Daily Care Notes

Client Name:  ____________________ Date:  ________

Caregiver Name:  _______________________________

Arrival Time:__________   Departure Time:  _________

Health & Hygiene

Transfer from bed to chair

Bathroom Visit Assistance

Catheter Care/Diaper Change

Shower/Bed Bath

Hair care

Skin Care/Lotion

Nail Care

Dental Care

Medication Reminder

Exercise Routine

Nutrition

Grocery Shopping/Meal Plan________________________

Meal Preparation_________________________________

Set-up Meal

Assisted with Feeding

Feeding Tube Care