Nc form personal care 2025

1. Click ‘Get Form’ to open the nc form personal care in the editor.
2. Begin by filling out the Resident Information section. Ensure you include the resident's name, sex, date of birth, and Medicaid ID number accurately.
3. In the Assessment section, list all medications under 'Medications', including non-prescription drugs. Indicate if they are self-administered by checking the appropriate box.
4. Complete the Mental Health and Social History section by checking any applicable boxes and providing detailed information about the resident’s mental health history.
5. Proceed to Ambulation/Locomotion and Upper Extremities sections. Check relevant boxes and specify any devices needed for mobility or support.
6. Fill out Nutrition, Respiration, Skin, Bowel, Bladder, Orientation, Memory, Vision, Hearing, and Speech/Communication Method sections as applicable. Provide details where necessary.
7. Finally, complete the Care Plan section by detailing assistance needed for Activities of Daily Living (ADL) and coding each task based on performance levels.

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