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It’s alright.

A daily care plan’s purpose is to provide the day-to-day information people need if they care for you in your home. Each of your caregivers can refer to the plan as the single source of information about your health.

Developing a Care Plan

Everybody has a health history. Maybe you have a chronic (long-lasting) medical condition. Perhaps you take some prescription medicines on a regular basis. Or maybe you just take over-the-counter medicines for minor body aches every now and then. Whatever your situation, it’s important to record your health history. This is done with care plans.

Path to improved health

A care plan is a list of all items related to your health. This plan will cover everything from your medical conditions to your health insurance information, and more. It’s a way to keep track of all your medical information in one place.

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You can find blank care plan forms online or you can ask your doctor for one. No matter where you get your form, take it to your next doctor’s appointment and have your doctor help you complete it. Sometimes a close family member can help you complete part of it, too.

There are two basic types of care plans. Each one serves a different purpose so it’s important to complete both types.

Complete Care Plan

This type of care plan outlines your complete health history. It’s broken into several sections:

Your personal information. Include your name, address, and birth date.

Your medical conditions. Be sure to include all conditions you may have, such as asthma, diabetes, heart disease, etc. If you are taking medicine to keep a problem under control, it still needs to be listed (such as high blood pressure or cholesterol).

Your current medicines. Include the name and dosage information for any prescription or over-the-counter medicines you take.

Your doctor. Note your doctor’s name, their office address, and phone number. Be sure to include information for all the doctors and specialists you have.

Your health insurance information. Include the name of your insurance company and its phone number. Be sure to include information for all insurance policies you have, including Medicare and/or Medicaid.

Your hospital of choice. List the hospital you’d like to go to, if you had a choice. Include the hospital name and phone number.

Your caregiver information. If someone comes into your home to help you, note their information on the complete care plan. This includes people who provide services such as visiting nurses, home health aides, or therapists. For each caregiver, provide the person’s name, the name of the company they work for, and that company’s phone number.

Your advanced care planning information. This section includes any legal documents you have, such as a will or power of attorney. It’s best to attach these legal documents to the plan.

Your emergency contact. This is the person you’d want to be contacted if something happened to you and you were unable to contact them yourself. This may be a family member or a trusted friend. You may want to include more than one person as an emergency contact. For each person, include their name, their relationship to you, and their phone number.

Once your complete care plan is filled out, be sure to share it with your doctor. Also take it to your doctor’s appointments throughout the year. Ask your doctor to review it and let you know if anything needs to be updated. Take it with you if you go to the hospital for any reason. It may provide the doctors the information they need to treat you. Also share it with a trusted family member or friend in case they need to share it with a medical professional if you’re unable to do so yourself. It’s best if this family member or friend is also one of your emergency contacts.

Daily Care Plan

The information in a daily care plan is similar to that in the complete care plan. However, it’s not as detailed. A daily care plan will include:

Your medical conditions

Your current medicines

Your insurance information

Advanced care planning information

Your emergency contact

A daily care plan’s purpose is to provide the day-to-day information people need if they care for you in your home. Each of your caregivers can refer to the plan as the single source of information about your health. In order for the plan to be seen by all caregivers, post it in a central, easy-to-see location. Many people choose to post the plan on their refrigerator.

Things to consider

Once you’ve completed your care plans, be sure to review and update them as needed. Good times to update them include if you add a new medicine or stop taking a current one. Other times to update the plans include if you’re diagnosed with a new health condition, if you want to change your emergency contact, or if you update any advance planning information. At the very least, review your plans once a year.

Questions for your doctor

Who should I share my care plans with?

Why should I complete both care plans?

Will you help me update my plans?

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Too much of this stimulant, found in tea, coffee, colas and energy drinks, can upset sleep and make you feel wound-up as well as tired.

Why am I Tired all the Time?

Feeling exhausted is so common that it has its own acronym, TATT, which stands for “tired all the time”.

We all feel tired from time to time. The reasons are usually obvious and include:

too many late nights

long hours spent at work

a baby keeping you up at night

But tiredness or exhaustion that goes on for a long time is not normal. It can affect your ability to get on and enjoy your life.

Unexplained tiredness is one of the most common reasons for people to see their GP.

Why you might be tired all the time

Before you see a GP, you may want to work out how you became tired in the first place.

It can be helpful to think about:

parts of your life, such as work and family, that might be particularly tiring any events that may have triggered your tiredness, such as bereavement or a relationship break-up

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how your lifestyle may be making you tired?

A GP will look at the following causes of tiredness:

psychological causes

physical causes

lifestyle causes

Psychological causes of tiredness

Psychological causes of tiredness are much more common than physical causes.

Most psychological causes lead to poor sleep or insomnia, both of which cause daytime tiredness.

Psychological causes include:

Stress

The strains of daily life can worry most of us at some point. It’s also worth remembering that even positive events, such as moving house or getting married, can cause stress.

Emotional shock

A bereavement, redundancy or a relationship break-up can make you feel tired and exhausted.

Depression

If you feel sad, low and lacking in energy, and you also wake up tired, you may have depression.

Here’s how to tell if you might have depression. See your GP if you think you are depressed.

Anxiety

If you have constant uncontrollable feelings of anxiety, you may have what doctors call generalised anxiety disorder (GAD).

As well as feeling worried and irritable, people with GAD often feel tired. See a GP, as medication and talking therapies can help.

If you think your tiredness may be a result of low mood or anxiety, try this short audio guide to dealing with your sleep problems.

Physical causes of tiredness

There are several health conditions that can make you feel tired or exhausted.

These include:

anaemia

underactive thyroid

sleep apnoea

Tiredness can also be the result of:

pregnancy – particularly in the first 12 weeks being overweight or obese – your body has to work harder to do everyday activities being underweight – poor muscle strength can make you tire more easily cancer treatments, such as radiotherapy and chemotherapy carbon monoxide poisoning – especially if your gas boiler has not been serviced regularly

Lifestyle causes of tiredness

In today’s 24/7 “always on” world, we often try to cram too much into our daily lives.

And to try to stay on top of things, we sometimes consume too much alcohol or caffeine, or eat sugary and high-fat snacks on the go rather than sitting down for a proper meal.

The main lifestyle causes of tiredness include:

Alcohol

Drinking too much interferes with the quality of your sleep. Stick to the guidelines of no more than 14 units a week for both men and women.

Read more about how to cut down on alcohol.

Exercise

Too much or too little exercise can affect how tired you feel.

Caffeine

Too much of this stimulant, found in tea, coffee, colas and energy drinks, can upset sleep and make you feel wound-up as well as tired.

Try decaffeinated tea and coffee, or gradually cut out caffeine altogether.

Night shifts

Night workers often find they get tired more easily. This is more likely if the timing of the shifts keeps changing.

Daytime naps

If you’re tired, you may nap during the day, which can make it more difficult to get a good night’s sleep.

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5 steps to mental well-being

Evidence suggests there are 5 steps you can take to improve your mental health and wellbeing. Trying these things could help you feel more positive and able to get the most out of life.

1. Connect with other people

Good relationships are important for your mental wellbeing. They can:

help you to build a sense of belonging and self-worth

give you an opportunity to share positive experiences

provide emotional support and allow you to support others

There are lots of things you could try to help build stronger and closer relationships:

Do

if possible, take time each day to be with your family, for example, try arranging a fixed time to eat dinner together

arrange a day out with friends you have not seen for a while

try switching off the TV to talk or play a game with your children, friends or family

have lunch with a colleague

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visit a friend or family member who needs support or company volunteer at a local school, hospital or community group.

make the most of technology to stay in touch with friends and family. Video-chat apps like Skype and FaceTime are useful, especially if you live far apart search and download online community apps on the NHS apps library

Don’t

do not rely on technology or social media alone to build relationships. It’s easy to get into the habit of only ever texting, messaging or emailing people

2. Be physically active

Being active is not only great for your physical health and fitness. Evidence also shows it can also improve your mental wellbeing by:

raising your self-esteem

helping you to set goals or challenges and achieve them

causing chemical changes in your brain which can help to positively change your mood

Do

find free activities to help you get fit

if you have a disability or long-term health condition, find out about getting active with a disability

start running with our couch to 5k podcasts

find out how to start swimming, cycling or dancing

find out about getting started with exercise

Don’t

do not feel that you have to spend hours in a gym. It’s best to find activities you enjoy and make them a part of your life

3. Learn new skills

Research shows that learning new skills can also improve your mental wellbeing by:

boosting self-confidence and raising self-esteem

helping you to build a sense of purpose

helping you to connect with others

Even if you feel like you do not have enough time, or you may not need to learn new things, there are lots of different ways to bring learning into your life.

Some of the things you could try include:

Do

try learning to cook something new. Find out about healthy eating and cooking tips

try taking on a new responsibility at work, such as mentoring a junior staff member or improving your presentation skills

work on a DIY project, such as fixing a broken bike, garden gate or something bigger. There are lots of free video tutorials online

consider signing up for a course at a local college. You could try learning a new language or a practical skill such as plumbing

try new hobbies that challenge you, such as writing a blog, taking up a new sport or learning to paint

Don’t

do not feel you have to learn new qualifications or sit exams if this does not interest you. It’s best to find activities you enjoy and make them a part of your life

4. Give to others

Research suggests that acts of giving and kindness can help improve your mental wellbeing by:

creating positive feelings and a sense of reward

giving you a feeling of purpose and self-worth

helping you connect with other people

It could be small acts of kindness towards other people, or larger ones like volunteering in your local community.

Some examples of the things you could try include:

saying thank you to someone for something they have done for you

asking friends, family or colleagues how they are and really listening to their answer

spending time with friends or relatives who need support or company

offering to help someone you know with DIY or a work project

volunteering in your community, such as helping at a school, hospital or care home

5. Pay attention to the present moment (mindfulness)

Paying more attention to the present moment can improve your mental wellbeing. This includes your thoughts and feelings, your body and the world around you.

Some people call this awareness “mindfulness”. Mindfulness can help you enjoy life more and understand yourself better. It can positively change the way you feel about life and how you approach challenges.

Physical Activity Guidelines for Adults

Adults should do some type of physical activity every day. Any type of activity is good for you. The more you do the better.

Adults should:

aim to be physically active every day. Any activity is better than none, and more is better still do strengthening activities that work all the major muscles (legs, hips, back, abdomen, chest, shoulders and arms) on at least 2 days a week do at least 150 minutes of moderate intensity activity a week or 75 minutes of vigorous intensity activity a week

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reduce time spent sitting or lying down and break up long periods of not moving with some activity. You can also achieve your weekly activity target with:

several short sessions of very vigorous intensity activity a mix of moderate, vigorous and very vigorous intensity activity You can do your weekly target of physical activity on a single day or over 2 or more days. Whatever suits you.

These guidelines are also suitable for:

disabled adults pregnant women and new mothers Make sure the type and intensity of your activity is appropriate for your level of fitness. Vigorous activity is not recommended for previously inactive women.

What counts as moderate aerobic activity?

Moderate activity will raise your heart rate, and make you breathe faster and feel warmer. One way to tell if you’re working at a moderate intensity level is if you can still talk, but not sing.

Examples of moderate intensity activities:

brisk walking

water aerobics

riding a bike

dancing

doubles tennis

pushing a lawn mower

hiking

rollerblading

Try the aerobic workout videos in the NHS Fitness Studio.

What counts as vigorous activity?

Vigorous intensity activity makes you breathe hard and fast. If you’re working at this level, you will not be able to say more than a few words without pausing for breath.

In general, 75 minutes of vigorous intensity activity can give similar health benefits to 150 minutes of moderate intensity activity.

Most moderate activities can become vigorous if you increase your effort.

Examples of vigorous activities:

jogging or running

swimming fast

riding a bike fast or on hills

walking up the stairs

sports, like football, rugby, netball and hockey

skipping rope

aerobics

gymnastics

martial arts

Try the aerobic workout videos in the NHS Fitness Studio.

For a moderate to vigorous workout, try Couch to 5K, a 9-week running plan for beginners.

What counts as very vigorous activity?

Very vigorous activities are exercises performed in short bursts of maximum effort broken up with rest.

This type of exercise is also known as High Intensity Interval Training (HIIT).

Examples of very vigorous activities:

lifting heavy weights

circuit training

sprinting up hills

interval running

running up stairs

spinning classes

What activities strengthen muscles?

To get health benefits from strength exercises, you should do them to the point where you need a short rest before repeating the activity.

There are many ways you can strengthen your muscles, whether you’re at home or in a gym.

Examples of muscle-strengthening activities:

carrying heavy shopping bags

yoga

pilates

tai chi

lifting weights

working with resistance bands

doing exercises that use your own body weight, such as push-ups and sit-ups

heavy gardening, such as digging and shovelling

wheeling a wheelchair

lifting and carrying children

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Don’t always rush to big plans! Smaller do sometimes better

I know that like millions of others’ your wish is to lose weight and exercise more, forget the deprivation diet and marathon workouts. Research shows that taking small steps—not giant leaps—is the best way to get lasting results.