Caregiver Binder

Binder for caregiversself-help guide
MFRC Family Navigator Program

The life of a caregiver consists of many challenging and rewarding experiences.
The following is a guide to assist you in building your own caregiver binder. This is a great tool as it consists of all up-to-date information and documents of your loved one’s needs and care.
This inventory can be kept in a three-ring binder and will include the sections as listed on the following slide.
Building a caregiver binder

Table of Contents
Tab 1. Emergency Contacts
Tab 2. All About Me
Tab 3. Daily needs
Tab 4. Diagnosis and what it means
Tab 5. Documents
Tab 6. Medication records
Tab 7. Upcoming appointments
Tab 8. Highlights or summary reports
Tab 8. Addresses and Phone Numbers
Notes:
Keep short, relevant and timely

The first tab in the binder consists of three or more emergency contacts.
Remember to include:
Name of person and contact information
Relationship to the patient
Address
Emergency contacts can be identified as close friends or family you would contact in case of an emergency. It is recommended these contacts live close to your loved one’s permanent home.
TAB 1.EMERGENCY CONTACTS

The all about me section explains some of your loved ones interests and life history. This “profile” could include:
Likes, dislikes
Hobbies
Interests
Favorite food
Food allergies and effects if ingested
A life story helps give the caregiver a better understanding of your loved one’s interests in order to connect with them more effectively and build a strong relationship.
TAB 2.ALL ABOUT ME

This section includes a list of your loved ones daily needs whether it be:
Physical
Personal care and support
Communication
Mobility
Transportation
For example: If your loved one has a physical disability or is unable to drive, specialized transportation may have to be provided. Listing all these needs will help future doctors and caregivers provide your loved one with support services.
TAB 3.DAILY NEEDS

The fourth tab includes all key medical records of diagnosis along with..
A complete description of your loved ones medical condition
The nature of the diagnosis and its likely effects both now and in the future
Note: If your loved one has a dual diagnosis, ensure to include all descriptions and assessments.
TAB 4.DIAGNOSIS AND WHAT IT MEANS

This section may include all important legal and health care documents, such as:
Loved ones birth certificate (original or duplicate)
Social security number
Power of attorney name and contact information
Life/disability insurance policies if applicable.
Photocopy of health care card
Health Care Directive- Please refer to the helpful definitions section for a detailed definition of a Health Care Directive.
TAB 5.documents

This tab includes all key medical records along with:
Name and dosage of all current medications
Time of day medication is taken
Description of each medication and its possible side effects
Drug allergies (if applicable), and effects if ingested
TAB 6.MEDICATION RECORDS

Dates and names for all upcoming medical appointments i.e. doctor, physiotherapist, etc.
Format for appointments may include:
Physician’s name ______________________
Type of appointment ___________________
Date of appointment ___________________
TAB 7.UPCOMING APPOINTMENTS

This section includes any summary reports you receive from professionals on your loved one’s needs and care.
It can also include any important highlights or additional information about your loved one you feel would be beneficial for a caregiver to know in the case of an emergency.
TAB 8.highlights or summary reports

This section is used for the names, addresses and phone numbers of all your important contacts. These could include:
Doctors
Therapists
Past service providers and hospitals
TAB 9.important address and phone numbers

On this web page you will find a variety of useful documents including an emergency care plan for adults with a special need or health concern.
This booklet allows you to have all of your important information in one place.
You may want to consider placing a copy of your plan in your binder. This will make it easily accessible for you if an emergency situation is to ever arise.
Emergency care plan

Caregiver Binder

by Family Navigator on Jul 14, 2011

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