Resident Information
Name: [Resident’s Full Name]
Date of Birth: [DOB]
Diagnosis: Dementia (specify type if known, e.g., Alzheimer’s, Lewy Body, etc.)
Primary Care Physician: [Physician’s Name & Contact]
Emergency Contact: [Name, Relationship, Phone Number]
Date of Admission: [Date]
1. Medical Care & Medication Management
Medications will be administered as prescribed by [physician's name].
Regular medication reviews to monitor effectiveness and side effects.
Staff will observe for changes in cognition, behavior, or physical health and report to the physician.
Emergency protocols for falls, sudden changes in health, or wandering.
2. Cognitive & Emotional Support
Provide a structured daily routine to minimize confusion and anxiety.
Engage in memory-enhancing activities (e.g., music therapy, storytelling, reminiscence therapy).
Encourage socialization through group activities while respecting the resident’s comfort level.
Offer reassurance and emotional support during moments of distress or agitation.
3. Personal Care & Activities of Daily Living (ADLs)
Assistance with bathing, dressing, grooming, and toileting as needed.
Encourage independence in self-care tasks whenever possible.
Monitor for changes in appetite and ensure proper hydration and nutrition.
Adapt eating utensils and meal presentation to facilitate independence.
4. Safety & Supervision
Secure environment to prevent wandering (alarms, locked doors where appropriate).
Fall prevention strategies: handrails, non-slip mats, proper footwear.
Regular monitoring during high-risk times (e.g., nighttime, after medication changes).
5. Social & Recreational Engagement
Encourage participation in familiar hobbies and interests.
Arrange group activities such as arts and crafts, light exercises, or gardening.
Offer individualized activities for comfort (e.g., pet therapy, religious services).
6. Nutritional & Dietary Needs
Special diet considerations (e.g., soft diet, low sodium, diabetic-friendly meals) will be followed as per physician’s instructions.
Mealtime assistance if needed, ensuring adequate nutrition intake.
Offer snacks and hydration throughout the day.
7. Family & Caregiver Involvement
Maintain regular communication with family members regarding changes in health and well-being.
Encourage family visits and participation in care when possible.
Provide family with resources and support groups for dementia care.
8. End-of-Life Planning & Advance Directives
Review and respect resident’s advance directives, including DNR orders if applicable.
Ensure comfort-focused care in later stages of dementia.
Provide palliative care as needed in collaboration with medical professionals.
Review & Signatures
This plan will be reviewed regularly (at least every six months or as needed) to adjust for any changes in the resident’s condition.
Resident (if capable): __________________________
Family/Guardian: __________________________
Care Provider: __________________________
Date: ______________
Name: [Resident’s Full Name]
Date of Birth: [DOB]
Diagnosis: Dementia (specify type if known, e.g., Alzheimer’s, Lewy Body, etc.)
Primary Care Physician: [Physician’s Name & Contact]
Emergency Contact: [Name, Relationship, Phone Number]
Date of Admission: [Date]
1. Medical Care & Medication Management
Medications will be administered as prescribed by [physician's name].
Regular medication reviews to monitor effectiveness and side effects.
Staff will observe for changes in cognition, behavior, or physical health and report to the physician.
Emergency protocols for falls, sudden changes in health, or wandering.
2. Cognitive & Emotional Support
Provide a structured daily routine to minimize confusion and anxiety.
Engage in memory-enhancing activities (e.g., music therapy, storytelling, reminiscence therapy).
Encourage socialization through group activities while respecting the resident’s comfort level.
Offer reassurance and emotional support during moments of distress or agitation.
3. Personal Care & Activities of Daily Living (ADLs)
Assistance with bathing, dressing, grooming, and toileting as needed.
Encourage independence in self-care tasks whenever possible.
Monitor for changes in appetite and ensure proper hydration and nutrition.
Adapt eating utensils and meal presentation to facilitate independence.
4. Safety & Supervision
Secure environment to prevent wandering (alarms, locked doors where appropriate).
Fall prevention strategies: handrails, non-slip mats, proper footwear.
Regular monitoring during high-risk times (e.g., nighttime, after medication changes).
5. Social & Recreational Engagement
Encourage participation in familiar hobbies and interests.
Arrange group activities such as arts and crafts, light exercises, or gardening.
Offer individualized activities for comfort (e.g., pet therapy, religious services).
6. Nutritional & Dietary Needs
Special diet considerations (e.g., soft diet, low sodium, diabetic-friendly meals) will be followed as per physician’s instructions.
Mealtime assistance if needed, ensuring adequate nutrition intake.
Offer snacks and hydration throughout the day.
7. Family & Caregiver Involvement
Maintain regular communication with family members regarding changes in health and well-being.
Encourage family visits and participation in care when possible.
Provide family with resources and support groups for dementia care.
8. End-of-Life Planning & Advance Directives
Review and respect resident’s advance directives, including DNR orders if applicable.
Ensure comfort-focused care in later stages of dementia.
Provide palliative care as needed in collaboration with medical professionals.
Review & Signatures
This plan will be reviewed regularly (at least every six months or as needed) to adjust for any changes in the resident’s condition.
Resident (if capable): __________________________
Family/Guardian: __________________________
Care Provider: __________________________
Date: ______________
