Client: Margaret Thompson  ·  Worker: Sarah Mitchell
Date: Wednesday, March 5, 2026  ·  Time: 8:00 AM – 12:00 PM

Care Provided:
Client was fatigued upon arrival. Assisted with full personal hygiene routine including shower and dressing. Client required standard mobility support throughout. Morning medication (Metoprolol 25mg) administered at 9:00 AM — client compliant with no adverse reaction noted. Meal preparation completed: scrambled eggs served and eaten in full.

Client Condition:
Client's mood improved markedly following breakfast. Engaged in positive conversation. No distress, falls, or safety concerns observed. Transferred safely to living room chair at end of visit.

Outcome: Visit completed as planned. No concerns to escalate. Client in stable condition at end of visit.

Report ID: INC-2026-0305-001  ·  Status: Pending Review
Worker: Sarah Mitchell  ·  Client: Margaret Thompson
Date/Time: Wednesday, March 5, 2026 at 9:00 AM
Location: 42 Maple Drive, Paradise, NL

Incident Summary:
Client presented with confusion regarding medication administration. Client verbally insisted she had already taken her morning Metoprolol 25mg; however, the pill was found intact in the blister pack. Worker calmly redirected the client and administered the medication with water at approximately 9:00 AM. Client accepted medication without further resistance and returned to baseline mood within approximately five minutes.

Action Taken: Medication administered as scheduled. Behaviour noted and documented.

Recommendation: Admin to review and consider updating client care notes regarding potential confusion episodes. No emergency intervention was required.