Time Schedule Sheetsample

The informants are ( the elderly/ the carer / other ) The informant's name( Kazuo Ise )The client's name（ Hanako Ise） SWr（N.Tsuchiya） Date （ 02/XX/20XX ）We ask how the elderly person and his/her carer live their daily lives.
Choose This day is ( easystandardhard ) for the carer. yesterday
Activities of the elderly person
Activities of the carer
service use

5:00 wake-up, pee

help her to pee and clean up

examples of items of care
To help the eldery person

help her to pee and clean up

pee/bowel movement
position change
Sleeptransfer

6:00
7:00 pee
get up, wash face and getdressed
8:00 have a breakfast
brush teeth
9:00 pee
10:00 watch TV
11:00 pee, bowel movement
12:00 have lunch
brush teeth
1:00 peehelp her to get up, wash face,stylehair, and get dressed. throw away
garbage.

make breakfast, help her to eat
help her to brush her teeth, wash the dishes
help her to pee and clean up
do the clothes and hang them out to dry
clean up the room
help her to pee and clean up
make lunch
help her to eat and wash the dishes
help her to brush her teeth, care of her appearance
go out for shopping
home-help service

2:00 walk for rehabilitation
3:00 peewalkcome back from shopping
help her to pee and clean up

watch TV fold clothes

11:00 pee, go to bed

help her to pee and clean up

12:00
1:00 pee
2:00
3:00
4:00

help her to pee and clean up

going out
walking aroundhelp her to pee, and to drink
fluids. walk around withher.

As you can see,
4:00 do puzzles or coloring book to help her to do puzzles or color
the busiest times
make dinnerhelp prevent dementia
pee
help
hertopeeandcleanup
are the morning
5:00
make dinnerand evening.
have
dinnerhelp
hertoeat
6:00
Why do you
brush teeth
help her to brush her teeth
think they use
help her to pee and clean up
7:00 peeprepare a bathhelp her take a bath, and get dressed for bed.
8:00 take a bathclear the table. prepare breakfast for the next day
help her to pee and clean up
9:00 pee, wash face
10:00 watch TVeat
drinkchange clothes
have a bathhave a bed bathwash facestyle hairtake care of appearance

To assist with housework

prepare products
needed for carego shopping
clean the roomorganize things
do the laundry
hang out the laundry todry
fold clothes
make meals
serve meals
set the tableExamples of Questions for Time Schedule Sheet
Tip: listen to how he feels carefully andCould you please tell me about the daily routine of the eldery person and the carer?
How did Hanako-san spend her time yesterday? How did you care for her?
What time did she wake up? And then?
So she went to the bathroom, and you helped her, I see. How did you help her to pee?
So you walked with her to the bathroom, and helped her to take off her underwear, and to wash her hips.
Is sounds like you were careful when you helped her. .. And? did she pee at 7 a.m.? Every 2 hours?
Everyday? Oh. It sounds like very hard work ! I think you were very kind to her. Then? she got up at
7a.m. and you helped her to sit up in her chair, to wash her face and to get dressed. And you threw out thegarbage. Did you do all these things within one hour? How busy!
Then? You cooked her breakfast, and helped her to eat. What food does she eat every day?
Rice, miso-soup, grilled fish, boiled greens with soy sauce. Was she able to chew them easily?... Oh, You
cut them into pieces for her! Good!

compliment a specific action

If something sounds unusual , ask him for more details about the action politely. However
never blame him or look at him accusingly. Thank and compliment him any time you can,and listen to him carefully, and he may tell the truth about what happend.
Did you do puzzles or color in with her? Did your mother feel like doing those things? No? Could you tellme why she does puzzles?... To help prevent dementia. Did anyone advise you to do so? No. You thoughtof that by yourself. I see. How did your mother do with it? Oh, She got bored with it easily. How did you
feel about that? ......You got angry with her, and sometimes hit you her.
Does your mother see the specialist for dementia? …You had taken her to see the psychiatrist once, butyou have not been since. Would you tell me why? The doctor told you dementia was incurable. So you
thought the doctor was not passionate about his work and his consultation couldn't be useful. I see.

If he tells you about some kind of abuse, you can ask him if he has any social support
networks. The carer might be sceptical about getting help from a specialist so it would becounter-productive to advise him to seek a specialist's help. Bylistening to him andUntil 1:00 a.m. you looked after her so carefully, that you became exhausted, didn't you?
Did she fall asleep quickly? No. She forgot that she had eaten her dinner and she blamed you for not
giving her dinner loudly and repeatedly.
Then what did you do to her? Without mieaningto, you shouted at her. I see.