PERSONAL CARE Section 3 Cont. Please tick the relevant boxes below giving any comments that you think we should know. Personal Care With Day Dry with Night Comments Prompts Pads Time dent Continence. Do you have a catheter? Yes No Are there any problems that you experience with this if yes please outline ie. blockages, UTI's etc. Please ensure that we have leg bags, night bags and catheter (as Nurses will ask for these if called). Are you able to: No Verbal Physical Full Dressing Support Prompts Prompts Support Comments Choose suitable cloths. Able to dress. Able to undress. Know when to change clothing. Please provide any further information regarding your personal care you feel we should know. For example do you require a same sex carer? No Minimal Physical Full Mobility Support Support Support Support Comments Walk unaided. Walk up and down stairs unaided. Walk on uneven terrain. Can you get in and out of bed.
Section 3 Cont. PERSONAL CARE Please tick the relevant boxes below giving any comments that you think we should know. Personal Care dent With Prompts Day Dry with Pads Night Time Comments Continence. Do you have a catheter? Yes No Are there any problems that you experience with this if yes please outline ie. blockages, UTI's etc. Please ensure that we have leg bags, night bags and catheter (as Nurses will ask for these if called). Are you able to: Dressing No Support Verbal Prompts Physical Prompts Full Support Comments Choose suitable cloths. Able to dress. Able to undress. Know when to change clothing. Please provide any further information regarding your personal care you feel we should know. For example do you require a same sex carer? Mobility No Support Minimal Support Physical Support Full Support Comments Walk unaided. Walk up and down stairs unaided. Walk on uneven terrain. Can you get in and out of bed.
Care%20Plan%20Revised%2022.09.17.docx