Personal Care
Task/ Activity
Personal care
Bathing (shower/ tub bath/ sponge
Shave
Hair Care
Nails Cleaned & Filed
Foot Care
Skin Care
Mouth/ Dentures Care
Dressing/Undressing
Turn& Position
Medication Reminders
Incontinent Care
EXERCISES
Range of Motion Exercises
Assist with walking In/Out Doors
DIET
Preparation of meals/serve/feed client Diet
Transfers Bed/ Chair/Toilet
TOILETING
Bed Pan/ Urinal/ Commode/ Bathroom
Assist with Drainage Bag/ Ostomg Bag
HOMEMAKING /HOUSEKEEPING
Bedroom
Bathroom
Kitchen
Dishwashing
Living Room
Laundry
Change Bed Linen
SOCIAL/EMOTIONAL NEEDS
Encourage Conversation/
Activities
Number of Live Well Activities Performed
