Who We Are
What We Do
Get Involved
Careers
Contact
Apply Now
Donate
Back
Meet the Arc
Our Mission
Our Service Area
Our Team
Our History
Sponsors
Family Testimonials
Board of Directors
Back
Adult Family Care
Autism Support Services
Brain Injury Care
Day Services
Employment Support
Family Resources & Guidance
Individual Home Support
Self-Directed Services
Shared Living
Back
Donate
Volunteer Opportunities
Impact Reports
Back
Available Positions
Become an AFC Caregiver
Become a Shared Living Provider
Who We Are
Meet the Arc
Our Mission
Our Service Area
Our Team
Our History
Sponsors
Family Testimonials
Board of Directors
What We Do
Adult Family Care
Autism Support Services
Brain Injury Care
Day Services
Employment Support
Family Resources & Guidance
Individual Home Support
Self-Directed Services
Shared Living
Get Involved
Donate
Volunteer Opportunities
Impact Reports
Careers
Available Positions
Become an AFC Caregiver
Become a Shared Living Provider
Contact
Apply Now
Donate
Signs and Symptoms Assessment
Name
*
First Name
Last Name
Arc department that you work for:
*
Email
*
Date of completion:
MM
DD
YYYY
Understanding what you observe in terms of signs and symptoms indicative of a person’s health, why the symptoms are occurring, and whether or not these are “normal” for the person, will make it easier for you to give an accurate report.
*
True or false?
True
False
It is not normal to have frequent colds, coughs, sneezes or trouble breathing.
*
True or false?
True
False
You should notify a person’s health care provider if you observe:
*
Choose One
A Change in sleep
Unexpected weight gain or loss
Trouble chewing or swallowing
Coughing during or after a meal
All of the above
A grayish/bluish color to the lips or nails may mean poor circulation as a result of heart problems. When a person has this symptom while exercising or develops chest, jaw or left arm pain you should immediately contact the health care provider.
*
True or false?
True
False
Significant abdominal pain is considered normal and is not concerning.
*
True or false?
True
False
A seizure disorder can occur at any time of life. When someone has seizure activity for the very first time, you should immediately seek medical attention.
*
True or false?
True
False
Skin can tell us about what is happening in the body.
*
True or false?
True
False
Seizure medication can cause or worsen osteoporosis (brittle bones), increasing the risk of fractures.
*
True or false?
True
False
Urinary tract infections (UTIs) are a common problem seen in many people, especially if they are incontinent and wear protective underwear.
*
True or false?
True
False
How a person acts can be indicative of how they are feeling. The most important thing to note when reporting observations to a physician is any change from a person’s “normal” pattern of behavior.
*
True or false?
True
False
Thank you!
Please ensure Javascript is enabled for purposes of
website accessibility