Client Service Delivery Form – Personal Support

Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Coloque una marca junto a todas las tareas que se completaron.

Tareas de cuidado personal

Baño (bañera / ducha / cama)
Field is required!
Cuidado de la boca / dentaduras postizas
Field is required!
Arreglar / lavar el cabello con champú / limar las uñas
Field is required!
Ayudar a vestirse
Field is required!
Ayudar con ir al baño / eliminación
Field is required!
BM
Field is required!

TAREAS MEDICAMENTE RELACIONADAS

Observar / informar cambios en la condición del cliente
Field is required!
Acompañar al cliente en las citas médicas.
Field is required!
Recordar al cliente que tome medicamentos
Field is required!
Gire al cliente cada 2 horas
Field is required!

TAREAS DE MANTENIMIENTO

Aspirar / barrer
Field is required!
Quitar el polvo / trapear
Field is required!
Lavandería / cambio de ropa de cama
Field is required!
Otro
Field is required!

AMBULATION /TRANSFER

Ayudar con transferencias / caminar
Field is required!
Fomentar con una simple actividad física
Field is required!
Otro
Field is required!

GESTIÓN DEL HOGAR

Compras de comestibles
Field is required!
Ayudar con el pago de facturas
Field is required!
Otro
Field is required!

NUTRICIÓN APROPIADA

Preparar comidas / limpiar
Field is required!
Fomentar una nutrición adecuada / comida del servidor, líquidos
Field is required!
Ayudar a comer / ofrecer bocadillos
Field is required!
Notes
Field is required!
Firma del cliente
Field is required!
Firma del administrador
Field is required!
Contact Us

We're not around right now. But you can send us an email and we'll get back to you, asap.

Not readable? Change text. captcha txt
0

Start typing and press Enter to search