Planning Ahead - Florida Developmental Disabilities Council

More documents

Recommendations

Info

A DAY IN THE LIFE OF:(NAME)List morning medications:Arises at:AMNeeds assistance with: Hygiene Dressing GroomingPrefer: Shower Bath Taken: PM AMAids or appliances used to get around include:Braces Special shoes Walker Wheelchair Crutches Positioning aids OtherUses:EyeglassesContact lensOther Communication Devices (list):HearingaidsTelecommunication devices (TDD)CommunicationboardAble to eat without help: YES NO If No, needs help with:Uses: Special plate Special utensils Special cup StrawHas problems with choking: YES NOIs able to drink: Thin Liquids Thickened LiquidsUsually ready to start the day at: AM By going to:Transported by:List bedtime medications:BEDTIME PREPARATIONList any routine activities performed at bedtime.Usual bedtime: PMIs there a quiet time/meditation: YES NO If Yes, describe:Help needed getting to sleep: YES NODescribe sleep pattern (how well, how long usually sleeps)SAFETY PRECAUTIONSCan the person be left unsupervised: Yes NoFor how long? Minutes Hours Days60 Section 2, The Personal Information Section
Recognizes danger of: (Circle those that apply)Heat Sources Poisonous Materials Open WindowsSharp Objects Hot Water TrafficCan evacuate building on hearing alarm? Yes NoNeeds physical/verbal prompt to evacuate building? Yes NoLikesLIKES AND DISLIKESFavorite people to live with:NAME ADDRESS PHONE NUMBERFavorite people to spend time with:NAME ADDRESS PHONE NUMBERFavorite pets:NAMETYPEFavorite color:Favorite clothing or possessions:CLOTHINGPOSSESSIONSSection 2, The Personal Information Section61
Page 3 and 4:
AcknowledgementsWe would like to th
Page 7:
SECTION 1THE HANDBOOKDevelopmental
Page 10 and 11:
in realizing goals and outcomes he
Page 12 and 13:
• Identify agencies and organizat
Page 14 and 15:
TO BE SURE YOU HAVE ACCESSED ALL AV
Page 16 and 17: CHAPTER THREEUsing Government Benef
Page 18 and 19: Property or assets mean real estate
Page 20 and 21: There is a special program for peop
Page 22 and 23: Department of Elder Affairs: The De
Page 24 and 25: Be sure to complete the application
Page 26 and 27: Most services provided to persons w
Page 28 and 29: CHAPTER FIVEAdvocating and Coordina
Page 30 and 31: family member receives services. De
Page 32 and 33: • Use the chain of command. If yo
Page 34 and 35: 28ChooseYour family member may make
Page 36 and 37: 7. Skilled Nursing HomeSkilled nurs
Page 38 and 39: There are now more opportunities fo
Page 40 and 41: If your family member really thinks
Page 42 and 43: pre-need directive. As the term ind
Page 44 and 45: Can the Living Will and the Health
Page 46 and 47: Although it is not required by stat
Page 48 and 49: The potential ward, if capable of u
Page 50 and 51: LETTERS OF INTENTIn addition to hav
Page 52 and 53: TAX ISSUESIn your planning, do not
Page 54 and 55: CHAPTER TENDealing WithHealth Care
Page 56 and 57: CHAPTER ELEVENCoping with Changes a
Page 58 and 59: • Arrange visits to an area funer
Page 61 and 62: SECTION 2THE PERSONALINFORMATION SU
Page 63 and 64: Senior CenterHomemakerPersonal Care
Page 65: List relatives who are emotionally
Page 69 and 70: Do violent or sexually suggestive T
Page 71 and 72: The type of neighborhood preferred
Page 73 and 74: During the day goes to:EMPLOYMENT/R
Page 75 and 76: Provide a brief summary of Medical
Page 77 and 78: Section 2, The Personal Information
Page 79 and 80: The following activity (e.g., being
Page 81 and 82: PROTECTING LEGAL RIGHTS AND FINANCI
Page 83 and 84: Has a standby guardian been appoint
Page 85 and 86: Memorial Service: Yes No Location:S
Page 89 and 90: SECTION 3HELPFUL ATTACHMENTSDevelop
Page 91 and 92: Additional Instructions (optional):
Page 93 and 94: My Personal OutcomesWHO AM I?What g
Page 95 and 96: Bill Of RightsIn June of 1975 the G
Page 97 and 98: Stakeholders requested a change in
Page 99 and 100: Adjudicatory hearing to determinein
Page 101 and 102: Guardianship To-Do List(Step-by-Ste
Page 103: New York State Developmental Disabi
show all

Planning Ahead - Florida Developmental Disabilities Council

Create successful ePaper yourself

Delete template?

Save as template?