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Seniorlist

admin
March 17, 2023
8:30 am
No Comments

Welcome to your Seniorlist

Describe your loved one’s current living situation.

They live alone

They live with a spouse or roommate

How well can your loved one move around their home?

They can move independently.

They can move independently but need occasional assistance with toileting, stairs, or entry into the car.

They require hands-on assistance for most movement.

How often do they experience falls?

Occasionally, but they can get back up on their own.

Occasionally, and they need assistance to get back up.

Often, and they need assistance to get back up.

Never or rarely

How much help do they need with transportation?

They can independently drive or use public transport.

They need help arranging transportation but are otherwise fine.

They need someone to arrange transportation and accompany them with shopping and appointments.

How well can they use the restroom and shower?

They can independently use the toilet and shower.

They need occasional assistance with toileting and bathing.

They always need physical assistance with bathroom use.

Do they have any conditions or needs that require daily care from a nurse or healthcare professional?

Yes

No

How well can they manage their medications?

They can independently take all medications as prescribed.

They need occasional reminders to take medications.

They need complete assistance with medication adherence.

They don’t take any regular medications.

How good is their memory?

They are completely aware of their surroundings, recognize and remember people, and know dates and times.

They have difficulty remembering names, dates, and times.

They have trouble remembering recent occurrences.

They frequently don’t recognize family or other familiar people and places.

What is your approximate monthly budget for care, including both personal savings and assistance through Medicare, Medicaid, and insurance?

$0-$499

$500-$1,999

$2,000+

I’m unsure.

Time's up

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