SAMPLE AFH NEGOTIATED CARE PLAN
CARE AND SERVICES RESIDENT STRENGTHS/WHAT RESIDENT PREFERS TO DO INDEPENDENTLY WHAT PROVIDER/CAREGIVER/SUPPORT PERSON DOES/WHEN & HOW BODY CARE (Foot care, skin care, nail care, range of motion, dressing changes) Independent Assistance Dependent Foot care: Yes No . Skin care: How often: ................
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