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Caregiver Daily Checklist
Caregiver Daily Checklist
Note: Remember, this daily caregiver checklist is not exhaustive. Feel free to edit the checklist per your requirements.
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1
Current checklist credentials
Form Fields
Caregiver's name/Patient's name
Week starting:
2
Monitor and document vital signs, such as blood pressure and temperature
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
3
Monitor the patient's overall well-being and report any changes to a healthcare provider
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
4
Make sure the patient's medications are up to date and administered on schedule
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
5
Help with coordination of healthcare services and equipment
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
6
Administer first aid as needed
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
7
Help with mobility and exercise as directed by a healthcare provider
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
8
Assist with daily activities such as dressing, grooming, and bathing (when necessary)
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
9
Assist with toileting and incontinence care (when required)
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
10
Prepare and serve meals, ensuring the patient is getting proper nutrition
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
11
Assist with long-term care planning
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
12
Assist with finding community resources and support groups
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
13
Help with communication, such as making phone calls or writing emails, reading, or similar tasks
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
14
Assist with hobbies and leisure activities
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
15
Assist with spiritual or religious practices
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
16
Keep the patient's living space clean and organized. Provide help with light housekeeping and laundry
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
17
Help with transportation to appointments and errands
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
18
Assist with legal and financial matters and paying bills
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
19
Assist with shopping and running errands
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
20
Help with managing chronic conditions such as diabetes or heart disease
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
21
Assist with managing mental health issues such as depression or anxiety
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
22
Assist with managing pain and symptoms
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
23
Help with managing medication side effects
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
24
Help with managing sleep issues
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
25
Help with managing diet and nutrition
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
26
Help with managing stress and relaxation techniques
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
27
Assist with advance directives and end-of-life planning
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
28
Assist with coordinating hospice care
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
29
Assist with managing grief and loss. Provide respite care for family members and other caregivers
Form Fields
Mark a day:
MON
TUE
WED
THU
FRI
SAT
SUN
30
End of a template.