Communication And Care Cues Template Page 2

Please complete those sections that are relevant:

PREFERRED NAME: (of Patient)

Where born :

Time lived in Australia:

Language Spoken

at Home:

English ability:

Names of Adult Family Members (spouse, brothers, sisters, etc):

Names of Children:

Names of Grandchildren:

Names of Other Special People or Pets:

Cultural or Religious Practices:

Past Major Occupation:

Past Hobbies or Interests:

Occasions of Importance:

Other special Issues and/or Important habits e.g. likes, dislikes, rituals, ways of doing things

etc, (you do not need to give us a lot of information, just those that will keep your family

member settled, or tips for us to help settle them)

•

Page 2/2 Communication & Care Cues

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Parent category: Business