AWARENESS |
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HD Awareness Tri-fold Handout
I Have Huntington's Disease
card
Info on HD For Temporary Caregivers
CNA First Shift handout
AT HOME HELPFUL FORMS
Appointment Information Use this form to keep track of your loved ones medical appointments*
Caregivers Document Organizer A form that will help you identify, locate, and organize the important documents your will need as a primary caregiver*
Caregivers Journal Some tips for setting up a notebook to keep track of your caregiving situation*
Use copies of this form to monitor daily changes and help with communication among care providers working in shifts*
(in PDF format) Cardiopulmonary
Resuscitation
(CPR) includes a group of
procedures used when the heart stops beating.
Assessment Instrument
Excellent
links to home modifications and checklists from the
National Resource Center on Supportive Housing and Home Modifications
In depth instructions to leave for temporary caregivers.
Personal
Records A form to help you keep track of your loved ones personal records and other
important information*
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OUTSIDE OF HOME
Assisted Living-Questions To
Ask
Social Services Q&A Checklist
Assisted Living: Quality Of Life A checklist of questions dealing with socializing, meals, safety, and other issues to consider when you and your loved
one visit an assisted living facility*
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you and your loved one visit an assisted living facility.
you need to find out about any special care services offered by the facility.
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ESTATE PLANNING
What Is Estate Planning Document
What
Is A Conservatorship-Guardianship?
yet available for judging quality end-of-life care, these are some questions you can
ask to evaluate care. These can be used to help select providers and are also helpful if a loved one is
dying and you are uncertain of the quality of care they are receiving. Use this checklist
to talk to members of the health care team.
End of Life
Are You Grieving? A checklist of the physical, mental, and behavioral symptoms of grief*
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Funeral Planning Checklist A list of all of the issues to consider when planning a funeral*
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Funeral Planning Form As your loved one makes his or her funeral plans, use this form to record all of his or her wishes for final arrangements*
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*Source
From Family Care America, one of the most trusted sources of information
and resources for caregivers of the elderly, disabled, and chronically ill. These forms
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