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DAILY LIVING NOTES    date___________ 

 

1. Dressing hygiene, feeding

 

 

 

 

2. Treatment programs/medication

 

 

 

3. Sleep Patterns

 

 

 

4. Behaviors

 

 

 

 

5. Vision and Speech

 

 

 

6. Entertainment

 

 

7. Travel restrictions and mobility

 

 

 

8. Environmental Concerns

 

 

 

9. Exercise

 

 

 

10. Personal thoughts and observations

 

 

 

 

 

I Repeat: Don’t feel you have to make this note taking exercise a full time job and feel free to add or take away categories as they apply in your world.