Home Care Questionaire | | BestCare Home CareBestCare Home Care

It may be time for you to consider in-home care for your loved one! Starts by answering our short Home Care questionaire to help you better understand whether the time may have come to pursue Care Options for your loved one. Just answer “Yes” or “No” for each of the questions below.

Personal Care – Check “Yes” or “No” for the questions below:

Is your loved one wearing clothing that is dirty or has food stains?	Yes	No
Does your loved one wear the same outfit day after day?	Yes	No
Is it apparent your loved one is not showering or bathing?	Yes	No
Does your loved one fail to recognize you or know your name?	Yes	No
Does your loved on wear his/her night clothes during the day?	Yes	No
Are you finding expired medications that are not being taken?	Yes	No
Your loved one does not take his/her medications on time or not at all?	Yes	No
Is there unusual tearing or bruising of the skin that may indicate a fall?	Yes	No
Has loved one withdrawn socially or he/she is not communicating?	Yes	No
Is loved one losing weight?	Yes	No
Do you need someone to check on Dad/Mom just 15 minutes a day to give you a piece of mind?	Yes	No

If you answer yes to 5 or more of the above questions then it’s time to contact BestCare for ALL your Personal Care Needs.

Skilled Care – Check “Yes” or “No” for the questions below:

Does your loved one have a decrease in ability to ambulate?	Yes	No
Does your loved one have problems with falls?	Yes	No
Does your loved one have uncontrolled or poorly managed pain?	Yes	No
Does your loved one look feeble?	Yes	No
Does your loved one have difficulty swallowing?	Yes	No
Does your loved one have a decrease in ability to care for her/himself?	Yes	No
Does your loved one have a decrease in memory, decision-making, or cognition?	Yes	No
Does your loved one have chronic disease processes (DM, COPD, CHF)	Yes	No
Does your loved one have frequent hospitalizations?	Yes	No
Does your loved one have frequent medication change and/or difficulty understand/managing medication regimen?	Yes	No
Is Mom/Dad having difficulty in communication with MD’s office?	Yes	No

If you answer yes to 5 or more of the above questions then it’s time to contact BestCare for ALL your Skilled Care Needs.