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| Project Name: Senior Personal Care |
| Project Location: Saint George, UT |
| Date: 05/19/2012 |
| Age:: Age: |
| First Name:: First Name: |
| Care recipient: Mother |
| Living situation:: Home (lives alone) |
| Companion services:: Meal prep |
| Companion services:: Light housekeeping |
| Companion services:: Laundry |
| Companion services:: Medication reminders |
| Companion services:: Errands/Shopping |
| Transportation needed: No |
| Care type:: Live-in |
| Personal services: Bathing |
| Personal services: Eating/feeding |
| Personal services: Toileting |
| Personal services: Yes |
| Ambulation:: Walker |
| Estimated need:: 40 hours per week or more |
| Estimated timing: Immediately - within 1 week |
| Expected funding: Private |
| Estimated budget:: More than $1,000 per week |
| Receptiveness:: Very receptive |
| Gender:: Female |
| Medical Care type: No Medical Care Services |
| Type of Care: In-home care |
| Comment: dad needs surgery, mom cant be alone |
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| Project Name: Senior Companion Care |
| Project Location: Saint George, UT |
| Date: 04/30/2012 |
| 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 - With Transportation |
| Project Location: Saint George, UT |
| Date: 04/30/2012 |
| Age:: Age: |
| Care recipient: Mother |
| Living situation:: Home (lives with spouse) |
| Companion services:: Medication reminders |
| Companion services:: Respite Care |
| Transportation needed: Yes |
| Care type:: Visiting care |
| Personal services: Toileting |
| Personal services: Yes |
| 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: Saint George, UT |
| Date: 04/16/2012 |
| 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 Live-in Care - With Transportation |
| Project Location: Saint George, UT |
| Date: 04/13/2012 |
| Care recipient: Other Relative |
| Companion services:: Light housekeeping |
| Companion services:: Medication reminders |
| Companion services:: Other activities |
| Transportation needed: Yes |
| Care type:: Live-in |
| Personal services: None |
| Expected funding: Both private & other |
| Gender:: Female |
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| Project Name: Senior Companion Care |
| Project Location: Saint George, UT |
| Date: 03/21/2012 |
| 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: Saint George, UT |
| Date: 03/07/2012 |
| 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: Saint George, UT |
| Date: 03/03/2012 |
| 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 Personal Care - With Transportation |
| Project Location: Saint George, UT |
| Date: 02/20/2012 |
| Care recipient: Myself |
| Companion services:: Meal prep |
| Companion services:: Light housekeeping |
| Companion services:: Other activities |
| Transportation needed: Yes |
| Care type:: Visiting care |
| Personal services: Yes |
| Expected funding: Both private & other |
| Gender:: Male |
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| Project Name: Senior Companion Care |
| Project Location: Saint George, UT |
| Date: 02/12/2012 |
| Age:: Age: |
| Care recipient: Mother |
| Living situation:: Home (lives with spouse) |
| Companion services:: Respite Care |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: None |
| Estimated need:: Up to 10 hours/week |
| Expected funding: Both private & other |
| Gender:: Female |
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