Care plan

David’s care plan

What someone stepping in would need to know, written down from Margaret’s own answers and approved by her, line by line.

  • Confirmed28 of 28 facts confirmedEvery fact approved by Margaret.
  • Latest versionVersion 4Reviewed July 28. Older versions are kept, never deleted.
  • Shared with4 peopleEach one sees only the part they need.

About David

Identity, preferences, strengths, and the life he wants to keep living.

  • David Hale is 44 and lives in the family home in Richmond, Virginia.
  • He is autistic and needs intermittent support with transitions, medication, transportation, and unfamiliar decisions.
  • He loves train videos, sorting his postcard collection, grilled-cheese lunches, and quiet drives by the river.
  • Speak to David directly, offer two concrete choices, and allow at least 20 seconds for a response.

Confirmed by Margaret Hale

Every area, confirmed

Relay builds the plan one area at a time, one question at a time. With About David above, that is seven areas and 28 facts. Open an area to read what Margaret approved.

  • Daily rhythmA complete weekday and weekend routine, including what must stay in order.4 of 4 confirmedShow the factsHide the facts
    • Wake at 7:30 AM; breakfast comes before dressing. Reversing the order often causes refusal.
    • Bright Path Center pickup is 9:15 AM on Monday, Wednesday, and Friday; backpack and headphones wait by the door.
    • Dinner is at 6:00 PM, followed by one hour of train videos. Evening medication is at 8:00 PM and bedtime at 9:30 PM.
    • On weekends, keep the same wake and medication times. A river drive after lunch is his preferred outing.

    Confirmed by Margaret Hale

  • Communication & comfortHow David communicates pain, refusal, distress, joy, and consent.4 of 4 confirmedShow the factsHide the facts
    • David uses short phrases and may repeat the last option when a question has too many choices.
    • Pain signal: he goes quiet and presses his right palm against his jaw. Ask, “Does your mouth hurt?” and show the pain card.
    • Refusal: he turns his shoulder away and says “later.” Pause for ten minutes; do not repeat the demand rapidly.
    • Distress improves with lowered lights, one familiar person, his blue headphones, and a written first/then card.

    Confirmed by Margaret Hale

  • Health & medicationMedication, allergies, clinicians, pharmacy, and health signals that need action.4 of 4 confirmedShow the factsHide the facts
    • Levetiracetam (Keppra) 500 mg twice daily for seizure prevention: crushed into applesauce at breakfast and 8:00 PM.
    • Vitamin D3 1,000 IU each morning with food. No known medication allergies; penicillin caused a rash in childhood and remains flagged.
    • Neurology: Dr. Priya Shah, Riverbend Neurology, (804) 555-0188. Next visit October 14, 2026 at 10:30 AM.
    • Call the neurology nurse for a missed Keppra dose or any seizure. Call emergency services for a seizure lasting over five minutes.

    Confirmed by Margaret Hale

  • Behavior & safetyKnown triggers, prevention, calming strategies, and clear emergency thresholds.4 of 4 confirmedShow the factsHide the facts
    • Primary triggers are an unexpected schedule change, overlapping voices, bright waiting rooms, and being rushed while eating.
    • Prevent escalation by previewing changes with the kitchen calendar and offering headphones before entering a crowded place.
    • If David paces and hums, reduce language and give him space near the living-room window. Sarah or Tom may stay nearby quietly.
    • David has never wandered. Exterior doors stay unlocked while he is home; the kitchen smoke alarm and medication lockbox were checked July 1.

    Confirmed by Margaret Hale

  • Services & communityProviders, transportation, programs, and the people responsible for each handoff.4 of 4 confirmedShow the factsHide the facts
    • Bright Path Center provides day support three days each week. Coordinator Lisa Moreno receives schedule changes.
    • CareRide Virginia provides waiver transportation; standing pickup ID CRV-20418 is synthetic and stored with the plan.
    • Sarah coordinates temporary in-home support. Tom can open the home but is not authorized to make health or financial decisions.
    • David prefers the quiet room at Bright Path and carries a laminated communication card in his backpack.

    Confirmed by Margaret Hale

  • Benefits, legal & financesCoverage, renewals, decision support, key documents, and known legal gaps.4 of 4 confirmedShow the factsHide the facts
    • SSI and Virginia Medicaid HCBS waiver are active. Annual waiver recertification is due September 30, 2026.
    • Margaret is representative payee. Sarah is the named backup contact but no payee transfer has been initiated.
    • Supported decision-making agreement, health summary, insurance cards, and benefits letters are in the green binder in the hall cabinet.
    • No guardianship order is on file. If Margaret cannot resume care, the case manager will initiate legal-services review with David present.

    Confirmed by Margaret Hale

Add to the plan

Answer in your own words. Relay suggests how to write it down, and nothing is saved without your say-so.

Synic Relay asks

What should someone know about David's weekends that isn't written down yet?

Versions

Every change makes a new version. Nothing is ever deleted.

  • July 28

    Version 4

    Margaret reviewed every area and confirmed all 28 facts.

  • June 30

    Version 3

    Benefits renewal added; Lisa named as its owner.

  • June 2

    Version 2

    Rachel added as the planned overnight backup.

  • May 12

    Version 1

    The first plan, written from Margaret's own answers.