Home Care Needs Assessment
Contact Name:
Contact Phone:
Client Name:
Relationship:
Client requires assistance with:
Toileting
Bathing
Feeding
Dressing
Walking
Transferring
Client requires assistance with:
Medicine
Shopping
Driving
Cooking
Doctor's
Laundry
Client constant supervision to ensure safety?
Request an in-home care evaluation by
using the box below to tell us  about your
needs and how to reach you to make your
appointment:
Client Testimonial:
We can't say enough good things about Home Companions. We love your service.
We're very happy and Fred just loves the special treatment with his Bath Visit.        
-Ruth Heikle, Leesburg
"
Our health and functional independence are measured in two categories.
The first:
Activities of Daily Living (ADLs) which refers to those activities
associated with self care such as eating, dressing, grooming, toileting,
and transfers. And the second:
Instrumental Activities of Daily Living
(IADLs) which refers to complex activities such as cooking, cleaning,
using the telephone, and managing finances.

Adults, aging or elderly, have a desire to remain functionally independent.
The major cause of loss of independence is diminished functional health.
The two major influences of self care and behavior for adults, aging or
elderly  are:
motivation and the quality of environmental stimulation.

Many adults, aging or elderly who experience gradual decline find that
instrumental activities of daily living (IADL) functions are likely to be lost
first.

Many elderly adults plateau at the level of IADL disability and this
suggests that help is needed such as social support, assist devices or
home modifications that could enable the adult, aging or elderly to
maintain a higher quality of life and remain in their home and community
for a longer time.

Home Companions Senior Care provides Home Care | SOLUTIONS         
that appeal to continued enjoyment of life and abilities of adults, aging or
elderly, and  support  functional limitations to enhance quality of life. Our
care team simplifies tasks and provides assistance with daily living
activities to improve safety and promote successful aging.  
Care you'll feel at home with...
Inquiry Form
Request Form
Testimonials
General Information
Frequently Asked Questions
Resources & Links
Care Team
Management
Our Story
Join Our Team!
Copyright © 2000-2012 Home Companions of Lake, Inc   All rights reserved
About Us              Contact Us               Employment             Questions                           Special Care
Osteoporosis
Alzheimer's & Dementia
Stroke
Diabetes
Parkinson's
Multiple Sclerosis
Cancer
Arthritis