Describe any problems with communication, special signals used, storyboards or any devices used to help them communicate.
Describe in detail any special requirements where assistance may be needed like getting up from a sitting/laying position, wheelchair, toilet, walking, etc. and how the person feels most comfortable getting assistance (i.e. hold from behind; lift from front until stable on feet, etc.)
Do they wear a hearing aid? Does volume of TV/radio need to be at a special level? Is there any sensitivity to loud noises? What, if anything, should be avoided?
Do they wear glasses, if so what are they needed for? (Reading, TV, walking, etc.)
Do they have a movement disorder where special consideration is needed? Are things such as special utensils or wrist weights, etc. utilized?
Is there a favorite spot in the house they would prefer being in during different times of the day? A special chair? Are there areas that should be avoided? Why?
Favorite Places/Places they like to go
Do they like to take a walk daily? Have coffee with a neighbor? Go to the movies? Indicate where the caretaker may take them in your absence.
Describe what they enjoy doing the most in their daily routine. Do they like having a book or newspaper read to them? Listen to a favorite tape, radio or TV station? Are there games they enjoy playing alone or with someone?
Are there daily or weekly schedules of outings? Do they enjoy being taken to a nearby park? Will someone be taking them to a movie, etc..
Habits & Hygiene
Describe any personal traits the caretaker should be aware of: for example if the person hates bathing, changing clothes, changes clothes frequently, or has any compulsive tendencies.
Grooming (see Daily Schedules below)
Indicate how much assistance is required and normal daily schedule for each.
Cleanliness and Neatness
Indicate personal habits, areas of difficulty, special needs for protective clothing etc.
Describe any special needs that should be considered. What is their level of urgency, i.e. should they be taken immediately to a restroom when they indicate they need to relieve themselves? Are they incontinent? If yes, what special things need to be considered?
Do they need assistance? Prefer shower or tub? Any special equipment, like a tub chair required? Do they have any preference for soaps or shampoos? Do they like to linger or get it over with quickly? What is their level of modesty, what might embarrass them?
Caregiver Daily Instructions-Page 2