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MONTHLY CARE PLAN REPORTPERIODResidents Name:Date:Facility:Prepared by:WEIGHT (LBS)BLOOD PRESSUREPULSEWEEK 1
WEEK 2
WEEK 3
WEEK 4ORIENTATION:
NEEDS REDIRECTION
YesNoNEEDS CUEING
Lesson SERVICES NEEDED:
YesNoBEHAVIOR
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