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Life Care Plan Checklist

Here are some of the needs a Certified Life Care Planner will consider to develop a specific plan.  If you cannot afford a life care planner, below is a checklist that you can fill in for your child’s needs.

  1. · Medical Care/ Routine – Is there a need for an annual exam? Which specialists   need to be seen and how often?

  2. · Future Medical Care/Surgical Intervention or Aggressive Treatment – Are there   plans for aggressive treatment or additional surgeries such as reconstruction?

  3. · Home Care/Facility Care – Can the child live at home or will a facility be needed?   What about specialty programs such as annual camps? What level of care will the   child require?

  4. · Evaluations – How often and what type of non-physician evaluations will be   required? For example, physical, speech, recreational, occupational and music   therapy; dietary assessment, vision, hearing and swallowing studies, etc.

  5. · Therapies – What therapies will be needed? Will these require professional case   management? Will behavioral, rehabilitation, or pastoral counseling or family   education be needed?

  6. · Diagnostic Testing/Educational Assessment - What testing is necessary and how   often?

  7. · Drug/Supply Needs – All prescription and non-prescription drugs, their dosages,   quantities and frequency of use; all other supplies such as bladder and bowel   program, skin care, etc.

  8. · Home Furnishings and Accessories - Will the child need a specialty bed? Portable   ramps? Lifts?

  9. · Transportation – Will the family need a special van for transportation? Will the child   be able to drive at some point and if so, are hand controls sufficient or is a specialty   vehicle needed? Can local transportation companies be used?

  10. · Wheelchair Needs – What types and configuration of wheelchairs will the child   require as he/she ages? Power? shower? manual? specialty? ventilator? reclining?   quad pegs? recreational? What about maintenance and accessories?

  11. · Aids for Independent Functioning – What types of equipment can the child use to   function as independently as possible?

  12. · Orthotics/Prosthetics – Will the child need braces? What about replacement and   maintenance?

  13. · Health and Strength Maintenance – What specialty recreation is needed, such as   adapted games or equipment

 

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