Care Requirements - Support Needed by Client 

Bathing & personal grooming 

Companionship 

Helping with mobility 

Help keeping active 

Light housework 

Meal preparation 

Medication reminders 

Running errands 

Toilet & continence care 

Trips out of the house 

Care Requirements - Previous Condition Experience Needed by CAREGiver

Select from the list below any previous condition experience needed by the CAREGiver by deleting any that are not appropriate. Please note if you are able to train the CAREGiver and they do not need prior experience please delete all of the above options as it could limit potential CAREGivers.

Anxiety with washing

Arthritis - not known

Confusion

Dementia

Diagnosed mental illness

Incontinence

Palliative Care

Care Requirements - Previous Equipment Experience Needed by CAREGiver

Select from the list below any previous equipment experience needed by the CAREGiver by deleting any that are not appropriate. Please note if you are able to train the CAREGiver and they do not need prior experience please delete all of the above options as it could limit potential CAREGivers

Mobile hoists

Wheelchair

Client Description

Husband there, but does not require care (although meal prep)