文档介绍:Care Plan- Home Health Aide CLIENT NAME: _________________________ [ ] Resuscitate [ ] Do Not Resuscitate DIAGNOSIS: _________________________ DATE: _________________ www. . GOALS: Personal Care (frequency): [ ] Bed Bath _______________ [ ] Partial Bath ____________ [ ] Shower_________________ [ ] Tub Bath _______________ [ ] Oral Hygiene/Denture Care ___________________ [ ] Shampoo ______________ [ ] Comb/Brush Hair ______ [ ] Shave _________________ [ ] Clean/File Nails ________ [ ] Foot Soak ______________ [ ] Skin Care (Lotion, Massage, Pressure Areas) ________________________ Toileting: [ ] Use Bathroom [ ] Use Bedpan [ ] Urinal [ ] Diapers/Depends [ ] Other, Specify: __________ ____________________________ ____________________________ ____________________________ Homemaking Prepare Meals: [ ] Breakfast [ ] Lunch [ ] Dinner [ ] Snack __________________ [ ] Dishes Dietary Restrictions: _______ ____________________________ ____________________________ ____________________________ Housekeeping: [ ] Linen Change [ ] Laundry [ ] Kitchen [ ] Bathroom [ ] Bedroom [ ] Other: __________________ ____________________________ [ ] Grocery Shopping [ ] Errands [ ] May [ ] May Not Leave patient to do errands [ ] Other, Specify: __________ ____________________________ ____