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Home
About Us
Our Official Charity Partner
Meet the Team
Clients
Testimonials
Acquired or Traumatic Brain Injury
Spinal Injury
Other Medical Conditions
Live Vacancies
Register CV
Candidates
Apply online
Supporting Our Official Charity Partner
Subject Access Requests
Refer a Friend Scheme
Care Packages for Brain and Spinal injury
Contact Us
Submit a Daily Record
Step 1 of 8
12%
User's Email
Username:
Client Name
*
Name (s) of Support Workers on shift today
*
Today's Date
*
Date Format: DD slash MM slash YYYY
Shift Start Time
*
:
HH
MM
AM
PM
Shift End Time
*
:
HH
MM
AM
PM
Brief Overview of today (what, when, how)
*
How much encouragement are you giving to Toni- Claire?
How much and where you encouraged Toni- Claire.
Has Toni - Claire at any point declined your encouragement?
*
Yes
No
If yes, please provide more details
Skin Integrity
Have you checked Toni- Claire's skin today?
*
yes
No
Have you noticed any areas of redness or soreness to Toni- Claire's skin?
Please describe .
Have you applied any creams on Toni- Claire's skin today?
Were Prompts and Encouragements needed to motivate your client today?
*
Yes
No
Did your client respond to these prompts?
*
Yes
No
If you answered yes to either of the two previous questions then please give details
*
Fatigue and Monitoring
Did Toni- Claire suffer from any levels of fatigue today?
*
Yes
No
Did this disrupt any planned activities?
*
Yes
No
If you answered yes to either of the 2 previous questions, please rate your client's fatigue levels on a scale of 0-5 with 5 being very fatigued.
0
1
2
3
4
5
Did you complete any household tasks? If so, please provide detail below
Have you assisted Toni- Claire with any shopping today?
Psychological and Emotional
Were there any instances of mood disturbance, anxiety or stress observed today?
*
Yes
No
If you answered yes , please give a brief description of the instances that occurred and the actions that you took.
*
Accessing the Community
Was Toni -Claire involved in any activities in the community today?
*
Yes
No
If you answered yes then please give more details
*
What assist you provided Toni- Claire with the children?
Please describe
Have you took Toni- Claire's daughter to school and back from school.
Please provide times and details
Pain
Did Toni - Claire experience any episodes of pain during their planned activities today?
*
Yes
No
If you answered yes to the previous question, then please give details
Nutrition and Fluids
Please give an overview of Toni- Claire's meals today
*
Please select an approximation of Toni- Claire's fluid intake today
*
0-1 Litre
1-2 Litres
2-3 Litres
3+ Litres
Have you prepared any meals/drinks for Toni- Claire and the children?
Please describe and provide times.
Medication
Did Toni- Claire took her medication today?
*
Yes
No
No medication required
If not, why not?
Is there anything that either Libertatem Healthcare or Toni- Claire's case manager need to be made aware of?
Do you have any safeguarding concerns?
*
Yes
No
If you answered yes to the question above, please give details
Please give an overview of any personal care delivered today that was not covered in the care plan
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