Get Care Support in 48 hours

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Union Care Consult is a service hub providing healthcare service in the community for the Elderly and convalescing through recruitment, training and monitoring of adequately skilled health care professionals ranging from certified nursing assistants, Carers, Nurses, Physiotherapists and home care aides. Union Care Consult Contact Details Tel: +2348137940989 or WhatsApp: +447736624832 Email: unioncareconsult@gmail.com
In order to get a professional at the service of your significant relative or potential client, Kindly fill in the form below to identify the care needs that a potential client may have in order to plan care:

Email *

What is the name of potential Client? *

Mobility: How does the Person move from place to place? *

They walk Unaided

They need the support of one person to walk

They need the support of two people to walk

They are limited to a wheelcahir/ Armchair

They are limited to the bed (Require support in bed)

Feeding and Nutrition *

They feed (eat) independently

They need encouragement to feed (partial support)

They need full support to feed

Indicate any special diet (Low fat, High calorie, High protein or Diabetic Diet)

Personal Care and Hygiene *

They care for their hygiene independently

They need partial support for personal hygiene

They need full support with personal hygiene

Elimination (Bowel and Urinary) *

Independent with Toileting

Requiring prompting to use toilet (Partial support)

Requiring Full Support for toileting

Wears incontinence Pad (Urinary and Fecal incontinence)

Required

Medication Requirements *

Independent with medication administration

Requires a reminder to take medications

Requires full support to take medications

How many medications is the client taking and any medical procedures required? *

Communication Requirements and Capacity *

Communicates independently and Effectively

Does not communicate effectively all the time (Fluctuating capacity)

Lacks capacity to communicate.

Requires anticipation of need, no communication

List Medical Diagnosis and required note for continuity of care. *

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