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Home Care Checklist
50 questions in 8 sectionsInteractive preview: try the answers
Section 1 of 8 · 6 questionsMedical Care
Are vital signs checked?
Are regular physical exams and other medical appointments scheduled?
Is the patient reminded to take medications?
Are prescriptions picked up?
Are blood sugar and blood pressure checked?
Are fatigue, mood changes, and heat sensitivity symptoms monitored?
Section 2 of 8 · 10 questionsPersonal Care
Has the patient been bathed or showered?
Is the patient's hair washed?
Is the patient's hair combed?
Is the patient's teeth brushed?
Is the patient's shaving done?
Are the patient's nails trimmed?
Is a skincare routine applied to the patient?
Is assistance provided with getting dressed?
Is help given to address heat sensitivity, such as preparing cooling scarves, washcloths, or cold packs?
Is assistance given to address incontinence, including preparing underwear, feminine pads, absorbent sheets, extra clothes, or towels?
Section 3 of 8 · 6 questionsNutrition
Is shopping for groceries done?
Are meals prepared?
Is help provided with feeding?
Is encouragement or restriction given for fluids?
Is the patient reminded to take vitamins?
Are the pantry and fridge organized?
Section 4 of 8 · 5 questionsToileting
Is assistance provided with going to the bathroom?
Is assistance given with bedpan/urinal use?
Is incontinence care performed?
Is the urinary drainage/catheter bag emptied?
Is the colostomy bag emptied?
Section 5 of 8 · 4 questionsMobility
Is assistance with walking provided?
Is the patient's position turned in bed (for bedridden care patients)?
Is assistance provided for moving the patient from/to bed or wheelchair (for wheelchair-bound care patients)?
Is assistance given with home exercises?
Section 6 of 8 · 6 questionsCompanionship
Is the patient accompanied on walks?
Is the patient accompanied to appointments?
Are community outings coordinated?
Is reading aloud done?
Are videos watched together?
Are games played together?
Section 7 of 8 · 9 questionsHousehold Services
Is laundry washed?
Are rooms cleaned?
Is trash taken out?
Is room temperature controlled?
Is oxygen checked for on/off?
Is the bed made?
Are sheets changed?
Is mail picked up?
Are bills paid?
Section 8 of 8 · 4 questionsSocial And Outside Activities
Are family visits set up?
Are trips to nearby towns or places of interest organized?
Are meetings with friends encouraged and organized?
Is the patient enrolled in educational or learning activities, such as cooking, crafts, painting, or photography lessons?
Checklist by GoAudits. This checklist is an example: we do not guarantee compliance with the laws applicable to your territory or industry. Seek professional advice to adapt it to your workplace or jurisdiction.
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