Protected: Client Care Form Client Care Form Today's Date Last Name First Name Date of Birth Room Number Daily Documentation (Select All That Applies) Appointment Cognitive Assessment Diet Reassessment Dietary Review Discharge Planning Discharged From Recuperative Care Event Food Provided General Note Glucose HealthCare Education Initial Nursing Care Intake - Recuperative Care Medication Reminder Nurse Rounds Nutrition Education Patient Education/Self Monitoring Pulse Oximetry Social Worker Consultation Transportation Vital Signs Wound Care Pain Level No Pain 1 2 3 4 5 6 7 8 9 10 (Most Severe) Client Appearance Appropriate Needs Attention Room Condition Acceptable Needs Attention Unacceptable Client Activity Level Awake/Active Sleeping Stationary Lethargic Weight Blood Pressure Glucose Respirations Pulse O2 Saturation Notes Upload Client Daily Form (If Applicable) Staff Member Submit Documentation
