Top Five Care Tips!
Personalized Confused Patient Management Strategy Documentation
Form #73-219A

Please help the patient to fill in the spaces below. If the patient is unable or non-compliant, fill in the answers for them as best as you are able. Each point should be in the form of an 'I' statement.

Hi, my name is _{Patient Name}, but I prefer to be called Green.

I have short term memory loss so I may forget where I am and what I’m doing, please reorient and give reassuranceI startle easily so be sure to introduce yourself and tell me what you’re doing before you touch meI like to talk about nursing, sometimes I like to pretend I’m a nurse too!I won’t tell you if I’m in pain so look for non-verbal signs of distressI can mobilise independently but I require supervision and assistance with all ADLs

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