All Heart Home Care Journal

Designed with care. Built for peace of mind.

Every All Heart Home Care client receives a personalized All Heart Care Journal. This essential tool is well organized and easy to use. Developed by our experienced nurse, this intuitive journal helps caregivers, family members, physicians, and other healthcare professionals stay informed of the client’s condition—increasing care quality and safety.

The All Heart’s Care Journal ensures that health care professionals are kept up to date with the client’s care at home. If 911 were to be called, the emergency medical technicians (EMTs) would have access to the journal. It includes essential health history, medications, diet intake, and the caregiver’s narratives. This ensures that EMTs receive accurate, up-to-date health information, enabling our clients to obtain the best and quickest care possible.

The All Heart Platinum Care Journal is designed for full-time care. Sections include: Customized Care Plan, Client Notes to Caregiver, Caregiver Narrative, Change of Condition, Personal Care Flow Sheet, Diet Intake, Brain Health Activities, Long Term Care Insurance Flow Sheet, Doctor Visits, and Appointment Reminders. We customize this journal to your specific needs. If a section isn’t required, it’s removed.

The All Heart Gold Care Journal is designed for part-time care. Sections include: Customized Care Plan, Client Notes to Caregiver, Caregiver Narrative, Personal Care Flow Sheet, and Brain Health Activities. If you prefer a section from the Platinum Journal, we can include it. This journal is customized to your specific needs. If a section isn’t required, it’s removed.

Activities of Daily Living

Customized Care Plan
This section is a customized care plan for you or your loved one’s specific health condition. As health conditions change, we will update the care plan to ensure your needs continue to be met.

Client Notes to Caregiver
This section allows the family to communicate special instructions to our caregivers.

Caregiver Narrative
Daily brief description of the work performed by the caregiver, and also used to brief the caregivers assigned to the case.

Change of Condition
Significant changes to the client’s condition or changes to the care plan.

Personal Care Flow Sheet
Includes tracking bathing, hygiene, and nail care. Tracks medication reminders and records the client’s weight.

Diet Intake
This section documents what the client consumes and the percentage of the meal that’s consumed. This helps monitor the client’s appetite increase or decrease. Optional: monitoring/recording of restricted diets for sodium, fat, and carbohydrates.

Brain Health Activities
Used to stimulate the client’s brain. Includes some fun brain game exercises.

Long Term Care Insurance Flow Sheet
Used for Long-Term Care (LTC) insurance claims.

Doctor Visits
This section is used to gather data during the client’s doctor visits.

Appointment Reminders
This section is used for tracking the client’s appointments.

Client Intake Information (Optional)

Client Information Profile
Includes essential client information such as power of attorney, allergies, DNR, biography, health provider contact information, physicians, healthcare providers, and healthcare insurance information.

POLST
Physician’s order for life-sustaining treatment. (POLST) The section is optional.

Health History
This section covers the client’s important health history. Areas include: medical information, living habits, communication, and activities of daily living.

Medication Profile
Client’s medication profile. Includes: medication, dosage, route, frequency, and indication.

Home Site Assessment
This section provides the client with important information about safety recommendations for their home.

Injury, Illness, and Prevention Program
Our caregiver uses this section to provide them with life-saving emergency actions and fire prevention plans. Includes: first aid kit/fire extinguisher locations, and where the fire hazards are throughout the client’s home.

Case Management
This section is a narrative section for our agency nurse or case manager.

All Heart Home Care Awards

Get started with your free in-home care consultation.

Share a few details about your current situation, and we’ll schedule a complimentary phone consultation to understand your needs. Together, we’ll design a personalized home care plan that supports your comfort, independence, and peace of mind — so you can comfortably age gracefully in your own home.

✨ Experience compassionate in-home care in San Diego — call (619) 736-4677 today.