| Visit Date: May 3, 2021 | ID Number: 153102 | ||
| Visit Count: | Children Served: 1 | Community Health Worker: SIC Other Staff | |
Consultation services Delivered |
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| What type of Consultation was it? Phone or virtual consultation session | |||
| Get information on how to help me cover my basic needs (food – clothing – housing – medical attention) Answered: Yes | |||
Healthy and Safe Environment Concerns |
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| How to prevent the spread of illness: Answered: Yes | |||
| First Aid: Answered: Yes | |||
Child Development Concerns |
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Health Related Social Needs Concerns |
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| Working with children with special healthcare needs. Answered: Yes | |||
HealthCare Concerns |
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| How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: Yes | |||
| Coping with stressful situations. Answered: Yes | |||
| Caregiver of Child relationship. Answered: Yes | |||
| Resource-Referral Type(s). Family and community support, Covid 19 Related Information |
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| Consultation Duration Start Time: 9:22 PM End Time: 10:22 PM Time Period: 60+mins |
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Goals |
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| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Goal attained | |||
Notes for this Consultation
Provider daughter called stressed about his grandchild. She said while she was trying to wash the child’s hair in prepfor her ear surgery, the child was very agitatedand said ” I want to kill myself “.. after longer talk the behavior seem to be learned *my sister ” who is currently living with her father. Talk about child status now. She is resting for been. Advised fir Provider to encourage his daughter/mother to follow all the doctors instructions when she arrive tomorrow morning.
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