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Mary's Story

We laughed and sometimes cried, for there were many stories to tell and much grieving to be done. In the summer, we took time to sit outside in the sun and pray together. Read more...

Care Coordination

Our Care Coordinators are regulated health care professionals such as Registered Nurses and Social Workers. Care Coordinators meet with the individuals we serve to discuss their goals of care, and together, they create care plans that are individualized to address each person’s needs.

The following is a list of supports that are provided by Care Coordinators:

  • Intake
  • Information and phone support for one time inquiry
  • Consultation and determination of eligibility
  • Immediate needs assessment
  • Referral to hospice programs and other community services and care providers
  • In-home assessment
  • Development of care plans guided by the individual
  • Psychosocial support
  • Advocacy
  • Navigation of the health care system
  • End-of-life planning and preparation
  • Family support through the dying process and following the individual's death
  • Liaison with the DLH Residential Intake Coordinator and Care Team
  • Support for individuals and their families in the DLH Residential Program as needed
  • Collaboration with appropriate professionals in the community
  • Volunteer matching, support and ongoing supervision
A Care Coordinator is available Monday to Friday between 9 a.m. and 5 p.m., to receive and respond to incoming requests.

Health care professionals, community partners, family, friends or the individuals themselves may ask for Hospice support by fax, phone or in person.

 

Call us at 1.416.626.0116
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Charitable No 13019 3394 RR0001

 

CARF Certified