Client Care Plan & Daily Schedule
Joe
Effective Date: _______________
Joe is an adult male who is alert and oriented and resides in the family home. He recently relocated from out of state due to increased need for support related to vision loss. His vision impairment affects his ability to safely navigate his surroundings and complete daily tasks independently, and he benefits from guidance and assistance as needed.
Joe requires assistance with instrumental activities of daily living (IADLs), including transportation, shopping, and managing tasks within the home. He also benefits from assistance with personal care tasks to ensure safety and consistency, as vision loss impacts his ability to locate items, coordinate tasks, and maintain awareness of his environment.
Services are provided daily for approximately 6 hours. Joe resides in the family home and is supported by family outside of scheduled care hours.
Care should be provided with clear, direct communication, offering assistance as needed while allowing Joe to participate in and direct his care. Support should focus on maintaining safety, consistency, and a structured environment that allows him to function as independently as possible. Care is provided by a dedicated caregiver through the agency, supporting continuity, familiarity, and a consistent approach to daily routines.
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Date: _______________ | ☐ 3-Month ☐ 6-Month ☐ 9-Month
Date: _______________ | ☐ 6-Month ☐ Annual
Full assistance with meal preparation as needed.
Support as needed; client directs.
Provide reminders only for medication schedule.
Hands-on assistance with hygiene as needed.
Hands-on assistance with lower body dressing as needed.
Standby assistance for safe movement and navigation.
Standby or hands-on assistance as needed.
Standby or hands-on assistance with bathing as needed.
Hands-on assistance with applying lotion as needed.
Full assistance with laundry as needed.
Hands-on assistance with stairs for safe navigation.