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Activities of Daily Living (ADL) Record Sheet – Editable Care Documentation Template (2024) – Complete Daily Nursing & Support Checklist

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Uploaded on
20-11-2025
Written in
2025/2026

This document provides a structured Activities of Daily Living (ADL) recording sheet used in care settings to monitor client hygiene, grooming, hydration, nutrition, mobility, bowel actions, and pressure care. It includes detailed tick-box sections for daily and nightly care tasks, allowing caregivers to track interventions and report concerns. The template is designed for routine use in residential, hospital, and home-care environments. It is fully editable and suitable for training, documentation practice, or real-world care delivery.

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Institution
Nursing
Course
Nursing

Content preview

Client Name: Room no:
ACTIVITIES OF DAILY LIVING (ADL) P1
Date Date Date Date Date Date Date
Activities (Tick appropriate)
Time D N Time D N Time D N Time D N Time D N Time D N Time D N
Bed Bath
Assisted Shower
Assisted Bath
Put on Clothes/Nighties
Hygiene & Grooming




Wash and Comb Hair
Skin care, apply cream
Pressure Care, Circulation
Apply Aftershave;
Makeup/perfume
Nail Care -Hands & Feet
(Report infection)
Oral Care (Brush/Dentures)

Skin injuries - report

Give 250ml fluid 2-3hrly
Hydration & BA




Nappy change /Toilet rounds




Bowel action Soft = Normal /
Diarroea / Constipation)
Report Diarrhoea/
Constipation
Report Nausea & Vomiting /
Dehydration
Nutrition




Eats unassisted
Assisted / Feeding / cutting
food
Ambulant, unassisted
Mobility assist (assisted /
walker)
Mobility




Wheelchair
Passive exercises /R.O.M.
(range of movement)
Sit out in a chair / legs
elevated




2-4 hourly Turning and
Pressure Care




Pressure Care.




Photo of pressure ulcer sent
to Matron
Woundcare done. Record &
Report


Sign:

Created by: E du Toit, Mar 25
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Institution
Nursing
Course
Nursing
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Uploaded on
November 20, 2025
Number of pages
3
Written in
2025/2026
Type
OTHER
Person
Unknown

Subjects

R250,00
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