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DEMO
DevaWorld Daily report
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Care partner
*
Your name
Ashleen
Christina
Dominique
Jules
Kim
Monica
Paulina
Tina
Resident
*
Your resident
Al
Andy
Bob
Dave
Diana
Jean
Jeanette
Judy
Keith
Lois
Marge
Mary Jo
Nadeane
Peg
Robert
Shirley
Winston
Shift
*
Morning
Afternoon
Did you run a DevaWorld session during this shift ?
*
Yes, I did a DW session
No, I did not do a DW Session
No DevaWorld session
During today’s real life Activities of Daily Living (ADLs), how was your resident’s cooperation?
Very resistant
Resistant
Neutral
Cooperative
Very Cooperative
With DevaWorld session
What was your DevaWorld quest with your resident today?
*
Relax, calm and have fun
Introduce/Rehearse a specific ADL
If yes, which specific ADLs
Brushing teeth
Bathing
Grooming
Getting dressed
Getting ready for bed
Taking meds
Did you resident’s mood change after the session
much lower mood
lower mood
no change
higher mood
much higher mood
Did you learn something new
*
I learned nothing new
I learned a little
I learned a lot
If you learned something new, even small, please describe
During today’s real life Activities of Daily Living (ADLs), how was your resident’s cooperation?
Very resistant
Resistant
Neutral
Cooperative
Very Cooperative
Submit
