Functional Outcomes

Question 1

06 Independent

Answer 1

Patient/resident safely completes the activity by him/herself with no assistance from a helper

Question 2

05 Setup or clean up assistance

Answer 2

Helper sets up or cleans up; patient/resident completes activity. Helper assists only prior to or following activity

Question 3

04 Supervision or touching assistance

Answer 3

Helper provides verbal cues and/or touching/steadying and /or contact guard assistance as patient /resident completes activity. Assistance may be provided throughout the activity or intermittently.

Question 4

03 partial/moderate assistance

Answer 4

Helper does less than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

Question 5

02 substantial/maximal assistance

Answer 5

Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

Question 6

01 Dependent

Answer 6

Helper does ALL of the effort. Patient/resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient/resident to complete the activity.

Question 7

09 Not applicable

Answer 7

Not attempted and the patient/resident did not perform this activity prior to the current illness, exacerbation or injury

Question 8

10 Not attempted due to environmental limitations

Answer 8

(e.g., lack of equipment, weather constraints)