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| Project Name: Senior Live-in Care |
| Project Location: Wichita, KS |
| Date: 05/30/2012 |
| Age:: Age: |
| Care recipient: Mother |
| Living situation:: Home (lives alone) |
| Companion services:: Other activities |
| Transportation needed: No |
| Care type:: Live-in |
| Personal services: None |
| Estimated need:: 41 to 60 hours/week |
| Expected funding: Private |
| Gender:: Male |
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| Project Name: Senior Personal Care - With Transportation |
| Project Location: Wichita, KS |
| Date: 05/23/2012 |
| Age:: Age: |
| Care recipient: Myself |
| Living situation:: Assisted Living |
| Companion services:: Meal prep |
| Companion services:: Light housekeeping |
| Companion services:: Respite Care |
| Transportation needed: Yes |
| Care type:: Visiting care |
| Personal services: Bathing |
| Personal services: Eating/feeding |
| Personal services: Dressing/grooming |
| Personal services: Toileting |
| Personal services: Yes |
| Estimated need:: 11 to 20 hours/week |
| Expected funding: Long-term care insurance |
| Gender:: Male |
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| Project Name: Senior Personal Care |
| Project Location: Wichita, KS |
| Date: 05/22/2012 |
| Age:: Age: |
| Care recipient: Mother |
| Living situation:: Home (lives with spouse) |
| Companion services:: Meal prep |
| Companion services:: Medication reminders |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: Bathing |
| Personal services: Eating/feeding |
| Personal services: Dressing/grooming |
| Personal services: Yes |
| Estimated need:: 11 to 20 hours/week |
| Expected funding: Private |
| Gender:: Female |
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| Project Name: Senior Personal Care |
| Project Location: Wichita, KS |
| Date: 05/21/2012 |
| Age:: Age: |
| Care recipient: Mother |
| Living situation:: Home (lives with spouse) |
| Companion services:: Medication reminders |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: Bathing |
| Personal services: Dressing/grooming |
| Personal services: Yes |
| Estimated need:: Up to 10 hours/week |
| Expected funding: Long-term care insurance |
| Gender:: Female |
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| Project Name: Senior Companion Care |
| Project Location: Wichita, KS |
| Date: 05/18/2012 |
| 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:: 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: Wichita, KS |
| Date: 05/14/2012 |
| 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: Wichita, KS |
| Date: 05/12/2012 |
| Age:: Age: |
| Care recipient: Mother |
| Living situation:: Lives with family |
| Companion services:: Meal prep |
| Companion services:: Social activities |
| Companion services:: Medication reminders |
| Companion services:: Errands/Shopping |
| Companion services:: Other activities |
| Transportation needed: No |
| Care type:: Visiting care |
| 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: my mother is 82 with dementia, i will be going out of town at the end of hte month and im looking into respite care 2 x a day while im gone, someone who can help with showering, meals medication reminders ect.. |
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| Project Name: Senior Companion Care |
| Project Location: Wichita, KS |
| Date: 05/07/2012 |
| 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: Wichita, KS |
| Date: 05/07/2012 |
| 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:: Other activities |
| Transportation needed: Yes |
| Care type:: Visiting care |
| Personal services: None |
| Ambulation:: Independent |
| Estimated need:: Up to 10 hours/week |
| Estimated timing: Immediately - within 1 week |
| Expected funding: Private |
| Estimated budget:: $251 to $500/week |
| Gender:: Female |
| Comment: xxxxx said he needs in home care for grandmother. She is lonely and needs companion care, help with light house keeping, meal prep, laundry. M- F - MSCG |
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| Project Name: Senior Companion Care |
| Project Location: Wichita, KS |
| Date: 05/05/2012 |
| Age:: Age: |
| First Name:: First Name: |
| Care recipient: Mother |
| Living situation:: Lives with family |
| Companion services:: Meal prep |
| Companion services:: Medication reminders |
| Transportation needed: No |
| Care type:: Visiting care |
| Personal services: None |
| Ambulation:: Walker |
| Estimated need:: 20 - 39 hours per week |
| Estimated timing: Within 3 to 4 weeks |
| Expected funding: Private |
| Estimated budget:: Don't Know |
| Receptiveness:: Somewhat receptive |
| Gender:: Female |
| Medical Care type: No Medical Care Services |
| Type of Care: In-home care |
| Comment: Initially, Need to be out of town for a week. Potential for several weeks throughout year. |
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