Title Page

  • Client

  • Date

  • Shift

  • Supported By

Personal Care

  • What time did I get up

  • Did I have a bath/shower

  • Did I clean my teeth

  • Did I wash my hair


  • Did I have breakfast

  • What did I have for reakfast

  • Did I have a drink

  • What did I drink


  • Am I on Medication

  • Did I take my medication

  • Did I require PRN

  • Reason for PRN

  • Any medical treatment

  • Is my epilepsy Monitored

  • Did I have a seizure today

  • Type of Seizure

  • Are my bowel movements monitored

  • Did I open my bowels today

  • Type

  • Did I show any signs of discomfort

  • Is my fluid levels recorded

  • Has my fluid levels been recorded


  • What activity did I do today

  • How have i been feeling today

  • Did I have an incident today

  • undefined

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