5. Where do you and your loved one/care recipient live?
Both locations
You
Loved one/Care recipient
7. Your EXISTING support network — who, where, and how they support
Add rows as needed to describe your support network
| Who (supporter type) | Location | How they support |
|---|
How can we help and what matters most?
How can Pleaides help?
Pleaides provides easy to use tools, with customization to reflect your needs and concerns to help manage what matters most to you now, and grows with your future needs. Let us know what is more important now:
Choose which categories you would like included in your initial assessment
Select all that apply. (Prompt wording from your Note — adjust as you like.)
Click on each section to view documents by category. Completing each section is not required, but will result in a more comprehensive overall assessment.
Document and Organization Management▾
Most caregivers find that knowing the existence or location of documents and various online accounts can be a time-consuming task. Pleaides provides the ability to track gaps and assign roles for management. Documents and account access information can be stored securely in your dashboard, or stored offline with the ability to easily view contact information.
Circle of Care Creation and Coordination▾
Tell us about your current support network and what type of help you will need moving forward. Chose all that apply
| Area | Currently managed by: | Preferred future method of help: |
|---|
Aligning Quality of Life Preferences▾
As a caregiver you have the best of intentions, but often loved ones/care recipients and their supporters see future happiness differently. List what you feel is important. Subscribers are able to send this survey to loved ones entering a new phase of life, family members and others involved in care, to assess where alignment exists, and where there may be gaps.
How to answer this section
- Answer for the loved one or the person receiving care. Choose what you believe they want, based on your own understanding of their wishes, not what you would choose for yourself or what feels most practical. If you are planning your own care, answer for yourself.
- Current vs. future. “Current” is how things are today. “Future” is what you believe they would want if their needs change, for example if living alone or driving were no longer safe.
- Go with your best understanding. If you are not sure what your loved one would say, give your best guess or leave the question blank. Gaps are useful: they show where a conversation would help.
- There are no right answers. Others in the circle of care, and your loved one/care recipient, can complete this same section later, so you can see where your views line up and where they differ.
Where would your loved one/care recipient prefer to live, now and as their needs change?
| What Matters Most? | Current Preference | Future Preference |
|---|
Who would your loved one/care recipient be comfortable receiving day-to-day help from?
| What Matters Most? | Current Preference | Future Preference |
|---|
Financial values & legacy
Answer with what you know of your loved one/care recipient’s priorities. You do not need account details or amounts.
Activities
Which activities matter most to your loved one/care recipient, whether they live independently or in a facility? Rate them as you believe they would.
Alignment and future planning
These two questions are about you: how well your view matches the view of your loved one/care recipient and others in the circle of care.
Daily Living Calendar Management▾
Pleaides’ scheduling calendar allows tasks to be assigned, accepted and viewed by others based on permissions you create. For each task, specify where help is needed, and should be assigned and/or viewed by others. Tasks can be organized by each care member’s location, so tasks are appropriately assigned (example: someone in another state cannot be assigned driving tasks).
| Task | Please specify current management | Are Shared Notes and an Online Calendar helpful for this task? | Would you like to assign this task to others? | Would you like to be notified when a task is accepted? |
|---|
End of Life Planning▾
As caregivers there is no control over end of life, but establishing clarity on preferences creates alignment amongst the circle of care. Please list where preferences are clear or where there is need for future discussion.
| Awareness of Wishes For: | Please Select | Communicated or included in your will? |
|---|
