Checklist

DO YOU NEED A BIT OF HELP CHECKLIST?

Here is a checklist to help you determine the level of care or services your loved one could benefit from.
Most common services include personal Care, medication reminders, housekeeping, and emotional care & companionship.

All of our services can be changed or added at any time to ensure that we are always meeting your loved one’s unique homecare needs.

Yes	Category	Task
YES	Food	Does your loved one have problems getting groceries and making themselves nutritious meals ?
YES	Safety	Does your loved one worry whether all the items in the refrigerator are all fresh - best before dates are current?
YES	Safety	Do you feel your loved one lives in an unsafe environment?
YES	Laundry	Does your loved one struggle with changing their bed sheets? Or doing their own laundry?
YES	Transport	Has driving become difficult, uncertain or scary?
YES	Safety	Do you feel your loved ones reflexes and decision making have slowed?
YES	Safety	Do you or family or friends worry about your loved one living alone?
YES	Loneliness	Does your loved one wish that sometimes they just had another person to share some time with?
YES	Memory	Does your loved one come away from a doctor’s appointment unsure of what they have been told by the medical staff?
YES	Safety	Does arthritis, heart disease, or other health issue create difficulties for mobility or concerns about falls?
YES	Cleaning	Does your loved one struggle with completing tasks, such as cleaning the tub, vacuuming, shopping?
YES	Overall	Would you say that your loved one is unhappy with the way they are living life?
YES	Meds	Does your loved one sometimes get mixed up regarding when to take medications?
YES	Meds	Is your loved one confused about why they need to take certain medications?

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