Free Personal Care Profile

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Create Your Free Personal Care Profile

Answer a few simple questions
Email, download or print instantly
Just takes 5 minutes

Personal Care Profile

livingSitQG

What is your current living situation?

I own my home

I rent my home

I live with family

I live in senior housing

Other

A Personal Care Profile outlines how you enjoy spending your time and what gives your life meaning. It can also cover your personal beliefs and how you like to be interacted with. All this information guides caretakers in their role and contributes to a greater quality of life.

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PERSONAL CARE PROFILE

for ____________________________ of __________, Ohio

These guidelines outline the activities and pursuits that give ____________________________’s life meaning. This document may also include personal beliefs, such as religion or spirituality, and preferences for how ____________________________ likes to be interacted with. Caretakers can use this information as a guide when performing their role and to enhance ____________________________’s quality of life.

This document is not intended to be interpreted as a Last Will and Testament or Living Will. These guidelines are only intended to help family and caretakers in ensuring ____________________________’s senior years are fulfilling.

MISCELLANEOUS

Interaction
I have no preferences for how caretakers interact with me.

Veteran
I am not a military veteran but may be eligible for benefits through Medicaid and state-sponsored programs such as the Program of All-Inclusive Care for the Elderly.

Personal Belongings
I have not recorded the personal belongings I have with me.

SIGNING

I recognize that it may not be possible for my appointee to fulfill all of my wishes and request that my caretakers act to follow the spirit of these wishes as well as they can and within the limits of any applicable law.

Signature	Date:
_________________________	________________ ____, ________
____________________________

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Last updated September 16, 2024

What is a Personal Care Profile?

Who can use a Personal Care Profile?

Anyone preparing for their senior years can use a Personal Care Profile, as this document can benefit the people who support seniors as they transition away from an independent lifestyle. For example, the information in a Personal Care Profile can provide guidance in the following situations:

If you're moving to a senior housing facility, staff will have an idea of your personality and preferences so they can find activities you're likely to enjoy.
If you're hiring a personal care assistant (i.e. a formal caregiver who gets paid for their services), details about your general preferences and health history will aid them as they strive to maintain your standard of living.
If you're selecting someone to care for a family member, this document can help you identify the characteristics of an ideal caregiver (e.g. if a Personal Care Profile describes a physical limitation like inflammatory arthritis, you would likely consider this limitation and search for people who have experience dealing with it).

How does a Personal Care Profile differ from a Living Will?

A Personal Care Profile and a Living Will are similar in that they both describe personal preferences when it comes to certain healthcare decisions. However, there are characteristics of a Living Will that distinguish it from a Personal Care Profile:

When properly executed, a Living Will is a legally binding document. Generally, healthcare providers are required to follow the instructions in this document.
A Living Will contains specific directions regarding medical treatments (e.g. you can specify whether or not you want life support if you ever fall into a coma). These directions exist for situations in which you are unable to communicate your wishes.
LawDepot's Living Will can be combined with a Medical Power of Attorney, which allows you to name someone to make your health care decisions. Your representative can only act on your behalf once a doctor determines you are incapable of making decisions for yourself.

In contrast, a Personal Care Profile:

Is not legally binding or enforceable
Specifies personal details (e.g. personality traits, dietary restrictions, physical limitations, etc.) that are meant to be used as guidelines for your caregiver as they help you manage the tasks of daily life
Cannot be used to grant someone legal authority to make healthcare decisions on your behalf

While a Personal Care Profile and a Living Will are two distinct documents, together they can address your personal preferences when it comes to health care decisions in several different situations (e.g. where you're dependent on a caregiver or are incapacitated). As such, these two documents are important to consider when thinking about your future and creating your Estate Plan.

How can a Personal Care Profile help my caregiver?

A Personal Care Profile can remind a caregiver of all the ways they can help make you comfortable, whether they know you personally or not. With this document, your caregiver can learn personal details they might not have thought to ask about, which can guide their interactions with you so the experience is positive for everyone involved.

LawDepot's Personal Care Profile template allows you to provide information about your preferences regarding:

Entertainment: You can describe your hobbies and interests so your caregiver can easily find entertainment you are sure to enjoy. For example, you can mention any clubs you're a part of, activities you're interested in, or places you enjoy visiting.
Beliefs: If you are religious, your caregiver may be able to find community activities (such as church services or charity events) that may resonate with you on a spiritual level.
Health: It is important for your caregiver to know of any physical limitations or dietary restrictions you may have so they can ensure your safety. In addition, you can mention any fears or phobias so your caregiver can avoid placing you in unpleasant situations (e.g. if you have a fear of dogs, your caregiver can avoid taking you to parks where dogs are allowed off-leash).
Miscellaneous: You can describe how you prefer to be interacted with (e.g. you can specify if you're hard of hearing or sensitive to loud noises so your caregiver can adjust the volume of their voice and control which environments they bring you to), the personal belongings you would like to keep close (if you're ever required to move homes), and whether or not you are a veteran (so your caregiver can ensure you claim any benefits you may be entitled to).