Your life. Your plan.
Sitting comfortably and looking after your body
Use the prompts that are helpful to you. You can write, draw, or ask someone to record your own words.
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What I want to do
Record activities, places and positions that matter to you.
What feels uncomfortable or has changed
Describe your words or signs, skin changes, slipping, fatigue or difficulty using equipment. Seek medical help without waiting to finish this sheet.
Equipment and existing plans
List the chair, cushion and other equipment, the issuing service and where current professional instructions are kept.
Questions for the assessment
Include comfort, skin, eating, breathing, communication, transfers and travel.
Who is doing what
Record the assessing team, equipment provider, training and repairs contact.
Agreed advice and review
Record the team’s advice, any trial, next review and who to contact if the plan is not working. This sheet does not prescribe positions or settings.