Caregiver Service Documentation
When caring for someone, it helps to keep good notes in order to document progress, improvements, and setbacks. Having this information readily available is useful when reporting information to medical professionals. It also allows caregivers to share timely information and developments when more than one caregiver is involved.
Allways Home Care caregivers document daily notes for each client. Following our guidelines for documentation will help every caregiver keep good records.
All client information is kept completely confidential. Daily reports are recorded in the Client Care Journal that is kept in each client’s home. Caregivers are required to document the tasks they completed that day as well as any noticeable changes to coughing, nausea, thirst, skin infection, urine color, smell or frequency, level of consciousness, mood, behavior, swelling of the legs, ankles, or hands, or changes to appetite. Any noticeable changes to breathing, pain, vomiting, skin color, confusion, functional abilities, vision, or open skin sores must be documented in a similar manner, and also reported immediately to the caregiver’s supervisor and the personal and/or medical contacts included in the client’s Plan of Care. Client Care Journals should also be checked daily by Caregivers to read any notes and reports made by the client or the client’s family.
For more information about our unique process for caring for your loved-ones or to set-up a free in-home assessment, contact ushttp://www.allwayshomecare.org/caregiver-service-documentation-2/Caregiver Trainingcaregiver,carejournals,elderlycare,records