Aide Care Plan

REGAL HOME HEALTH SERVICES, Milwaukee (414) 355-7801, Racine (262) 898-2049

AIDE CARE PLAN

TASKS

(* As Needed)*AMPMNOTES *AMPMNOTES
HOUSEKEEPING PERSONAL
Vacuuming
Tub Bathe
Dust/Damp Mop
Sponge Bathe
Kitchen
Bed Bathe
Dishes
Shower
Bedroom
Hair Care
Bathroom
Nail Care
Make/Change Bed
Shampoo
Empty Commode/Urinal
Shave
Empty Trash
Lotion
Wash Clothes
Dressing
  Oral Care
  Elimination Assist
NUTRITION ACTIVITY
Meal Preparation
Ambulation Assist
Assist With Feeding
Mobility Assist
Limit/Encourage Fluids
Exercise
  Assist w/ Medication (Remind)
  ROM
ERRANDS OTHER
Shopping
Prescription Pickup
Appt. Accompaniment

CHANGES IN

 AMPMNOTES AMPMNOTES
SKIN CARE SWELLING IN
Broken
Hands/Feet
Itchy
Abdomen
N/A
Right Leg
  Left Leg

UNIVERSAL PRECAUTIONS

CALL 911 IN CASE OF PATIENT EMERGENCY AND NOTIFY AGENCY IMMEDIATELY