ShiftPretty Weekly Family Care Tracker

Week of: ____________________
Person completing this review: ____________________

Use this tracker to prepare for useful conversations and follow-up. Record only information needed for care, coordination or a decision. Store it securely and share it only with appropriate people.

Privacy note: This webpage does not save your selections or entries. Do not enter names, health details or other sensitive personal information.

You can print this page or use the questions as a weekly conversation guide.

1. What mattered to the
person this week?

• I asked what went well.
• I asked what felt
  difficult.
• I asked what help the person wants
  next week.
• I recorded what the person wants to
  continue doing independently.

In their own words:

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2. Meaningful changes

Record observable facts—not a diagnosis.

Date	What happened?	What was different from usual?	Who needs to know?

If a change may be urgent, follow the person’s care plan, contact the
appropriate professional or use emergency services. Do not wait for the
weekly review.

3. Medication questions and
changes

• The current medication list is
  available.
• Any prescriber-authorized change was
  added to the medication list.
• Missed or differently taken doses
  were noted for appropriate follow-up.
• Refill, pickup or authorization
  problems have an owner.
• Questions are ready for the
  pharmacist, prescriber or care team.

Question or follow-up:

---

Do not start, stop or change a medicine, dose or schedule based on
this tracker.

4. Appointments and
instructions

Appointment or call	Date	Questions or instructions	Next action and owner

5. Daily-life areas worth
discussing

Check only areas that connect to the person’s goals, care plan or a
current concern.

• Eating or drinking
• Sleep
• Mobility or transfers
• Personal care
• Toileting
• Pain or discomfort in the person’s
  own words
• Mood, behavior or social
  connection
• Familiar daily
  activities
• Other:
  ____________________

Plain-language observation:

---

6. Open actions

What remains open?	Next action	Owner	Check again

7. Caregiver capacity

• The current plan felt
  manageable.
• A task is becoming too difficult or
  time-consuming.
• I am worried something important may
  be missed.
• I need information, relief or
  another person.
• At least one task can be delegated
  next week.

Support needed:

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8. Five-line weekly summary

1. Most important change:
   __________________________________________
2. The person’s priority:
   __________________________________________
3. Main question:
   _________________________________________________
4. Open action and owner:
   _________________________________________
5. Caregiver support needed:
   ______________________________________

Important: This tracker provides general educational
and organizational information. It is not medical, legal, privacy,
compliance or emergency advice. Follow the person’s care plan and
instructions from qualified professionals.