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Daily Caregiver Checklist

Downoad Printable PDF
Client Name: _________________________________________________________________  Date: _______________
Caregiver: ____________________________________________________________________ Morning Care• ☐ Greet and assess mood/alertness• ☐ Assist with waking up (as needed)• ☐ Bathroom assistance (toileting, incontinence care)• ☐ Personal hygiene:o ☐ Wash face / oral careo ☐ Bathing or sponge bath (if scheduled)o ☐ Grooming (hair, shaving)• ☐ Dress in clean, weather-appropriate clothes• ☐ Apply prescribed creams/ointments• ☐ Check vital signs (if required)• ☐ Administer morning medications (record time/dose)• ☐ Prepare and assist with breakfast• ☐ Encourage hydration________________________________________Midday Care• ☐ Mobility support (walking, exercises, repositioning)• ☐ Mental stimulation (conversation, reading, puzzles, music)• ☐ Bathroom assistance• ☐ Prepare and assist with lunch• ☐ Administer midday medications (if applicable)• ☐ Check for pain, discomfort, or unusual symptoms• ☐ Skin check for redness, sores, or bruises• ☐ Encourage fluids• ☐ Rest or nap time support________________________________________ Afternoon Activities• ☐ Light physical activity or stretching• ☐ Social interaction (visits, phone calls, hobbies)• ☐ Bathroom assistance• ☐ Snack and hydration• ☐ Repositioning (if limited mobility)• ☐ Monitor mood and behavior changes________________________________________Evening Care• ☐ Prepare and assist with dinner• ☐ Administer evening medications• ☐ Bathroom assistance• ☐ Evening hygiene (face washing, oral care)• ☐ Change into nightwear• ☐ Skin care and pressure relief• ☐ Review day for any issues or concerns• ☐ Prepare for bedtime routine________________________________________Night & Safety Checks• ☐ Ensure bed is safe and comfortable• ☐ Mobility aids within reach (walker, cane)• ☐ Call bell/phone nearby• ☐ Nightlight on• ☐ Doors locked / stove off• ☐ Final bathroom assistance• ☐ Monitor sleep (as needed)________________________________________Daily Documentation• ☐ Medications given• ☐ Meals and fluid intake• ☐ Bowel movements• ☐ Mood/behavior notes• ☐ Pain or symptoms• ☐ Incidents or concerns• ☐ Communication with family or healthcare providers

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