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Long-Term Care Planning

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Updated: July 27, 2006

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Assessing Your Care Needs

Us this check list to determine present or future care needs.

Will I need help with the following:
__Bathing
__Dressing
__Eating
__Using the bathroom, including caring for a catheter or colostomy bag if needed.
__Moving into or out of a bed, chair, or wheelchair.
__Preparing meals
__Shopping
__Housework and laundry
__Getting to appointments
__Paying bills and other money matters
__Home maintenance and repairs
__Using the telephone
__Remembering to take medicines
__Diabetes monitoring
__Using eye drops
__Getting oxygen
__Taking care of colostomy or bladder catheters

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