Client
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Effective Date
_______________
Patty is an alert and oriented senior woman living alone in a second-floor apartment with her cat.
She manages many aspects of her daily life independently but requires support to stay on track with meals, medications, and day-to-day responsibilities. Support with meal planning and execution is important for blood sugar management. She also benefits from companionship and regular interaction.
Patty ambulates independently but is at increased risk for falls. She is generally independent with personal care but benefits from standby assistance for safety. Hands-on support is needed when navigating stairs or uneven surfaces.
Her care is supported by a nurse case manager through St. Mary's and an assigned social worker who assist in overseeing services.
Communication should remain calm, straightforward, and supportive. Information should be shared carefully, with attention to accuracy and relevance to care. Questions or concerns are directed to the office for coordination with the nurse case manager and social worker.
Remind and confirm personal care needs daily. Stand by to assist or provide hands-on support as needed.
Remind and confirm hygiene needs daily. Stand by to assist or provide hands-on support as needed. Due to diabetes, pay special attention to skin integrity—keep skin folds clean, check skin after showers, and dry thoroughly between toes. Ensure socks and shoes are not too tight. Report any sores or redness. Do not cut nails.
Provide dressing support with standby assistance for safety and hands-on support as needed.
Provide dressing support with standby assistance for safety and hands-on support as needed.
Ask Patty daily if she would like to shower while the caregiver is present. Provide bathing support with standby assistance for safety and hands-on support as needed. Due to diabetes, skin issues can develop quickly. Be sure to dry thoroughly between toes and in skin folds. Report any sores, redness, or rashes to the office. Do not cut nails.
Mobility support with standby assistance for fall prevention. Hands-on assistance required when navigating stairs, curbs, or uneven surfaces.
Prepare meals and snacks at Patty's direction, following her dietary guidelines and goals. Encourage adherence to dietary guidelines and consistency of meal times.
Perform light housekeeping to maintain a clean and safe environment. Assist with all instrumental activities of daily living as needed.
Complete laundry as needed. Assist with all instrumental activities of daily living.
Assist with shopping as needed. May include grocery shopping to support meal-related tasks and blood sugar management.
Provide transportation to appointments as needed. Assist with all instrumental activities of daily living.
Provide medication reminders to support adherence. Patty can self-administer medications with support. Focus on supporting blood sugar management through reminders and encouragement.
Patty benefits from ongoing supervision, cueing, and encouragement to maintain routines, follow through with daily tasks, and support overall functioning. Communicate in a clear, calm, and supportive manner.
Effective: _______________
By signing below, all parties acknowledge that the care plan has been reviewed and agreed upon.
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