This record is for the information people are asked to repeat again and again — often when they are tired, stressed, worried, or trying to support someone else. Complete it once, update it when things change, and use it as the foundation for every future WardWise tool.
How to use this record
Complete what you know. Leave blank what you do not know. Update medications, allergies, diagnoses, contacts, and professional details whenever they change. Download, print, or share the completed record when it would help a professional understand the person more quickly.
Patient identity
Contact and support details
Primary care and professional contacts
Examples: community nurse, social worker, care coordinator, physiotherapist, mental health team, pharmacist, care agency.
Medical background
Include major diagnoses, operations, admissions, important investigations, mental health history, frailty, falls, cardiac/respiratory/neurological issues, diabetes, kidney disease, etc.
Usual mobility, speech, memory, personality, appetite, sleep, pain level, breathing, independence, confusion risk, continence, support needs.
Medication and allergies
Name, dose, timing, reason if known, recent changes, stopped medications, over-the-counter medicines, supplements.
Write the allergy and what happens. Example: “penicillin — rash and swelling” not just “penicillin.”
Side effects, missed doses, changes after discharge, confusion about instructions, anticoagulants, insulin, opioids, sedatives, steroids, or other high-risk medicines.
Communication, access, and practical needs
Hearing, sight, language, cognition, anxiety, autism, dementia, speech, literacy, need for advocate, interpreter, or written explanations.
Walking aids, transfers, falls risk, personal care, eating/drinking, continence, swallowing, pressure area risk, care package, living alone.
Important preferences and decisions
What matters to the person, fears, trauma triggers, religious/cultural needs, privacy needs, what helps them stay calm.
Power of attorney, advance decision, best interests process, capacity concerns, preferred decision supporter. Do not guess — write only what is known.
Emergency and urgent context
Use emergency services first if needed. If there is immediate danger, severe deterioration, breathing difficulty, collapse, stroke symptoms, chest pain, uncontrolled bleeding, or serious concern, use emergency services first. UK: 999. USA/Canada: 911. Europe: 112. Elsewhere: use your local emergency number.
Risks, allergies, medications, anticoagulants, diabetes/insulin, seizure history, implanted devices, recent surgery, infection risk, communication needs.
WardWise principle: Repeating essential information under pressure is one of the easiest ways for details to be missed. This record exists so the core facts travel with the person — clearly, calmly, and in one place.