Make a home care plan for the week ahead

Pick the hardest part of the week, name the tasks that need help, and decide who can cover them. Use this worksheet with family or take it to a provider conversation.

Start the worksheet ↓

Build your weekly care plan

Start with one visit. Add the other times where help would make the week easier. Use roles or initials and keep identifying and medical details out of the plan.

See a completed example

Tuesday, 11 a.m. A relative brings groceries and helps prepare lunch. If the relative is delayed, a neighbor checks in and the family reschedules groceries. The person still chooses the meals and makes the list.

Question to ask. What is the minimum visit length for lunch and a check-in?

Visit 1

WhenTaskWho can help?Backup

What should the person keep doing independently? What do you still need to ask?

My weekly care summary

Copy your summary before leaving the page. This worksheet does not submit your answers.

· First-week checklist ↓

First-week care checklist

Work through these together before the first visit. Assign one person to each open item.

Home access: Who has the keys, and which entrance should they use?

Rides: Who handles pickup, return and appointment changes?

Meals: Who shops, prepares food and checks what’s already at home?

Daily routines: What does the person want to do independently?

Backup: Who steps in if the usual helper is delayed or unavailable?

Open questions: Who will confirm tasks, costs and clinical instructions?

These checkmarks are for this visit to the page. Copy any open tasks into your weekly summary before leaving.

Return to the weekly planner ↑

Turn the outline into a next step

Compare types of help, check payment questions, or find local planning resources.

Send Alderwick a care inquiry →

We’re accepting home-care inquiries from Utah families. Share your ZIP code, general timing and a short summary of the support you’re looking for.