• Do I get dizzy when I turn my head suddenly?
• Do I ever fall back into my chair when attempting to stand?
• Do I have a loss of sensation in my feet or legs?
• Do I have problems with my vision?
• Have I fallen more than once in the past year?
• Do I feel unsteady when I walk?

• Do I need to use my arms to assist as I get up from a chair?
• Do I have difficulty rising up on my toes to reach objects overhead?
• Have I ever sprained an ankle or broken a bone in my leg?
• Do I walk with a limp or depend on one leg more than the other?
• Do I fatigue easily after walking a few feet?

Problems with walking

• Do I hold on to furniture as I walk through my home?
• Do I sway or feel unsteady immediately after I stand up?
• Do I shuffle my feet when I walk?
• Can I walk household distances?
• Do I need a cane or walker when I walk outside?
• Am I able to cross the street at a traffic light before the light turns red?
• Is it difficult to walk up a step?

Problems with low vision

• Do I have difficulty focusing when I go from a bright place to a darker one?
• Have I ever tripped or nearly fallen when I've gotten up to go to the bathroom at night?
• Do I have difficulty seeing the edge of throw rugs or objects in my path?
• Do I have difficulty seeing steps, stairs or curbs?
• Do I keep the lights low or use low wattage bulbs to save electricity?
• Have I had my eyes examined within the past year?

Problems with environmental risks

• Are there throw rugs or loose floor coverings anywhere in the home?
• Are electric cords, furniture or other objects in places where I could trip on them?
• Are stair railings loose or only on one side of the staircase?
• Are frequently used items in my kitchen hard to reach?
• Is it dark when I get up at night to go to the bathroom?
• Do I have trouble getting in and out of the bathtub/shower or on and off the toilet? 

Problems with medications and/or blood pressure

• Do I take more than four different medications in a day?
• Do I take medications without being aware of the purpose or potential side effects?
• Do I skip prescribed medications or dosages?
• Do I feel confused or sleepy after taking my medication?
• Do I get dizzy or light-headed when I get up suddenly?

Individuals who are already patients of Holy Redeemer’s HomeCare program, automatically receive a comprehensive screening and evaluation, complete with recommendations and an action plan. However, this innovative screening and assessment program is open to anyone with a physician’s order, and, in some cases, verification of homebound status and insurance approval

For more information, please call 1-888-678-8678 to speak with a representative from our HomeCare and Hospice Central Intake Service.