Plan of Care – Billie Hillegeist
OVERVIEW: Billie has end stages COPD (often suffers from respiratory distress & labored breathing); Parkinson's disease (weakness, low stamina, shaking) & dementia (forgetful, confusion, poor judgment); Billie is completely dependent on others for all activities of daily living, day and night; Billie is hard of hearing (wears hearing aids); ambulates minimally with a walker (severe fall risk, short distance), but she is mostly using a wheelchair at this point due to being weak and unsteady (contact guard/assist whenever walking or transferring); requires feeding assistance due to shaking and dementia and requires encouragement to drink fluids; incontinent of bladder and bowel (wears Depends); generally pleasant and amiable, but she can be resistant to care, especially eating (call family if declining entry or critical services)
DUTIES: meal preparation and clean up (always offer food even if declining, assist with eating and drinking as needed, refer to menu suggestions from family); medication assistance (blister pack, always check date, day, time and chart; nebulizer 4X daily @ morning, noon, dinner, bedtime & PRN during the night & whenever short of breath or labored breathing, chart when given); personal care (AM - assist getting dressed & groomed for the day; PM assist undressing and nightgown; fresh depends during each shift at mealtimes and wake up/bedtime, incontinent supplies in bedroom, sponge baths at the toilet 3X weekly in afternoons, at least; hearing aids in charger at night and swap out 2nd pair for next day use); household chores (see list on site); protective care & observation (remain nearby & attentive at all times, day & night, watching for signs of respiratory distress, toileting needs or attempts to get up independently); shopping done by family
NOTES: detailed notes for each shift on site by family (read carefully and follow directions); call daughter IF Billie is non-receptive or any questions about care; JULIE L TURNER - Daughter 707-601-9277