Q: What is the difference between an LPN and an RN? The home care agency that cares for my mom sent a new LPN to take over some of the services previously provided by an RN that recently left the company. How do I know if she has the qualifications needed to take care of my mother who is diabetic and has many health issues?

A: An LPN, or licensed practical nurse, has an associate’s degree while an RN, or registered nurse, has a bachelor’s degree in nursing. You say that the LPN is taking over some of the services provided. Is an RN also visiting? Without knowing the details of your mother’s health status, it’s impossible for me to know what type of professional should be seeing her. Typically, in a home care setting, an LPN can provide nursing visits and an RN can provide case oversight. My best advice is to speak with the agency to determine if her needs are being met. If you have any doubts, contact the Rhode Island Department of Health’s licensing department.

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Q: Does a physician have to indicate a need for home health care in order to qualify for Medicare, or can a physician’s assistant do that as well?

A: A physician’s assistant can sign for the initial certification for evaluation for home care services, though a plan of care order must be signed by a primary physician.

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