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| Project Name: Senior Personal Care |
| Project Location: Charleston, WV |
| Date: 05/31/2012 |
| Age:: Age: |
| First Name:: First Name: |
| Care recipient: Mother |
| Living situation:: Home (lives alone) |
| Companion services:: Meal prep |
| Companion services:: Light housekeeping |
| Companion services:: Exercise/Physical activities |
| Companion services:: Laundry |
| Companion services:: Medication reminders |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: Eating/feeding |
| Personal services: Dressing/grooming |
| Personal services: Yes |
| Ambulation:: Walker |
| Estimated timing: Immediately - within 1 week |
| Expected funding: Both private & other |
| Expected funding: Medicare |
| Receptiveness:: Somewhat receptive |
| Gender:: Female |
| Comment: Recent death of spouse. Depressed, lonely. Unable to do some simple household chores. Son is only local family memmber to help. Needs some relief. |
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| Project Name: Senior Companion Care |
| Project Location: Charleston, WV |
| Date: 05/26/2012 |
| Care recipient: Other Relative |
| Living situation:: Home (lives alone) |
| Companion services:: Errands/Shopping |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: None |
| Estimated need:: 21 to 40 hours/week |
| Estimated timing: Immediately - within 1 week |
| Expected funding: Private |
| Estimated budget:: $251 to $500/week |
| Gender:: Female |
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| Project Name: Senior Companion Care |
| Project Location: Charleston, WV |
| Date: 05/12/2012 |
| Care recipient: Other Relative |
| Living situation:: Home (lives alone) |
| Companion services:: Errands/Shopping |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: None |
| Estimated need:: 21 to 40 hours/week |
| Estimated timing: Immediately - within 1 week |
| Expected funding: Private |
| Estimated budget:: $251 to $500/week |
| Gender:: Female |
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| Project Name: Senior Personal Care |
| Project Location: Charleston, WV |
| Date: 05/11/2012 |
| Age:: Age: |
| Care recipient: Other Relative |
| Living situation:: Home (lives with spouse) |
| Companion services:: Other activities |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: Bathing |
| Personal services: Dressing/grooming |
| Personal services: Yes |
| Estimated need:: 11 to 20 hours/week |
| Expected funding: Long-term care insurance |
| Gender:: Female |
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| Project Name: Senior Companion Care - With Transportation |
| Project Location: Charleston, WV |
| Date: 04/22/2012 |
| Age:: Age: |
| First Name:: First Name: |
| Care recipient: Mother |
| Living situation:: Home (lives with spouse) |
| Companion services:: Errands/Shopping |
| Transportation needed: Yes |
| Care type:: Visiting care |
| Personal services: None |
| Ambulation:: Independent |
| Estimated timing: Within 3 to 4 weeks |
| Expected funding: Private |
| Receptiveness:: Very receptive |
| Gender:: Female |
| Comment: i live out of state |
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| Project Name: Senior Companion Care |
| Project Location: Charleston, WV |
| Date: 04/18/2012 |
| Care recipient: Other Relative |
| Living situation:: Home (lives alone) |
| Companion services:: Errands/Shopping |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: None |
| Estimated need:: 21 to 40 hours/week |
| Estimated timing: Immediately - within 1 week |
| Expected funding: Private |
| Estimated budget:: $251 to $500/week |
| Gender:: Female |
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| Project Name: Senior Companion Care |
| Project Location: Charleston, WV |
| Date: 04/01/2012 |
| Care recipient: Other Relative |
| Living situation:: Home (lives alone) |
| Companion services:: Errands/Shopping |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: None |
| Estimated need:: 21 to 40 hours/week |
| Estimated timing: Immediately - within 1 week |
| Expected funding: Private |
| Estimated budget:: $251 to $500/week |
| Gender:: Female |
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| Project Name: Senior Companion Care |
| Project Location: Charleston, WV |
| Date: 03/21/2012 |
| Age:: Age: |
| First Name:: First Name: |
| Care recipient: Spouse |
| Living situation:: Home (lives with partner) |
| Companion services:: Meal prep |
| Companion services:: Errands/Shopping |
| Companion services:: Alzheimer's/Dementia Care |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: None |
| Estimated need:: 21 to 40 hours/week |
| Estimated timing: Immediately - within 1 week |
| Expected funding: Private |
| Estimated budget:: $251 to $500/week |
| Receptiveness:: Very receptive |
| Gender:: Female |
| Comment: Husband diagnosed with altzeimers |
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| Project Name: Senior Companion Care |
| Project Location: Charleston, WV |
| Date: 03/20/2012 |
| Care recipient: Other Relative |
| Living situation:: Home (lives alone) |
| Companion services:: Errands/Shopping |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: None |
| Estimated need:: 21 to 40 hours/week |
| Estimated timing: Immediately - within 1 week |
| Expected funding: Private |
| Estimated budget:: $251 to $500/week |
| Gender:: Female |
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| Project Name: Senior Companion Care |
| Project Location: Charleston, WV |
| Date: 03/13/2012 |
| Care recipient: Other Relative |
| Living situation:: Home (lives alone) |
| Companion services:: Errands/Shopping |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: None |
| Estimated need:: 21 to 40 hours/week |
| Estimated timing: Immediately - within 1 week |
| Expected funding: Private |
| Estimated budget:: $251 to $500/week |
| Gender:: Female |
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