| Date | Client Name | ||
|---|---|---|---|
| Caregiver Name | Shift Time |
| Bathing/Showering | ||
| Dressing/Undressing | ||
| Toileting/Incontinence Care | ||
| Oral Hygiene |
| Transferring (bed/chair) | ||
| Assisting with walking | ||
| Exercises |
| Medication Reminders | ||
| Medication Administration |
| Meal Preparation | ||
| Feeding Assistance | ||
| Hydration |
| Laundry | ||
| Light Housekeeping | ||
| Grocery Shopping/Errands |
| Conversation | ||
| Activities/Games | ||
| Outings |