Winchester, VA
(540) 686-7882

Change in Condition in Action

Right at Home Caregiver Helps Client by Utilizing Change-in-Condition

handsA Right at Home client who receives four hours of daily care was diagnosed with a UTI. The doctor prescribed an antibiotic to be taken twice a day, once while the caregiver was present and once after her shift. The Right at Home caregiver observed a sudden change in her client's behavior: she seemed continually agitated and wasn't healing from her infection. The caregiver checked to see if her client was taking her evening pills and found that she wasn't. The caregiver reported this to our office and in return, we reported it to her PCP and her son. The son asked us for an opinion and admitted that he was not able to pay for any extra hours of care.

Going Above and Beyond

Right at Home knew the effects a UTI can have on an aging person, therefore, we seeked out a local Right at Home friend and nurse to help us ensure our client's safety. The nurse goes in every evening for no more than 5 minutes to witness the client taking her medication, and to provide a simple, yet important wellness check. Her son lives in Massachusetts and is overjoyed with Right at Home and our ability to help keep his mom safely at home from afar!

Read More Change in Condition Stories

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 (540) 686-7882

1cb61b4b-4734-4114-9f97-cdb46aa04413 LocalSite