assessments – Page 3

Barthel Index (Modified 20 Point Version)

February 18, 2021June 7, 2019

1. Bowels Incontinent Occasional accident (1x/wk) Continent 2. Bladder Incontinent Occasional accident (1x/wk) Continent 3. Grooming Needs help with personal care Independent (face, hair, teeth, shaving) 4. Toilet Use Dependent Needs some help Independent 5. Feeding Unable Needs help, e.g. cutting Independent 6. Transfer (bed to chair and back) Unable, no sitting balance Major help … Read more

Brief Interview for Mental Status (BIMS)

February 18, 2021June 7, 2019

Number of words repeated after first attempt: None One word Two words All Three words Able to report correct year: Missed by more than 5 years (or no answer) Missed by 2-5 years Missed by 1 year Correct response Able to report correct month: Missed by more than 1 month (or no answer) Missed by … Read more

AM-PAC 6 Clicks for ADLs

May 28, 2021June 7, 2019

1. Putting on and taking off regular lower body clothing? Unable A lot A little No assistance 2. Bathing (including washing, rinsing, drying)? Unable A lot A little No assistance 3. Toileting, which includes using toilet, bedpan, or urinal? Unable A lot A little No assistance 4. Putting on and taking off regular upper body … Read more

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