Westlake, OH
(440) 772-4017

How Right at Home Used "Change In Condition" to Improve a Client's Health 

handsA Right at Home client who started new care with us had a noticeable bed sore on her heel. Per the client’s family, the bed sore was a result of her stay in rehab after a fall a few months prior.  The client suffers from Parkinson’s and cannot stand on her own. When we began care, the wound was healing and our caregivers would aid the family/nurses with changing out the bandages a few times per week. After a month or so, it appeared the wound had mostly healed and dressings on the wound were no longer necessary.

Behavioral Changes

About 4 months into Right at Home caring for her, one of our caregivers noticed some behavioral changes in the client including confusion, fatigue and pain that she never complained of before. With that, the caregiver examined the client further and discovered that the old wound appeared to be somewhat aggravated and the complaints about pain seemed to stem from that area. The caregiver wasted no time and called the client’s daughter to let her know a doctor's examination was needed as soon as possible. The daughter came to the house and after seeing everything the caregiver described in terms of symptoms, they called an ambulance. Upon examination by the ER doctors, it was determined the wound had re-aggravated somehow and a deep bone infection had set in, which explained all of the symptoms observed by our caregiver. The client was quickly admitted to the hospital and was put into short-term rehab at a local Skilled Nursing facility so her infection could be monitored.

Witnessing the Right at Home Mission

After three weeks in the rehab facility the client was infection-free and able to go home again. Right at Home's owner Geoff Myers accompanied the client as she was discharged to help get her in the car and back home safely. "The transformation was amazing to say the least! She absolutely looked like a different person and just seemed so much happier altogether. If not for the quick actions and astute observations of our caregiver, this story could have had a much different and much sadder ending. It’s a pretty great feeling to witness the mission of Right at Home in action of Improving the Quality of Life for those we Serve!", Geoff Myers.

Right at Home Incorporates Change-in-Condition Services to Provide Additional Peace of Mind

Safety supervision for seniors and disabled

Right at Home has implemented a unique program designed to improve our clients’ health outcomes called Change-In-Condition Care.  It’s a proactive way to prevent conditions from worsening, and it gives families the peace of mind of knowing their loved one is not only being cared for, but monitored and observed for any declining health behaviors.  To us, Change-in-Condition Care is an important part of keeping our clients safe and healthy in their own homes. 

Prevents Readmissions and Hospitalizations

Change-in-Condition Care can avert preventable hospitalizations and re-admissions, particularly for recovering, high-risk seniors. 

What is Change-in-Condition Care?

Right at Home’s Change-in-Condition Care program starts with training.  Our caregivers and office staff are trained to observe, report, and act on any changes in the client's condition, particularly in the following five change-in-condition categories:

Senior Depression
  • Mobility
  • Eating and Drinking
  • Toileting
  • Skin Condition/Swelling
  • Overall Differences

How It's Reported

At the conclusion of every shift, Right at Home’s proprietary system requires our caregivers to affirmatively report whether their client has had any changes in condition.  If so, the caregiver describes the change in condition, which is then automatically forwarded to our office staff and/or if there is an RN on staff.  At that point, our office team communicates the change in condition to the client’s care stakeholders, including:

  • Family
  • Primary Care Physician
  • Social Worker / Discharge Planner / Case Manager
  • Home Health Care / Hospice

Improving Conditions

We then work with the family and relevant medical professionals to re-assess the client’s needs and revise the client’s customized care plan as appropriate.  Finally, the client’s caregivers are instructed on how to optimally perform their caregiving services under the revised care plan.  Only then will our office staff “close out” the change in condition protocol for the client. 

Quick Overview of Change in Condition

All staff and caregivers are thoroughly trained on:

• Five Change-in-Condition categories
• Observation and reporting procedures

Systemized prompting at end of shift:

• Our proprietary software prompts caregivers to note any Change-in-Condition

Observation and Reporting

• All caregiver responses logged
• Positive responses for Change-in-Condition are reported to Office Staff and/or if there is an RN on staff


Offices with a staffed RN: RN visits patient/client to reassess and verify Change-in-Condition
Offices without a staffed RN: Instead goes immediately to the next step — Protocol and Take Action

Protocol and Take Action

• RAH communicates the Change-in-Condition with the patient/client care stakeholders:

○ Family
○ Social Worker / Discharge Planner
○ Case Manager
○ Primary Care Physician


If you’d like to know more about Right at Home’s proprietary Change-in-Condition Care program, please call us at (440) 772-4017

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