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* 1. Medicare requires that Hospice social workers, nurses and chaplains make contact with the newly admitted hospice patient and extended family (if available) with how many days of admission.

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* 2. Social workers work with patients to identify goals which the patient desires to accomplish before their passing. These include:

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* 3. Medicare requires the social workers continue ongoing assessments of patient and families needs. These visits are made:

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* 4. Some of the responsibilities of the social worker include:

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* 5. Social workers provide decision making assistance to the patient/family regarding transfers from on setting to another (for example: transfer from home to nursing facility or hospital to home.)

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* 6. Social workers find the communication steno pad at the bedside of hospice patients in care facilities is beneficial to family, volunteers and other members of the interdisciplinary team. The written entries provide a snapshot of the visit and how the patient received it.

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* 7. Please complete the following information:

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