Helpful Forms-Info

Advanced Directives-Living Wills, Power of Attorney Etc.

Information, forms, checklists, descriptions, state specific information on all pertinent documents needed. Click here: Documents

Caregiving Decision Making Tips

Caregiving decisions can be hard to make. They are often complicated, involving many different, sometimes conflicting, factors. Consequences can affect other peoples lives and health....usually people who are very important to you. They often involve unfamiliar, unexpected circumstances. And they almost always come with time pressures, emotional pressures, and stress

http://www.familycareamerica.com/lib/content.asp?contentID=220&BreadCrumbs=1000,1300&pageID=11300&tempFCA=33x2823000225

Caregivers Log

Use copies of this form to monitor daily changes and help with communication among care providers working in shifts.

http://www.familycareamerica.com/lib/printer_friendly.asp?contentID=851&tempFCA=33x2823000225

Conditions Questionaires/Info

Anxiety Questionnaire, Delirium Quick Recognition, Delusions Questionnaire, Depression Questionnaire, Disinhibited Behavior Questionnaire, Dyskinesia Self Evaluation Form, Hallucinations Questionnaire, Mood Swings Questionnaire, Sleep Questionnaire, Quality of Life survey. Click here: Symptom Support

Driving Assessment Checklist

If you are unsure about your loved ones ability to drive, this checklist can help. Click on title.

Emergency Info Form

In Case of An Emergency form-One form should be filled out for each member of your family. This can be copied onto word documents and personal information filled out and printed. Click on title

Information on sensitive decisions that need to be considered, things to help you, your family and loved one in the final stages of life. Click on title.

Estate Planning

Information, forms and tips to help you with estate planning, including Personal Papers, Insurance, Living Trusts, Wills, Conservatorship, Guardian, etc. Click on title.

Home Modifications-Home of the Future

From AARP universal designs for modifications, repairs or new building to make homes more accessible. www.aarp.org/universalhome/home.html

Home Modifications-Bathrooms

Step by step descriptions and diagrams on how to modifiy a bathroom to be handicapped accessible. Click on title.

Home Modifications - Facts

A collection of commonly asked questions received by the National Resource Center for Supportive Housing and Home Modifications. These questions are dividied into topic categories for your convenience. Information on several topics including Bathing, Floors, Grab Bars, Hearing Impairment, Lifts, Ramps, Stair Glides, Toileting, and Assistive Technology

Click on title.

Home Modificiation - Funding Resources

State and Local Funding - Many states and localities provide special grants and loans to their residents for home. This site offers suggestions on how to find that funding. Click on title.

Home Modificiation - Kitchens

Step by step descriptions and diagrams on how to modifiy a kitchen to be handicapped accessible. Click on title

Home Modifiction - Safety Checklist and Assessment Instrument

Excellent links to home modifications and checklists from the National Resource Center on Supportive Housing and Home Modifications

Click on tittle.

Home Modificiation - Stairs and Ramps

Step by step descriptions and diagrams on how to modifiy steps or add ramps to be handicapped accessible. Click on title.

Hospice

Locate a Hospice in any city/state at this website. To learn more about hospice care or to find a hospice in the United States call 1-800-658-8898, or search the NHPCO hospice database. Select a state you are interested in or type a provider name and then click search. The search will display a list of cities and counties in the specified state that are served by hospices. http://www.nhpco.org/Directory/

Overview, checklist of questions, answers to questions, care in nursing homes, complaint form, myths, almost everything you want to know about a Hospice. Click on title.

Medical Appointments-Record Changes To Discuss With Your Doctor

Use this form to keep track of your medical appointments, to make notes to discuss with your doctor. Click on title.

Medical History Chart-Making a Personal One

In addition to the doctors medical history chart, a personal health history is an excellent resource, as it provides a consolidated history of all medical care and conditions over a stated period of years. Doctors find this information especially useful, even critical, when prescribing drugs or preparing treatment plans. It can alert them to any complications that might exist based on previous conditions or medications. A sample chart to help you document your loved one's medical history. Click on title.

Medication Form

List all prescribed medications as well as all over the counter medications, vitamins, or nutritional supplements. Attach this form to the "In Case of Emergency" form. Click on title.

Medication - Weekly Chart (cross off after taking)

Here's a handy record to help keep track of what medicines to take every day, when to take them, and when he or she took them. Write name and date, starting on Sunday, at the top of the record. Click on title.

Personal File

A step by step guide to making a Personal file that contains all of the important information you want family to know about, including personal papers, end of life choices, living wills, health care surrogate, etc. Click on Making A Personal File

Question Your Doctor

Where To Start-Questions To Ask Your Doctor. Click on title.

Sensitive Issues - Choices

Information on choices, care options, hospices, genetic counceling, Handbook for Mortails/Guidance for People Facing A Serious Illness, Long Term Care, Medicare/Medicaid, Nursing Homes, Caregiver resources. Go to middle through end of page. From Our Final Journey, click here: INDEX Page