INDIVIDUÁLNY PLÁN - zostavil -- Mgr. Alexander Tej
INDIVIDUÁLNY PLÁN
Meno pri ezvi sko:
.....................................................................
Dátum narodeni a
:
...................................................................
Trvalý pobyt : ......................................................................
Zači atok
poskytovani a soci álnej služby v zari adení ..........................
Kľúčový pracovník :
............................................................
Rodinná anamnéza :
Manžel/ka.................................................................
Otec
...........................................................
Matka
...........................................................
Súrodenci
...................................................
Deti ....................................................
Vnučatá
....................................................
Zdravotná anamnéza :
Diagnóza .......................................................
Lieky ..........................................................
Alergi e
.......................................................
Iné
...............................................................
Soci álna
anamnéza :
Rodi nné
pomery, úplná ............................................................
Rozvedený/na ..........................................................................
Slobodný/ na.........................................................................
Zamestnanie .................................................................
Vzdelanie .............................................................................
Teta , Ujo ,
.................................................................................
Iné
...........................................................................................
Vdovec /
va,..........................................................................
Reali záci a i ndi vi duálneho
plánu:
Proces Adaptáci e :
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Plánovani e
:
Január––––––––––––––––––––––––––––––––––––––––––––
Február–––––––––––––––––––––––––––––––––––––––––––
Marec–––––––––––––––––––––––––––––––––––––––––––––
Apríl-–––––––––––––––––––––––––––––––––––––––––––––
Máj-––––––––––––––––––––––––––––––––––––––––––––––
Jún -––––––––––––––––––––––––––––––––––––––––––––––
Júl-–––––––––––––––––––––––––––––––––––––––––––––––
September-–––––––––––––––––––––––––––––––––––––––––
Október–––––––––––––––––––––––––––––––––––––––––––
November-–––––––––––––––––––––––––––––––––––––––––
December––––––––––––––––––––––––––––––––––––––––––
Ci eľ:
––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––
VYHODNOTIENE PLÁNU :
za prvý polrok
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VYHODNOTIENE PLÁNU :
za druhý polrok
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Podpi s
pracovníka ...........................................................................