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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
Type of account

to access

address updated

date
Who

number

email

company name, or
how involved
notes

address

recent communications
Who

number

email

address

address 2
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
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
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?
mileage log .23 per mile - medical

total
mileage total $

reimbursement
date
Additional expenses

what

amount

reimbursement
date
Repairs to be done

current
responsibility

completion
estimates date

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Organizational document for those caregiving for someone with Alzheimer's

  • 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
  • 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