Where To Start

FIRST STEP: Choose what care type applies below:


Type of care currently being received

Check all those that apply. If none apply leave all unchecked.

Care from family

Homecare government funded

Homecare privately funded

Rest home

Retirement Village


NEXT STEP:
Check the boxes below that relate to your concerns:

Bathing

Falls risk or room unsafe to bathe alone

Unable to bathe due to reduced movement e.g can't dry back, legs or feet

Forgets to shower

Finds it too difficult/exhausting

Feels too unwell

Doesn’t like the feel of the water

  • Reduce the pressure of the water, encouragement, frequency reduced of showering, wash is completed.
  • Doctor visit if you feel it may be medical related and undiagnosed or if you think it could be caused by medications.
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  • Go to the doctor to be assessed and referred for personal care (funded generally 3 times per week).
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  • Private Caregiver/Live in Care.
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  • Family help. If this is the option Respite Care would also be needed.
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  • Alarm.
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Unable to stand or walk

Dressing

Unable to reach feet

Partial or full paralysis

Unable to do up buttons

Unable to coordinate movements in order to dress

Grooming

Unable to see

  • Equipment e.g. special mirror.
  • Family help. If this is the option Respite Care would also be needed.
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  • Private Caregiver/Live in Care.
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  • Go to the doctor to be assessed and referred for personal care (funded generally 3 times per week).
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  • Assisted Living may be a option or if has other needs/concerns. Rest Home care.
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Unable to coordinate movements

Unable to reach

Toileting

Unable to coordinate movements

Incontinent

Unable to mobilise

Eating a Nutritious Diet

Unable to cook

Doesn't want to cook for one

Unable to stand for long enough to make a meal

Unable to coordinate movements

Getting in/out of bed

Unable to move legs up or down to get in/out

Getting in/out of a chair

Unable to push self up

Unable to mobilise

Mobilising

Unable to mobilise safely alone

Maintaining the Home

Unable to bend down

Reduced energy/Unwell

Lack of strength

Memory Loss or Confusion

Grocery Shopping

Transportation

Ability to walk/stand for long periods

Memory Loss or Confusion

Poor coordination

Poor eyesight

Poor hearing

Unable to communicate

Bill/Financial Management

Memory Loss or Confusion

Poor eyesight

Too unwell to deal with it

Unable to communicate

Do Laundry

Reduced Strength

Reduced Movement

Mobility

Memory Loss or Confusion

Poor eyesight

Unable to be alone for more than a few hours only

Cannot access toilet without assistance

Cannot access food/water

Poor Mobility

Memory Loss or Confusion

Feels scared/anxious

Unsafe

Falls/Balance concerns

Home unable to be modified

Memory concerns or Confusion

Poor Hearing

Poor Eyesight

Thinking/Perception or Orientation concerns

Low Energy

Social/activities

No Visitors

Feels lonely

Feels bored

No hobbies/interests

Health has affected interests