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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"準備②","援助内容","実施者"]
["入浴希望"]
["バイタル",null,null,null,null,null,null,null,null,null,"　",null,null,null,"バイタル測定",null,null,null,"備考："]
[null,"医師から指示",null,null,null,"＊下記禁忌事項へ　",null,"内服",null,null,null,"→薬情報別紙参照",null,null,"体調確認",null,null,null,"備考："]
["皮膚状態","麻痺",null,null,null,"箇所：　　",null,"拘縮",null,null,null,"箇所：　　",null,null,"お湯張り",null,null,null,"備考："]
[null,"じょくそう",null,null,null,"箇所：　　",null,"やけど・打撲等",null,null,null,"箇所：　　",null,null,"補聴器等",null,null,null,"備考："]
["注意情報","疾患",null,null,null,"内容：　　　　　　　　　　　　　　　　　　　　　　　　 　　",null,null,null,null,null,null,null,null,"皮膚保護等",null,null,null,"備考："]
[null,"禁忌事項",null,null,null,"内容：　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　 　　",null,null,null,null,null,null,null,null,"その他",null,null,null,"備考："]
[]
["居室～","移動時に場段差　　",null,null,null,"箇所：",null,"手すり等",null,"改善の必要性",null,null,null,null,"移動介助",null,null,null,null,"→"]
[null,"移動時に場段差　　",null,null,null,"箇所：",null,"手すり等",null,"改善の必要性",null,null,null,null,"移動介助",null,null,null,null,"→"]
["脱衣場","着脱場に段差",null,null,null,"箇所：",null,"手すり等",null,"改善の必要性",null,null,null,null,"着脱介助",null,null,null,null,"→"]
[null,"脱衣場広さ",null,null,null,"内容：　　　　　　　　　　　　　 　　　",null,null,null,"改善の必要性",null,null,null,null,"備考："]
[null,"脱衣場福祉用具",null,null,null,"内容：　　　　　　　　　　　　 　　　",null,null,null,"改善の必要性",null,null,null,null,"移動介助（浴室）",null,null,null,"　　　　　 　　【　　　　　　　　　　　　　　　】","→"]
[null,"浴室まで段差等",null,null,null,"箇所：",null,"手すり等",null,"改善の必要性",null,null,null,null,"備考："]
["浴室内","洗い場",null,null,null,"（","）","手すり等",null,"改善の必要性",null,null,null,null,"移動介助（洗い場）",null,null,null,null,"→"]
[null,"洗い場段差等",null,null,null,null,null,"手すり等",null,"改善の必要性",null,null,null,null,"備考："]
[null,"洗い場：福祉用具",null,null,null,"内容：　　　　　　　　　　　 　　　",null,null,null,"改善の必要性",null,null,null,null,"洗身介助",null,null,null,null,"→"]
[null,"浴槽段差",null,null,null,null,"cm","手すり等",null,"改善の必要性",null,null,null,null,"移動介助（浴槽）",null,null,null,null,"→"]
[null,"浴槽：福祉用具",null,null,null,"内容：　　　　　　　　 　　　",null,null,null,"改善の必要性",null,null,null,null,"入浴時間配慮",null,null,null,"　　 　　　　　【　　　　　　　　　　　　　　　】","→"]
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[null,"問題行動等が",null,null,null,null,null,"備考：",null,null,null,null,null,null,"対応準備",null,null,null,null,"："]