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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
Daily Record Form - Sally M
Step 1 of 12
8%
User's Email
Username:
Client Name
*
Name (s) of all Support Workers on shift today
*
Date of Shift
*
Date Format: DD slash MM slash YYYY
If you are undertaking night shifts, please remember to enter the correct date the shift started.
Shift Start Time
*
:
HH
MM
AM
PM
Shift End Time
*
:
HH
MM
AM
PM
Brief Overview of today (what, when, how)
*
Motivation and Initiation
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
*
Please give further details of techniques used
*
Fatigue and Monitoring
Did your client suffer from any levels of fatigue today?
*
Yes
No
Did this disrupt any planned activities?
*
Yes
No
Pplease rate your client's fatigue levels on a scale of 0-5 with 5 being very fatigued.
0
1
2
3
4
5
Did Sally suffer from any pain today?
*
Yes
No
Please give further details
*
Morning Routine
What time did Sally wake up today?
:
HH
MM
AM
PM
How long Sally been asleep at night?
How the night has gone?
Did you participate in personal care and hygiene needs?
*
Yes
No
What support did you give?
*
Mobility
Was Sally assisted into her wheelchair today?
*
Yes
No
Did she engage in using the chair herself?
*
Yes
No
What went well?
*
How long did Sally stay in her wheelchair?
What support did you provide?
Behaviour
Did your client display and impulsive or inappropriate behaviour today?
*
Yes
No
If you answered yes, then please give details
Pain
Did your client 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 your clients meals today
*
Please advise what support you gave Sally whilst eating her meals
*
Therapy Led Activities
Did Sally participate in any therapy activities today?
*
Yes
No
What activities has Sally been involved with today?
*
What was her level of participation (describe what went well, what she needed help with)
*
Describe Sally's mood during these activities
*
Socialising
Has Sally been in to the social areas today?
*
Yes
No
How did she engage with others?
*
Communication and Engagement
Has Sally been chatty and engaged with you today?
*
Yes
No
Please advise what went well
*
Please describe the mood and any possible triggers for disengagement
*
Is there anything LHG or Sally's Case Manager need to be made aware of?
*
Yes
No
Please give details
*
Do you have any safeguarding concerns?
*
Yes
No
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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