APPENDIX D - Naval Sea Systems Command
Special diet/supplements: Eating habits. Food allergies Preferences/equipment CARE AND SERVICES RESIDENT STRENGTHS/WHAT RESIDENT PREFERS TO DO INDEPENDENTLY WHAT PROVIDER/CAREGIVER/SUPPORT PERSON DOES/WHEN & HOW TOILETING/CONTINENCE ISSUES. Independent Assistance Dependent . Bladder incontinence Yes No Occasional ................
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