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| Project Name: Senior Personal Care |
| Project Location: Los Alamos, NM |
| Date: 05/23/2012 |
| Age:: Age: |
| First Name:: First Name: |
| Care recipient: Father |
| Living situation:: Lives with family |
| Companion services:: Light housekeeping |
| Companion services:: Laundry |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: Bathing |
| Personal services: Dressing/grooming |
| Personal services: Toileting |
| Personal services: Yes |
| Ambulation:: Wheelchair - can propel self |
| Estimated need:: 40 hours per week or more |
| Estimated timing: Within 3 months |
| Expected funding: Private |
| Estimated budget:: Less than $500 per week |
| Receptiveness:: Very receptive |
| Gender:: Male |
| Medical Care type: No Medical Care Services |
| Type of Care: In-home care |
| Comment: My Father has been living with a family member for the past 4 years and has had we have had paid help 40 hours a week. He will be coming to live with me in the near future and I am looking for basically the save type of help. |
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| Project Name: Senior Companion Care |
| Project Location: Los Alamos, NM |
| Date: 03/30/2012 |
| Age:: Age: |
| Care recipient: Mother |
| Living situation:: Home (lives alone) |
| Companion services:: Other activities |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: None |
| Estimated need:: Up to 10 hours/week |
| Expected funding: Private |
| Gender:: Female |
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| Project Name: Senior Personal Care - With Transportation |
| Project Location: Los Alamos, NM |
| Date: 03/07/2012 |
| Age:: Age: |
| Care recipient: Other Relative |
| Living situation:: Home (lives alone) |
| Companion services:: Meal prep |
| Companion services:: Light housekeeping |
| Companion services:: Laundry |
| Companion services:: Errands/Shopping |
| Transportation needed: Yes |
| Care type:: Visiting care |
| Personal services: Bathing |
| Personal services: Eating/feeding |
| Personal services: Dressing/grooming |
| Personal services: Toileting |
| Personal services: Yes |
| Ambulation:: Independent |
| Estimated timing: Immediately - within 1 week |
| Expected funding: Private |
| Receptiveness:: Very receptive |
| Gender:: Female |
| Comment: He is looking for in home care for a famiy member. He would like about 10 to 20 hours a week. ASAP M.S.C.G |
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| Project Name: Senior Companion Care |
| Project Location: Los Alamos, NM |
| Date: 01/01/2012 |
| 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: Los Alamos, NM |
| Date: 11/28/2011 |
| 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: Los Alamos, NM |
| Date: 11/26/2011 |
| 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: Los Alamos, NM |
| Date: 08/03/2011 |
| 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:: 41 to 60 hours/week |
| Estimated timing: Immediately - within 1 week |
| Expected funding: Private |
| Estimated budget:: $501 to $1,000/week |
| Gender:: Female |
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| Project Name: Senior Companion Care |
| Project Location: Los Alamos, NM |
| Date: 07/25/2011 |
| Age:: Age: |
| Care recipient: Spouse |
| Living situation:: Home (lives with spouse) |
| Companion services:: Alzheimer's/Dementia Care |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: None |
| Estimated need:: 21 to 40 hours/week |
| Expected funding: Both private & other |
| Gender:: Female |
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| Project Name: Senior Companion Care |
| Project Location: Los Alamos, NM |
| Date: 06/30/2011 |
| Age:: Age: |
| First Name:: First Name: |
| Care recipient: Mother |
| Living situation:: Home (lives alone) |
| Companion services:: Light housekeeping |
| Companion services:: Medication reminders |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: None |
| Estimated need:: Up to 10 hours/week |
| Estimated timing: Immediately - within 1 week |
| Expected funding: Both private & other |
| Estimated budget:: $501 to $1,000/week |
| Receptiveness:: Very receptive |
| Gender:: Female |
| Comment: I would like to have someone that would be able to help my mother with her medication. |
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| Project Name: Senior Companion Care |
| Project Location: Los Alamos, NM |
| Date: 06/06/2011 |
| Care recipient: Mother |
| Living situation:: Home (lives alone) |
| Companion services:: Errands/Shopping |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: None |
| Estimated need:: 11 to 20 hours/week |
| Estimated timing: Immediately - within 1 week |
| Expected funding: Private |
| Estimated budget:: $501 to $1,000/week |
| Gender:: Female |
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