We’ve developed this handy patient profile form that you can use with doctors, care providers, other healthcare services, and family members. It gives a quick snapshot of your loved one’s desires, habits, favorite things, and, most importantly, medications.
To use the form, download it and print it, then fill it in and keep it on hand for appointments. You can even make multiple copies to share with other interested caregivers or doctors.
Let’s take a look at the important information contained in the Patient Profile Form.
- Personal Information: Make sure you enter the patient’s full legal name, address, phone, and birthdate clearly. The weight, height, and blood pressure range will be helpful for tracking any changes in the patient’s health.
- Ailments/Diagnosis: Here, you should list the major diagnoses the patient has. Many people will have comorbidity (meaning more than one diagnosis) but try to capture the most important and life affecting ones here so they can be tracked and disclosed to those who need the information most.
- Prescriptions: An updated list of meds, dosages, and orders for taking them is important to track for anyone who may be in a position to care for your loved one. This section is especially important to doctors and physicians who prescribe medications to help them avoid prescriptions that negatively impact other medications. This is also a good place to list allergies to medications!
- Patient’s Preferences: This is the section where you can share a bit about your loved one’s likes and dislikes. If the patient has memory impairments, these key favorites may help ground a memory or provide a path of communication from caregivers and family members. The favorites can be used as the basis for discussion, outings, reading/research, and remembering. Fond memory prompts also give physicians and home healthcare providers a way to connect with the patient in a meaningful way.
- Advocate Information: Finally, you’ll want to include all relevant contact information for the patient’s conservator or advocate, making it simple and quick to reach out to that person should the need arise.
At First Care Home Services in Miami/Dade, we work hard to ensure our home health care aides, CNA, LPN, RN and all staff learn about each client and value the client’s way of life. Knowing how a client thinks and feels about certain topics can make achieving the activities of daily living easier for everyone.
If you or a loved one needs personalized care in your home or facility, reach out to us today to book a free senior care consultation for your loved one in Miami Dade 305-945-9025 (Medicare & Medicaid Certified) or in Broward at 954-942-4393 or complete our inquiry form to have someone contact you.
You don’t have to do it alone. First Care would be honored to be part of your team.
