This document was shared during the SXSW talk: Helping Aunt Ginny: Alzheimer's Technology and Me. To use the Google doc template, go here: https://drive.google.com/previewtemplate?id=0Ao3I_RGlqjEgdC16U2dsM0k2Q3NDY0J3R3JTQzdCYlE&mode=public

1. needs
immediate
action
needs action in
the near future
Company
Frequency
needs
action in
the future done
estimated Anticipated
amount
due date
notes
next steps
last paid

2. Type of account
to access
address updated
date

3. Who
number
email
company name, or
how involved
notes
address
recent communications

4. Who
number
email
address
address 2

5. Email account for nurses
notes
Doctors appointment
notes
Daily status
notes
These are daily emails to ensure the
nurse is accountability to us and to
guarantee we know what is going
on.
What was the house like when you arrived?
Was she awake?
Dressed?
What happened that day?
What did she eat?
What tasks were accomplished?
What did she do during the day?
What was her overall mood?
What was her confusion level like?
What was she doing when you left?
Did anyone come to visit?
Time in, time out
Via book
Print out of email
Task lists
Contact information for doctor, family and local
friends
Tasks to be accomplished: Daily
bathing and dressing
preparing meals and feeding
running errands
ensuring she gets her medicine
taking her to appointments
visiting with her
This is so the nurses can see day
after day what is going on
scheduled activities

6. Tasks to be accomplished: Weekly
cleaning out the fridge
sweeping
dusting
vacuuming
changing bed linens
cleaning the bathrooms
Tasks to be accomplished: Monthly
cleaning out the cupboard

7. name
Morning pills
Night pills
dosage
for what
when does she take
it?
when was it last
refilled?
when does the
refill expire?
about how many
does she have?

8. mileage log .23 per mile - medical
total
mileage total $
reimbursement
date
Additional expenses
what
amount
reimbursement
date

9. Repairs to be done
current
responsibility
completion
estimates date