Support Checklist-- How am I supported right now to meet my needs? Schedule and supervise daily living support staff. Assist with meal planning

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Support Checklist-- How am I ed right now to meet my needs? This checklist is a tool to assist in understanding the assistance each person may need and is meant to be individualized. The checklist is arranged in categories. Daily Living Schedule and supervise daily living staff Assist with meal planning Assist with food shopping Assist with meal preparation Clean kitchen/manage food storage Assist with eating Assist in preparing lunch and snacks for work; keep lunch bag clean Provide food in required formats such as blended, chopped, minced, soft, etc. Assist to get haircuts on a regular basis Assist with subscriptions to newspapers, magazines and on-line video services and cable/internet services Support pet ownership; assure safety and health of pets Teach healthy eating habits while ing choice Support use of communication technology Develop and implement tools such as visual schedules to maximum autonomy Teach cooking and food handling skills to people ed and to direct staff Problem-solve and arrange for dietary changes needed for health reasons Arrange nutritional consultations Assist with weight management (gain/lose) plans Shop for clothing and household items Problem-solving assistance on daily living events and questions that occur e.g. managing the mail, neighbor issues Assist people to manage their personal budget and personal funds Account for personal funds to payee Assist people to have personal spending money Communicate with payee Manage and complete required spend-downs Conduct banking tasks Assist people to establish self-care routines for bathing, oral care, and other grooming Provide stand by and hands on assistance as needed for personal cares including showering and dressing Page 1 of 6

Support Checklist-- How am I ed right now to meet my needs? Assist with toileting and or changing of personal care undergarments Assist with transfers from bed to chair, etc. Assist with mobility to move safely within their home and community Assist with laundry, including changing bedding as needed; often daily Assist in establishing a plan for keeping a home clean and orderly such as creation of a chore schedule Provide or arrange all needed chore services Provide emergency when work providers are closed due to weather and holidays, family plans change, job suspensions, health issues, etc. prevent maintaining typical routine Provide training to staff and people ed on new technologies, and address personal safety with on-line platforms, password management, etc. Manage ipads, cellphones and other personal technology Maintain a complete record of all contact information for each individual Assist people to create and maintain their personal calendar of important events in their lives and contacts for friends and family Facilitate all required personal care training, verifications and daily record of care documentation Provide safety and emergency training to people ed and/or to staff Establish a plan for making sure that trash and recycling is managed according to plan Community & Relationships Provide respectful, trained staff to deliver all needed assistance; hire, train, schedule and daily living staff Assist people to build and maintain relationships with family, friends, neighbors and co-workers Learn about each person's interests, gifts and capacities to participate in community life Assist people to engage in meaningful activities in their home and in the community Assist people to join and participate in spiritual communities Maintain thorough personal histories for each person Develop ways to assist people to share their story with people who are new to them Support active community involvement in nonsegregated activities Coordinate vacation plans, including summer camps Provide emotional and companionship Page 2 of 6

Support Checklist-- How am I ed right now to meet my needs? Assist people to access libraries and cultural events Support participation in condo associations and neighborhood associations Assist people to send cards to family and friends for birthdays and holidays Provide all needed assistance to participate in coordinated community activities such as sports teams, bowling leagues, art classes. Provide all logistical including registration and transportation. Support family relationships, including staff and transportation for visits, as needed Support relationship building with housemates; mediate disagreements as needed Housing Locate and modify housing for each individual Physically assist with moves to new homes: pack, arrange to move, and unpack belongings Assist people to make their home their own; pictures, etc. Continue to assess and modify housing environment as needs change over time Support home ownership: get the gutters cleaned, buy major appliances, maintain water softeners, etc. Change furnace filters on a regular basis Report maintenance issues Maintain good working order of smoke and CO alarms Arrange for opportunities to consider sharing home and Resolve environmental issues and damages such has pest control, fire, flooding Assist with planning for, and making moves to new housing Lawn care and snow and ice removal Assist with purchasing renters or homeowners insurance Maintain communication with landlords Support relationships with neighbors Manage use of Section 8 and other housing subsidies Establish and manage utilities including phone and cable Arrange temporary housing and s when needed due to safety or other emergent issues Arrange for electronic monitoring necessary for safety Transportation Page 3 of 6

Support Checklist-- How am I ed right now to meet my needs? Provide assistance with transportation directly via staff vehicles Assist with learning bus routes and community safety Arrange mobility training services Assist to maintain a current bus pass Assist to apply for paratransit services Schedule para-transit rides Address transportation glitches Schedule medical rides Health Care Provide assistance to access routine primary health care Schedule and attend medical appointments Arrange or provide transportation to medical appointments Communicate actively with health care providers Create logging systems and provide documentation for health care needs Arrange for a system of medication management Assist with pharmacy selection, packaging, compunding, etc. Assist individuals to take prescribed medications Draft health care protocols and plans, and obtain professional assistance in creating plans as needed Verify all medications are received and are accurate, per physician's orders Provide emergency response and to access urgent healthcare Coordinate hospital admissions and discharges, and assure continuity of care Provide healthcare education and on preventative and chronic healthcare issues Provide for ongoing critical health treatments such as radiation, dialysis, etc. Communicate with the team about medication or health issues Locate new medical providers when necessary; primary and specialty Provide personal protective equipment for staff Provide blood borne pathogens training for staff Provide specific training for staff on use of lifts, c-pap's bipap's, nebulizers, and other medical equipment, orthotics, TED's Assist in managing My Chart Accounts Page 4 of 6

Support Checklist-- How am I ed right now to meet my needs? Assist in completing Advanced Directives Assist to obtain all medical alert bracelets Provide training for staff on RN delegated tasks Provide staff training on specific medical needs such as blood sugar management, use of insulin pumps, use of gastric tubes, first aid, CPR, pharmacology, care for ostomies, suctioning, wound care, general skin carem proper feeding techniques,complex positioning ROM, catheters, etc. Arrange for OT and PT assessments and follow up on recommendations Arrange for assessment of durable medical equipment needs, such as wheelchair and seating assessments, lift assessment, etc. Assist in accessing mental health Support end of life needs Provide nail and foot care Assist in funeral planning Provide and access to training on stress reduction practices; mindfulness practices, etc. Maintain durable equipment and arrange for repair Maintain complete medical histories including all past medical issues, surgeries, allergies, routine appointment schedules, etc. Arrange for durable and disposable medical equipment Support Coordination Provide 24 hour On-call service for urgent needs Complete annual written summaries of all services received Maintain an accurate and accessible database of all pertinent information for each person ed Reconcile personal spending accounts Manage staff logs, data compilation and tracking, and communicate information to others Assure all required insurances are in place, and verifications are completed and submitted as needed to maintain benefit eligibility Manage required guardian consents; releases, verbal consent, etc. Compledte application process for Energy Assistance, Rental Subsidies and tax returns, as needed Manage MA Personal Care service delivery and record keeping functions Work to collaborate with vocational agencies Record keeping to track all services provided, etc. Page 5 of 6

Support Checklist-- How am I ed right now to meet my needs? Advocacy & Support Commit to thoughtful, individual planning that keeps the hopes, dreams and interests of the person at the center Provide required abuse and neglect training to staff, train fact-finders, conduct investigations Support voting and participation in civic events Stick with people as their lives change; modify s as a person's life changes Keep looking for another way to offer and provide in difficult times Actively participate in development of behavioral plans Assist people to complete advance directives and fund burial plans File complaints related to unsafe or disrespectful delivery of services: transportation, health care, etc. Participate in any required plan review, including restrictive measures applications Support people in all stages of life, including end of life Support autonomy and choice in daily life and decision making about bigger life choices including medical care, service needs, etc. Involve legal advocates when necessary including Adult Protective Services Assist with arranging and managing special needs trusts Assist with probate matters including guardianship Page 6 of 6