adherence and motivational and psycho-educational intervention implemented Description of the strategies for preserving and/or stimulating cognitive capacities Activation of psychiatric counselling and/or social services |
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