big band intervention - goals on care plan for individual ......big band musical intervention blank...

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Resident: Goal -- Resident will show participation by: Goal met? Date: 1. A. Singing B. Playing Instrument C. Other 2. A. Singing B. Playing Instrument C. Other 3. A. Singing B. Playing Instrument C. Other 4. A. Singing B. Playing Instrument C. Other 5. A. Singing B. Playing Instrument C. Other BIG BAND MUSICAL INTERVENTION Blank Sample Form Goals on care plan for individual residents

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Resident: Goal -- Resident will show participation by: Goal met? Date: 1.

A. Singing

B. Playing Instrument

C. Other

2.

A. Singing

B. Playing Instrument

C. Other

3.

A. Singing

B. Playing Instrument

C. Other

4.

A. Singing

B. Playing Instrument

C. Other

5.

A. Singing

B. Playing Instrument

C. Other

BIG BAND MUSICAL INTERVENTION Blank Sample Form

Goals on care plan for individual residents

6.

A. Singing

B. Playing Instrument

C. Other

7.

A. Singing

B. Playing Instrument

C. Other

8.

A. Singing

B. Playing Instrument

C. Other

9.

A. Singing

B. Playing Instrument

C. Other

10.

A. Singing

B. Playing Instrument

C. Other

11.

A. Singing

B. Playing Instrument

C. Other

12.

A. Singing

B. Playing Instrument

C. Other

Other Comments:

Signature: Date: