Page 238 - CHHA Binder 2.3.20
P. 238

4/11/2019









                                           Mutual Care Agreement




                                                                Required when:
                                                                   Patient cannot self direct care
                                                                   Cannot summon help
                                                                   Cannot be left alone safely


                                                                Signed by family/caregiver who
                                                                agrees to:
                                                                   Participate in plan of care
                                                                   Provide care in absence of
                                                                   VNS staff
                                                                   Ensure patient’s safety






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                                                  Care Handbook





                                                                  -Patient friendly
                                                                  -Tool to help guide patient
                                                                  -Help garner self-care

















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