Page Comparison

Notes: This field is used to input the notes applicable with the SIL Service. Information can be specified in summary form or detail. Information can include details of the service activities and supports provided, concerns and notifications necessary for handover as well as the comments on the client.

Client: This field reflects the particulars of the client associated with the SIL Shift Note.

Service Schedule: This field reflects the particulars of the SIL service associated with the SIL Shift Note.

General Daily Case Notes: This field is used to input the notes applicable with the SIL Service. Information can be specified in summary form or detail. Information can include details of the service activities and supports provided, concerns and notifications necessary for handover as well as the comments on the client.

AM Medication Administered: This field is used to identify whether the clients morning medications where administered. Options include Yes, No and Declined.

AM Medication Administration Time: This field identifies the medication administered time.

Staff Name: This field lists the particulars of the staff member that administered the clients medications.

Midday Medication Administered: This field is used to identify whether the clients midday medications where administered. Options include Yes, No and Declined.

Midday Medication Administration Time: This field identifies the medication administered time.

Staff Name: This field lists the particulars of the staff member that administered the clients medications.

PM Medication Administered: This field is used to identify whether the clients afternoon medications where administered. Options include Yes, No and Declined.

PM Medication Administration Time: This field is used to specify the medication administered time.

Staff Name: This field lists the particulars of the staff member that administered the clients medications.

Evening Medication Administered: This field is used to identify whether the clients evening medications where administered. Options include Yes, No and Declined.

Evening Medication Administration Time: This field identifies the medication administered time

Staff Name: This field lists the particulars of the staff member that administered the clients medications.

Breakfast Menu followed: This field is used to acknowledge a standard menu was observed.

Breakfast Completion: This field is used to specify the level of assistance required or whether the meal was refused.

What was eaten for breakfast: This field is used to specify the food eaten during the meal service.

Lunch Menu followed: This field is used to acknowledge a standard menu was observed.

Lunch Completion: This field is used to specify the level of assistance required or whether the meal was refused.

What was eaten for lunch: This field is used to specify the food eaten during the meal service.

Dinner Menu followed: This field is used to acknowledge a standard menu was observed.

Dinner Completion: This field is used to specify the level of assistance required or whether the meal was refused.

What was eaten for dinner: This field is used to specify the food eaten during the meal service.

Snacks Menu followed: This field is used to acknowledge a standard menu was observed.

Snacks Completion: This field is used to specify the level of assistance required or whether the meal was refused.

Snack: This field is used to specify the food eaten as snack during the meal services.

Shower/Bath Completed AM:

Shower/Bath Completed PM:

Shower/Bath Completion:

Brushing Teeth Completed AM:

Brushing Teeth Completed PM:

Brushing Teeth Completion:

Changing clothes completed AM:

Changing clothes completed PM:

Changing clothes Completion:

Toileting Completed AM:

Toileting Completed PM:

Toileting Completion:

Personal Grooming completed AM:

Personal Grooming completed PM:

Personal grooming Completion:

Hygiene Log general comments:

Start Time:

Finish Time:

Supervised or unsupervised

Planned or unplanned

Purpose of Access

Method of transport

How much support was needed in the community?

Health or Therapy Appointment Data

Health/Therapy provider

Agency

Supervised/ unsupervised

Planned/ emergency?

Follow Up Needed?

Health or Therapy Appointment Data

Restrictive Practice Use

Were any restrictive practices used today?

What were used?

Behavioural Presentation Monitoring

Did the participant show any of the following today?

Distorted thinking Yes No

Fears and Phobias Yes No

Binging/overeating food Yes No

Purging/vomiting after eating Yes No

Declined to eat Yes No

Difficulties with communicating with participants Yes No

Lost interest/motivation preferred activities Yes No

Declined attend scheduled supports appts activities Yes No

Signs of illness Yes No

Verbal aggression Yes No

Anxiety Yes No

Unable to self-manage own emotions Yes No

Distress/crying/worrying Yes No

Obsessions or compulsions Yes No

Oppositional/defiant behaviour Yes No

Seeking attention of emergency services Yes No

Somatising/ complain of being unwell but in good health Yes No

Agitation/hyperarousal/ unusually heightened state Yes No

Fluctuating mood changes Yes No

Non-engagement/task refusal Yes No

Behaviour that places participant or others at risk of harm Yes No

Alcohol Use Yes No

Socially inappropriate sexual acts Yes No

Consensual, age appropriate sexual activity Yes No

Property damage Yes No

Absconding or wandering Yes No

Behaviour that would require a criminal justice response Yes No

Declined medication Yes No

Self-injury - thoughts or statements Yes No

Suicidal Ideation – thoughts or statements Yes No

Self-injury - acts Yes No

Suicidal planning or attempt Yes No

Illicit substance use Yes No

Use of non-prescribed over counter medication Yes No

Physical aggression Yes No

Other

Additional Comments about Behaviours of Concern