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residents care assessment
Resident Identification
Verify resident's name
Confirm date of birth
Check medical record number
Initial Health Assessment
Review medical history
Conduct physical examination
Assess vital signs (blood pressure, heart rate, temperature)
Functional Assessment
Evaluate activities of daily living (ADLs)
Assess mobility and transfers
Determine need for assistive devices
Mental and Emotional Health Assessment
Conduct cognitive screening
Evaluate mood and emotional well-being
Assess social interactions and support systems
Nutritional Assessment
Review dietary preferences and restrictions
Assess weight and height
Evaluate nutritional intake and hydration status
Medication Review
Compile current medications list
Check for allergies and adverse reactions
Assess adherence to medication regimen
Safety and Environment Assessment
Evaluate living space for hazards
Assess need for modifications or assistive devices
Review emergency plans and procedures
Care Plan Development
Set short-term and long-term goals
Identify interventions and strategies
Assign responsibilities to care team members
Follow-Up and Monitoring
Schedule regular assessments
Update care plan as needed
Communicate changes to the care team and family
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