Levnadsberättelse, pdf, 2 MB
Levnadsberättelse, pdf, 2 MB
Levnadsberättelse, pdf, 2 MB
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Upprättad av projektledare Inger Andersson 2009-11-30<br />
Uppdaterad 2010-06-02<br />
Design och layout: Marie-Louise Bescher<br />
levnadsberättelse<br />
Äldreförvaltningen
Varför vill vi upprätta en levnadsberättelse?<br />
levnadsberättelse<br />
<strong>Levnadsberättelse</strong>n är utarbetad för att personalen behöver känna till den enskildes<br />
bakgrund. Vi arbetar med levnadsberättelsen som en viktig del i vården.<br />
Individanpassat tänkande är en naturlig del i vårt arbete.<br />
Många har svårt att själva berätta och sätta ord på vad de tänker och känner.<br />
Genom levnadsberättelsen kan vi som personal få lära känna personen genom att få ta<br />
del av hans eller hennes liv. Vi får exempelvis ökad<br />
kunskap om familjesituation/vilka arbeten han eller hon har utfört, vilka<br />
intressen/vilken musik personen tyckt om, vilka personliga egenskaper han eller hon<br />
har. Sorger, glädjeämnen som dykt upp under livet. Vilka vanor personen besitter. Vilken<br />
mat han eller hon tycker om och så vidare. Med denna kunskap hoppas vi kunna ge<br />
den enskilde en guldkant på tillvaron. <strong>Levnadsberättelse</strong>n är kunskap för oss och genom<br />
kunskap kan vi förstå och bemöta varje person på ett professionellt sätt i den dagliga<br />
samvaron.<br />
All personal lyder under lagen om tystnadsplikt och därför får levnadsberättelsen endast<br />
läsas av den personal som arbetar med den enskilde och hans/hennes anhöriga.<br />
Jag/anhörig godkänner härmed att <strong>Levnadsberättelse</strong>n används som ett arbetsredskap<br />
och kommunikationsmedel mellan mig och personalen. Jag ger härmed mitt samtycke till<br />
att uppgifter om mig/min anhörige i <strong>Levnadsberättelse</strong>n får delges berörd personal om<br />
annan vård- och/omsorgsinsats blir aktuell.<br />
__________________ ___________________________________<br />
Datum Namn
<strong>Levnadsberättelse</strong> för<br />
Namn Personnummer<br />
Tidigare efternamn Telefon<br />
levnadsberättelse<br />
Eventuella smeknamn Modersmål/hemspråk<br />
Senaste adress<br />
Informationen är lämnad av (t ex personen själv, make/maka, son/dotter<br />
<strong>Levnadsberättelse</strong>n är upprättad av<br />
Kontaktpersonal hemtjänst Datum<br />
Kontaktpersonal dagverksamhet/korttidsplats Datum<br />
Kontaktpersonal äldreboende/servicehus Datum
Barndomen/Uppväxten<br />
Födelseort<br />
Moderns namn Bortgång, årtal Yrke<br />
Faderns namn Bortgång, årtal Yrke<br />
levnadsberättelse<br />
Levnadsöden hos modern som känns viktiga att minnas och som betytt mycket för<br />
hans/hennes barndom och uppväxt _______________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Levnadsöden hos fadern som känns viktiga att minnas och som betytt mycket för<br />
hans/hennes barndom och uppväxt _______________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Syskonens namn, födelseår, ev bortgång. Namn på syskonens make/maka ______<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Plats i syskonskaran<br />
Barndomshem samt andra kända adresser där han/hon har bott under sitt liv (stad,<br />
land och hur länge) ____________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Speciellt viktiga händelser från barndomen _________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________
levnadsberättelse<br />
Utbildning/Yrke<br />
Skola/Yrkesutbildning (skriv in namn och ort på de olika skolorna och<br />
utbildningarna) ________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Skol- och ungdomskamrater som har betytt mycket ___________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Konfirmation (kyrka) ____________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Arbetsplatser han/hon har haft i livet (olika arbetsplatser, hur länge?<br />
Trivdes han/hon med arbetet?) ___________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Viktiga händelser från ungdomsåren _______________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Körkort, när/var _______________________________________________________<br />
_____________________________________________________________________<br />
Militärtjänst (vilket regemente, var, vilken försvarsgren, grad i det militära) ________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________
Vuxenlivet<br />
Är/har varit gift/sambo/särbo med _______________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Änka/änkeman sedan år Skilsmässa, när, år<br />
Barnens namn, födelseår _____________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
Barnbarn, namn, födelseår ___________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
levnadsberättelse<br />
Barnens make/maka, namn __________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
Barnbarnsbarn, namn _______________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
__________________________________<br />
Kontakter med syskonbarn, namn _________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Husdjur, namn _________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Viktiga arbetskamrater och vänner ________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________
levnadsberättelse<br />
Personlighet (t ex temperament, utåtriktad, gladlynt, pratsam, tystlåten, öppen, blyg,<br />
snabb, långsam, ordningsam, slarvig) _____________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Intressen/Hobbys<br />
Fritidsintressen i vuxen ålder ______________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Artister och skådespelare som är uppskattade _______________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Favoritblommor, växter och träd ___________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Musiksmak, sjunger och spelar själv, vilken slags litteratur läses? Favoritförfattare, TV<br />
och radioprogram _____________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Dagstidning, veckotidskrifter, facklitteratur som har lästs regelbundet _____________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________
levnadsberättelse<br />
Resor som gjorts, finns fotografi från resorna? _______________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Föreningsliv ___________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Aktiviteter som är intressanta nu ___________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Religion/livsåskådning (kyrkliga traditioner och vanor) ________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Svåra sorger __________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Rädslor _______________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________
levnadsberättelse<br />
Måltidsvanor<br />
Höger/vänsterhänt _____________________________________________________<br />
Favoritmat (huvudrätter, efterrätter, smaksättning) _____________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Mat som inte är populär _________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Allergier ______________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Dryck (varma, kalla) ____________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Användning av socker/grädde/mjölk i kaffe och te __________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________
levnadsberättelse<br />
Personliga vanor och särskilda önskemål<br />
Vanor beträffande sömn och vila (morgontrött/kvällspigg) ______________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Alkohol- och rök/snus vanor ______________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Specialla vanor som kan vara bra att känna till ______________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Någon känd återkommande kroppslig smärta i vuxen ålder ____________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Glädjeämnen _________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Saker som ger bekymmer ________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Personliga tillhörigheter som betyder mycket (t ex tavla, diplom, smycke etc) ______<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Klädvanor ____________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________
levnadsberättelse<br />
Van att duscha eller bada, tidpunkt på dygnet _______________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Rädd för vatten ________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Önskemål och vanor kring hårvård/rakning _________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
Glasögon Hörapparat<br />
Ögonprotes Tandprotes<br />
Tekniska hjälpmedel ____________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________<br />
_____________________________________________________________________
levnadsberättelse<br />
Annat av betydelse<br />
______________________________________________________________________<br />
______________________________________________________________________<br />
______________________________________________________________________<br />
______________________________________________________________________<br />
______________________________________________________________________<br />
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______________________________________________________________________<br />
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______________________________________________________________________<br />
______________________________________________________________________<br />
______________________________________________________________________
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