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| Project Name: Senior Companion Care |
| Project Location: Madison, AL |
| Date: 05/07/2012 |
| Age:: Age: |
| First Name:: First Name: |
| Care recipient: Mother |
| Living situation:: Home (lives alone) |
| Companion services:: Meal prep |
| Companion services:: Light housekeeping |
| Companion services:: Errands/Shopping |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: None |
| Ambulation:: Cane |
| 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: Mother has stage 4 cancer. Needs help a couple times a week. |
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| Project Name: Senior Companion Care |
| Project Location: Madison, AL |
| Date: 05/02/2012 |
| Age:: Age: |
| First Name:: First Name: |
| Care recipient: Father |
| Living situation:: Home (lives alone) |
| Companion services:: Meal prep |
| Companion services:: Errands/Shopping |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: Bathing |
| Personal services: Toileting |
| Personal services: Yes |
| Ambulation:: Bedridden - unable to bear weight |
| Estimated need:: 21 to 40 hours/week |
| Estimated timing: Immediately - within 1 week |
| Expected funding: Private |
| Estimated budget:: $251 to $500/week |
| Receptiveness:: Somewhat receptive |
| Gender:: Female |
| Comment: In hospice now and may need more help. My Mother is 90. |
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| Project Name: Senior Personal Care |
| Project Location: Madison, AL |
| Date: 04/17/2012 |
| Age:: Age: |
| First Name:: First Name: |
| Care recipient: Mother |
| Living situation:: Nursing Home |
| Companion services:: Meal prep |
| Companion services:: Light housekeeping |
| Companion services:: Laundry |
| Companion services:: Alzheimer's/Dementia Care |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: Bathing |
| Personal services: Dressing/grooming |
| Personal services: Yes |
| Ambulation:: Wheelchair - can propel self |
| Estimated timing: Within 3 months |
| Expected funding: Private |
| Receptiveness:: Somewhat receptive |
| Gender:: Female |
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| Project Name: Senior Companion Care |
| Project Location: Madison, AL |
| Date: 03/04/2012 |
| 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:: Up to 10 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: Madison, AL |
| Date: 02/06/2012 |
| 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:: Up to 10 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: Madison, AL |
| Date: 01/28/2012 |
| Care recipient: Other Relative |
| Living situation:: Home (lives alone) |
| Companion services:: Errands/Shopping |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: Bathing |
| Personal services: Yes |
| Estimated need:: 21 to 40 hours/week |
| Estimated timing: Immediately - within 1 week |
| Expected funding: Private |
| Estimated budget:: $251 to $500/week |
| Gender:: Female |
| Comment: In need of just bathing assistance, everything else is taken care of. |
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| Project Name: Senior Companion Care |
| Project Location: Madison, AL |
| Date: 01/18/2012 |
| 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 Personal Care |
| Project Location: Madison, AL |
| Date: 01/15/2012 |
| Age:: Age: |
| Companion services:: Alzheimer's/Dementia Care |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: Bathing |
| Personal services: Dressing/grooming |
| Personal services: Yes |
| Expected funding: Both private & other |
| Gender:: Female |
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| Project Name: Senior Companion Care |
| Project Location: Madison, AL |
| Date: 12/22/2011 |
| Age:: Age: |
| Care recipient: Myself |
| Living situation:: Home (lives with spouse) |
| 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 Companion Care |
| Project Location: Madison, AL |
| Date: 12/20/2011 |
| Age:: Age: |
| First Name:: First Name: |
| Care recipient: Other Relative |
| Living situation:: Home (lives alone) |
| Companion services:: Meal prep |
| Companion services:: Light housekeeping |
| Companion services:: Laundry |
| Companion services:: Errands/Shopping |
| Companion services:: Alzheimer's/Dementia Care |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: Bathing |
| Personal services: Dressing/grooming |
| Personal services: Yes |
| Ambulation:: Independent |
| 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: Lorrie's grandmother needs companion care. She has dementia. Also she some kidney issues. She is a little unstable on her feet. She uses a walker. She has a little depression. |
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