Emma W. Service Plan Notes

Client Admission Date: 11/17/2019

DNR ON FILE

Last Date Reviewed: 02/06/2020

Location Notes: Look for the concrete paved driveway and a brown mailbox with the numbers 10660. The GPS coordinates in TSheets takes you to the correct driveway. She lives in the green house in the back inside the black iron gate.

Summary: Emma lives next door to her daughter and grandson. She was recently diagnosed with upper GI cancer that has spread to her liver and pancreas. Her daughter, Jennifer is the primary caregiver. She is asking for respite shifts so she can take a break. She is very sharp but has weakness. We are there to make sure she does not fall while walking.

Allergies: None

Stated Medical Condition

  • Cancer

  • Hearing Loss

  • FALL RISK

Is the client on hospice?: Yes. Hospice Plus

Is the client on home health?: No

Date of Birth: 11/24/26

Height and Weight: 5.5” 110lbs

Pets: No

Smoker: No

Dress Code: Blue scrubs with name tag

Is Cell Phone Use Allowed?: No

Is Sleeping Allowed?: No. You must be awake and alert.

Personal Care

  • See Service Plan and detailed list of ADL’s in the blue folder.

  • Medication Reminders: She may request pain meds at night. The dose will be set out. The client is able to make medication decisions.

  • Toileting:

    • If she is weak, she may need help standing up and sitting down.

    • Give her privacy then come back to help her get up.

  • Bathing:

  • Dressing:

  • Routine Skin and Hair:

  • Shaving and Oral Care:

  • Transfer:

    • May need help getting to a standing position.

  • Walking:

    • Stand close to make sure she has the strength to walk without falling.

  • Exercising:

Housekeeping and Personal Services

  • Meal Preparation:

  • Feeding:

    • May need small snack to go with night pain meds, like applesauce.

  • Cleaning: See detailed list of cleaning tasks on Page 2 and 3 of Service Plan in the blue folder.

  • Laundry:

  • Shopping:

  • Escort:

Likes and Dislikes

  • See Getting to Know You document in the blue folder. Please contribute regularly.

Notes

  • Emergency Contact Information found in the blue folder.

  • She will tell you if she feels weak.

  • Call the daughter, Jennifer, if she is in excessive pain at night.

Updates:

  • 02/11/2020 - We’ve received an update from one of Emma's caregivers. Ms. Emma's Health has decline. She is very weak and it's very difficult to transfer her to the bedside commode. The hospice nurse brought out diapers and the family purchased a bedpan. She is total weight for transfer to the bedside commode. It's best that caregivers use the diapers and the bedpan going forward.