TEA GROUP INTERVENTION
Goals on Care Plan for Individual Residents
Resident:
1.
Goal -- Resident will show participation by:
A. __ Helped with setting up Tea Group:
__ Setting up table
__ Putting out cups
__Advising on making tea
__Helping with cleanup after group
B. __ Took part in the conversation:
C. Other:
2.
A. __ Helped with setting up Tea Group:
__ Setting up table
__Putting out cups
__Advising on making tea
__Helping with cleanup after group
B. __ Took part in the conversation:
C. ___Other:
3.
A. __ Helped with setting up Tea Group:
__Setting up table
__ Putting out cups
__Advising on making tea
__ Helping with cleanup after group
B. __ Took part in the conversation:
C. ___Other:
4.
A. __ Helped with setting up Tea Group:
__Setting up table
__ Putting out cups
__Advising on making tea
Goal met?
Date:
__Helping with cleanup after group
B. __ Took part in the conversation:
C. __Other
5.
A. ___Helped with setting up Tea Group:
__Setting up table
__Putting out cups
__Advising on making tea
__Helping with cleanup after group
B. ___Took part in the conversation:
C. ___Other:
Other Comments:
Signature:
Date: