Client’s Care Planning

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Name
M/F Client's Care Id.
DOB D--M--Y-- Public Id
date_range
HCN
Care Giving Description
Personal Care
Bed Bath/Sponge Bath
Tub/Shower
Shampoo Hair
Brush/Comb Hair
Brushing Teeth
Shave
Apply make up
Nail Care/Clean and File
Skin Care/Non-medicated lotion to dry areas
Assist with getting dressed
Vital Signs
Medication reminder (After medicines are set up/dispensed by an RN or family Member)
Weight
Height
Nutrition
Prepare meals/snacks
Assist feeding
Feeding
Encourage fluids
Restrict fluids
Companion Care
Take for walk
Shopping/Errands
Accompany to appointments
Provide transportation
Caregiver is customarily reimbursed
Toileting
Assist to bathroom
Assist to bedside commode
Assist urinal/bedpan
Incontinence care
Empty colostomy/catheter bag
Mobility
Assist with walking (ambulatory)
Turn position in bed (bedridden)
Assist with home exercises
Transfer/Bed/Chair (wheelchair)
Range of motion exercises
Support Services
Client's laundry
Clean kitchen-Dishes
Maintain bathroom cleanliness
Maintain bedroom/Vacuum/Dust
Maintain And Tidy living area/Vacuum/Dust
Oxygen Only Turned on/off
Make bed/change bed linens
Tidy/Organize And Decluster
Take out Garbage
Pets Care
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