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Activity Manual > 04 Resident Records (14 docs)

04 Resident Records (14 docs)

Free Forms, caregiving, nursing forms, policies, Licensing, Training, Case Management, Home Care, Assisted Living, DD, MI, HCBS

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Documents in 04 Resident Records (14 docs) (14)

Form used to gather information about the resident's activity interests.  

Previous Occupation(s):
Describe your daily routine:
What is/was your favorite thing to do at home? Current Activity Questionnaire (Short)
Form used to review individual resident's progress with activities. Includes sections such as current participation level, social interactions, challenges, and goals. Individual Activity Plan Review
List of long-term care services.

The following long-term care services for the elderly are available in various areas of the State.  The local Area on Aging has the telephone numbers, address and service information for many of these organizations.
When a resident shows signs of needs, which must be met by outside community agencies, the following list should be utilized. Long Term Care Community Based Services Checklist
Form used to plan and set goals for each residents activities.

Personal Orientation and Relationships:	
Distinguishes Between Past & Present Events
Is Over Concerned With Self
Aware Of Surroundings
Accepts Personal Limits
Desires Recognition ... Resident Activity Goal Plan Review
Form used by resident's to indicate their preferred activities, can be used by various types of community based care businesses. Resident Activity Interest Form for Community Based Care Homes
Form used in assessing residents level of activity. Resident Activity Record Form
Section Narrative for resident activity records.

Activity Assessments are used to learn about the resident's likes, dislikes, and special interests.  Depending on the state law and the facility's requirement, some or all of these forms may be required.  A good place to start is the Resident Activity Records
This form is used to complete a profile of the resident's personal life in order to make sure his/her social needs are met. Resident Personal Life Profile
Form used to list resident's personal social data. Resident Personal Social Data
Form used to profile an individual resident.

Childhood Information	
Family size:
Family still remaining:
Do they live nearby?
Where did you spend your childhood? Resident Profile (Short Version)
Cover for Section 4 of the Activities Manual. Resident Records Cover
This good Resident's Health Status Form used to access resident's physical abilities for performing activities.  It can be used in tandem with the Pre-Admission Appraisal Form and/or the Levels of Care Form. Resident's Health Status - Assessment of Abilities
Form used to record an individual resident's visitation. Resident's Individual Visitation Record
A useful form to be given to new residents during orientation or the pre-admission process which specifies local places and resources. Welcome to Our Community (Form)
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