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Care Plan

Your care plan

Prepared like a real care document — every activity explained step by step, ready to print and share.

Caregiver

Personalised care plan

your loved one

Prepared with:
your family and AiMao
Last updated:
13 July 2026

Care plan summary

This care plan focuses on maintaining lower-body strength, supporting regular nutrition, and monitoring recent changes in standing stability. Activities are designed to fit into the normal daily routine and can be supported by family members without specialised equipment.

The plan balances three kinds of work: everyday activities that protect strength and independence, applications that unlock financial and community support, and a single point of contact so no one has to coordinate alone.

Main care priorities

  • • Keep lower-body strength through short, regular practice
  • • Support consistent meals and hydration
  • • Watch the recent change in standing stability

Current strengths

  • • Walks independently at home
  • • Family checks in daily
  • • Takes medication reliably with a pill box

Areas to monitor

  • • Standing stability (new support needed twice this week)
  • • Breakfast appetite (reduced on 3 recent mornings)

This week's goals

  • • Complete chair stands 3 times
  • • Finish at least 6 of 7 hydration checks
  • • One social activity outside the home

Caregiver involvement: A family member supports the balance and chair-stand sessions, joins the weekly review, and tells AiMao about anything unusual — a 20-second note is enough.

Week at a glance

Mon

  • Morning walk
  • Chair stands
  • Hydration check

Tue

  • Balance practice
  • Protein breakfast
  • Call from Wei Ling

Wed

  • Morning walk
  • Chair stands
  • Medication check

Thu

  • Community centre visit
  • Hydration check

Fri

  • Morning walk
  • Chair stands
  • Weight check

Sat

  • Family lunch
  • Gentle stretching

Sun

  • Rest day
  • Prep pill box for the week

Progress

Seeded demo data — every chart answers one question a family actually asks.

Is adherence improving?Plan adherence, by week
58%W166%W271%W368%W479%W584%W6
Has mobility confidence changed?Self-reported confidence, last 14 days
14 days agotodayrecent dip
Which activities are missed?Completions this month
Morning walk22/26Chair stands9/12Hydration checks24/26Balance practice5/8Social activity3/4
Where is attention needed?By care domain
Mobility72Nutrition64Medication35Social28

This Week

Home-safety walk-through

Removes the most common causes of falls at home — loose mats, dim corridors, trailing wires — before they cause an injury.

Duration
30–45 minutes, once
Frequency
Once now, re-check every 3 months
Difficulty
Easy
Equipment
None — a phone torch helps
How to do it
  1. 1Walk the usual daily route: bed → toilet → kitchen → sofa → door.
  2. 2Remove or tape down loose rugs and wires along that route.
  3. 3Check every corridor and the toilet have working, bright lights.
  4. 4Add a night light between the bedroom and the toilet.
  5. 5Clear walkways of clutter, stools, and low furniture edges.
  6. 6Note where grab bars would help (toilet, shower, bed side).
Caregiver role

Do the walk-through together — the person living there knows their route best; you spot the hazards they've stopped noticing.

Why this activity is included

There was a recent fall and the home has not been reviewed since. Most repeat falls happen on the same route as the first one.

Walker + grab-bar fitting

A properly fitted walker and grab bars turn unsteady moments — standing from bed, stepping out of the shower — into safe ones.

Duration
1 fitting session (about 1 hour)
Frequency
Once, then adjust as needed
Difficulty
Easy
Equipment
Walker (loan or purchase), grab bars installed by HDB EASE or a contractor
How to do it
  1. 1Stand upright in normal shoes; the walker's handles should sit at wrist height with arms relaxed.
  2. 2Practise the pattern: walker forward → weaker leg → stronger leg.
  3. 3Install grab bars beside the toilet and inside the shower.
  4. 4Practise sitting and standing using the bars, not the towel rail.
  5. 5Check rubber tips on the walker monthly and replace when worn.
Caregiver role

Walk slightly behind and to the side during the first practice sessions. Let the equipment take the weight — don't offer an arm unless asked.

Stop and review if
  • • New pain when walking
  • • The walker feels unstable or rocks
Why this activity is included

Unsteadiness was reported after the recent fall — the right equipment restores confident, independent movement.

Caregiver basics for Wei Ling

Gives the family caregiver the practical skills — safe transfers, medication routines, what to watch for — that make caring sustainable.

Duration
1 half-day course
Frequency
Once, refresher yearly
Difficulty
Easy
Equipment
None — courses provided by AIC's Caregivers Training Grant
How to do it
  1. 1Apply for the Caregivers Training Grant (up to $200/year).
  2. 2Book a 'Caring for the Elderly' basics course near home.
  3. 3Learn safe transfer technique: brace, count together, move slowly.
  4. 4Set up a shared medication and appointment calendar.
  5. 5Save the after-hours helplines somewhere visible.
Caregiver role

This one is for you — the person doing the caring.

Why this activity is included

The daughter is the primary carer and hasn't had formal training. Trained caregivers burn out less and spot problems earlier.

Weeks 2–8

Home nursing visits

A community nurse visits at home for wound care, vitals, and medication checks — recovery continues without tiring clinic trips.

Duration
45–60 minutes per visit
Frequency
Weekly at first, stepping down as recovery progresses
Difficulty
Easy — the nurse does the work
Equipment
None
How to do it
  1. 1AiMao drafts the referral to a home-nursing provider.
  2. 2Confirm the visit day and keep the medication list on the table.
  3. 3During visits: vitals, wounds, and any new symptoms are checked.
  4. 4Ask the nurse anything — write questions down between visits.
  5. 5The nurse's notes flow into the Care Brief for the care team.
Caregiver role

Be present for the first visit if possible; afterwards the nurse and AiMao keep you in the loop.

Why this activity is included

Post-discharge recovery needs professional eyes on it regularly, and travel to appointments is currently hard.

Physio / rehab — SACH community hospital

Structured physiotherapy rebuilds the strength and balance lost after the fall — the single most effective way to prevent the next one.

Duration
45 minutes per session
Frequency
2 sessions per week, 6–8 weeks
Difficulty
Moderate — designed to be challenging but safe
Equipment
Comfortable shoes; the community hospital provides the rest
How to do it
  1. 1Attend the initial assessment at the SACH community hospital.
  2. 2Follow the prescribed programme — usually leg strengthening, balance drills, and walking practice.
  3. 3Do the short home-exercise version on non-session days.
  4. 4Report any dizziness or pain to the physiotherapist immediately.
  5. 5At week 4, the programme is reviewed and progressed.
Caregiver role

Help with transport on session days and encourage the home exercises — consistency matters more than intensity.

Stop and review if
  • • Chest discomfort during exercise
  • • Dizziness that doesn't pass with rest
  • • Sharp joint pain
Why this activity is included

Mobility hasn't fully returned since the fall. Supervised rehab is the evidence-backed route back to independent walking.

Medication review

A pharmacist checks all current medications together — new discharge medicines plus old ones — for interactions, duplicates, and fall-risk side effects.

Duration
30 minutes
Frequency
Once now, then after any hospital visit
Difficulty
Easy
Equipment
Bring every medication box, including supplements
How to do it
  1. 1Gather every current medicine, supplement, and traditional remedy into one bag.
  2. 2Book a medication review at the usual polyclinic or pharmacy.
  3. 3Ask specifically: 'Could any of these make falls more likely?'
  4. 4Update the pill box and the medication list with any changes.
  5. 5Share the updated list with AiMao so the Care Brief stays current.
Caregiver role

Help gather the medicines and sit in on the review — two sets of ears help when instructions change.

Why this activity is included

New medications were added at discharge. Several common medicines increase drowsiness and fall risk when combined.

Apply Now

Home Caregiving Grant

The Home Caregiving Grant provides $250–$400 a month towards caregiving costs for those with permanent moderate disability.

Duration
About 30 minutes to apply
Frequency
Once — reviewed periodically by AIC
Difficulty
Easy
Equipment
SingPass, household income information
How to do it
  1. 1Check eligibility: needs help with 3 or more daily activities.
  2. 2A functional assessment report may be needed — the polyclinic can arrange it.
  3. 3Apply on the AIC website with SingPass.
  4. 4Submit household income details for the means test.
  5. 5The grant is paid monthly once approved.
Caregiver role

The application is usually done by the family caregiver.

Why this activity is included

The household's per-capita income is within the eligible tier — this is money already set aside for families in this situation.

MediFund top-up

MediFund is a safety net that helps with remaining healthcare bills when subsidies, MediShield and MediSave aren't enough.

Duration
Ask at the hospital/clinic business office
Frequency
Per bill, as needed
Difficulty
Easy — a medical social worker assists
Equipment
Recent bills, income documents
How to do it
  1. 1Ask the medical social worker at the treating hospital about MediFund.
  2. 2Bring recent bills and household income documents.
  3. 3The social worker submits the application on your behalf.
  4. 4Approved amounts are offset directly against the bill.
Caregiver role

Accompany for the appointment with the medical social worker.

Why this activity is included

Rehabilitation adds costs over several months — this keeps recovery from becoming a financial burden.

CHAS review

The CHAS card subsidises GP and dental visits at neighbourhood clinics — routine follow-ups become affordable close to home.

Duration
10 minutes online
Frequency
Once — renews automatically
Difficulty
Easy
Equipment
SingPass
How to do it
  1. 1Apply or check tier at chas.sg with SingPass.
  2. 2Once approved, pick a CHAS GP near home for follow-ups.
  3. 3Show the card at every visit for the subsidised rate.
Caregiver role

Help with the online application if needed.

Why this activity is included

Outpatient follow-ups are frequent right now — the same visits cost significantly less with the card.

Single Point

ICCP case officer

One named care coordinator who pulls everything together — appointments, services, applications — so the family never has to chase five agencies.

Duration
Ongoing relationship
Frequency
Monthly check-in, more when things change
Difficulty
Easy
Equipment
None
How to do it
  1. 1AiMao prepares the Care Brief and hands the case to the ICCP coordinator.
  2. 2The coordinator reviews and confirms the plan with the family.
  3. 3One phone number from then on — the coordinator chases the rest.
  4. 4The monthly check-in updates the plan as needs change.
Caregiver role

Save the coordinator's number and raise anything that feels off — no issue is too small.

Why this activity is included

Care involves many moving parts. A single point of contact is the difference between a plan and a pile of brochures.

Family loop + monthly check-in

A simple monthly rhythm that keeps every family member informed and shares the caring load.

Duration
20 minutes a month
Frequency
Monthly, plus updates when something changes
Difficulty
Easy
Equipment
The family group chat
How to do it
  1. 1Fix a recurring monthly family check-in — a call or over lunch.
  2. 2Review the Care Brief together: what changed, what's next.
  3. 3Rotate who joins the physio or nurse visits.
  4. 4Agree who responds first if AiMao raises an alert.
Caregiver role

You host it — but the point is that you're not the only one carrying the plan.

Why this activity is included

Family is present and willing — a light structure turns goodwill into real shared care.

AiMao can arrange all of this quietly in the background — you approve every step.

Let AiMao arrange it →