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Assess Your Needs for Long Term Care Example

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Choosing Long-Term Care
Assess Your Needs Custodial Care Check List Will I need help with the following activities of daily living? Bathing Dressing Eating Using the bathroom, including caring for a catheter or colostomy bag if needed. Moving into or out of a bed, chair, or wheelchair. Other Will I need help with these additional services? Preparing meals Shopping Housework and laundry Getting to appointments Paying bills and other money matters Home maintenance and repairs Using the telephone Other Will I need help with the following care? Remembering to take medicines Diabetes monitoring Using eye drops Getting oxygen Taking care of colostomy or bladder catheters Other Source: U.S. Department of Health and Human Services

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