Assisted Living Care Plan
Assisted Living Care Plan
Written by: [Your Name]
I. Resident Information
Resident Name: [Resident Name]
Date of Birth: [Resident DOB]
Address: [Resident Address]
Emergency Contact: [Emergency Contact Name]
Emergency Contact Number: [Emergency Contact Number]
II. Care Objectives
The primary care objectives for [Resident Name] are:
-
Ensuring safety and well-being within the assisted living facility
-
Maintaining a level of independence and dignity
-
Providing consistent medical and personal care
-
Promoting physical, emotional, and social well-being
III. Medical History
Primary Diagnoses: Hypertension, Diabetes
Secondary Diagnoses: Arthritis
Allergies: Penicillin
Prescribed Medications: Metformin, Lisinopril
Physician: [Physician Name]
Physician Contact: [Physician Contact]
IV. Daily Care Schedule
|
Time |
Care Activity |
Assigned Caregiver |
|---|---|---|
|
8:00 AM |
Morning Medication Administration |
[Caregiver Name] |
|
9:00 AM |
Breakfast |
[Caregiver Name] |
|
10:00 AM |
Personal Hygiene Assistance |
[Caregiver Name] |
|
12:30 PM |
Lunch |
[Caregiver Name] |
|
2:00 PM |
Physiotherapy Exercises |
[Caregiver Name] |
|
5:30 PM |
Dinner |
[Caregiver Name] |
|
8:00 PM |
Evening Medication Administration |
[Caregiver Name] |
V. Nutritional Needs
Dietary Restrictions: Low-sodium diet
Preferred Diet: Heart-healthy balanced diet
Hydration Needs: Ensure [Resident Name] drinks at least 8 glasses of water daily
VI. Social and Recreational Activities
|
Day |
Activity |
Location |
|---|---|---|
|
Monday |
Bingo |
Community Room |
|
Wednesday |
Arts and Crafts |
Activity Room |
|
Friday |
Movie Night |
Common Area |
|
Sunday |
Music Therapy |
Community Room |
VII. Safety and Security Measures
The following measures have been put in place to ensure [Resident Name]'s safety:
-
24/7 supervision and on-call support
-
Emergency call buttons in personal quarters and common areas
-
Regular safety drills and procedures
-
Secure entry and exit points to prevent wandering
VIII. Evaluation and Review
The care plan will be evaluated and reviewed on a monthly basis. Any changes in [Resident Name]'s condition or requirements will prompt an immediate review. The review process includes input from:
-
Primary Caregiver
-
Facility Nurse
-
Resident's Physician
-
Family Members/Guardian
