Goals of Care
- Primary Maintain independence and safety at home
- Secondary Prevent falls and avoid unnecessary ER visits
- Tertiary Support social engagement and daily activity
"I want to stay in my daughter's house as long as possible."
-- Patient preference, recorded April 2, 2026
Daily Routine
Morning
- Medication administration (see medication list below)
- Breakfast -- low-sodium, diabetic-friendly; ensure adequate protein
- Morning walk with caregiver (15-30 minutes, weather permitting)
Afternoon
- Light activity or rest as tolerated
- Lunch -- monitor carbohydrate intake per dietary plan
- Social time (reading, television, conversation with family or caregiver)
Evening
- Dinner with Jess
- Evening medication administration
- Bedtime routine assistance if needed (mobility support, nightlight check)
Medications
| Medication | Dose | Frequency | Purpose | Special Instructions |
|---|---|---|---|---|
| Lisinopril | 10 mg | Once daily, morning | Blood pressure | Monitor for dizziness on standing |
| Metformin | 500 mg | Twice daily, with meals | Blood sugar | Take with food to reduce GI upset |
| Amlodipine | 5 mg | Once daily, evening | Blood pressure | Check for ankle swelling |
| Acetaminophen | 500 mg | As needed, up to 3x daily | Knee pain (arthritis) | Do not exceed 1,500 mg/day; no ibuprofen |
| Vitamin D3 | 2,000 IU | Once daily, morning | Bone health / fall prevention | Take with a meal for absorption |
Fall Prevention Protocol
- Clear pathways at all times; no throw rugs, no cords across walkways
- Nightlights in hallway, bathroom, and bedroom
- Non-slip mats in bathroom (tub and beside toilet)
- Grab bars installed in bathroom (tub entry, beside toilet)
- Caregiver supervision during all transfers (bed to chair, chair to standing)
- Encourage use of supportive footwear indoors (no bare feet, no socks without grip)
If a fall occurs: Assess the patient calmly. Do not move him if he reports pain. Call Jess immediately, then call 911 if there is any sign of head injury, inability to bear weight, or visible deformity.
Emergency Protocol
Chest Pain / Difficulty Breathing
- Call 911 immediately
- Then call Jess
- Do not drive to hospital
Fall with Injury
- Call Jess first
- Assess -- do not move if pain
- Call 911 if needed
Confusion / Behavior Change
- Call Jess
- Notify Dr. Emdur
- Document what you observe
Non-Urgent Concern
- Log in co-op.care app
- Contact Jess at next opportunity
- Note for next physician review
Boulder Community Health ER: 4747 Arapahoe Ave, Boulder, CO 80303 (less than 1 mile)
Reminder: Show ComfortCard QR code to any provider for immediate access to care history and medications.
Reminder: Show ComfortCard QR code to any provider for immediate access to care history and medications.
Caregiver Instructions
"You are a companion, not a nurse. Your presence IS the care."
- Log all care activities in the co-op.care app after each visit
- Contact Jess for any concerns about daily routine or mood changes
- Contact Dr. Emdur for clinical questions (medication side effects, new symptoms)
- Encourage independence -- assist, do not replace. Let him do what he can safely do.
- Note any changes in appetite, sleep, mood, or mobility in the daily log
Review Schedule
Weekly
Jess reviews care activity log and caregiver notes
Monthly
Dr. Emdur reviews care plan and adjusts as needed
Quarterly
Full care assessment with Reed AI and physician review