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Client Assessment Q's
Assessment Score
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ASSESSMENT
Senior is safe to be alone without supervision all day long.
Senior needs some contact during the day because they might be unsafe if left alone (1 or more falls the past year).
Senior requires frequent contact and possibly close supervision.
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Senior is able to move independently with a cane or walker. Would be able to safely evacuate during an emergency.
Senior requires occasional assistance to get around, may use cane, walker, or wheelchair may need assistance to evacuate during an emergency.
Senior is non-ambulatory and requires total assistance.
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Senior is able to purchase groceries, prepare meals and eat without assistance.
Senior is able to prepare simple meals and snacks but needs assistance shopping & preparing for main meals. Meals delivered.
Senior is unable to prepare meals or snacks and may need assistance eating.
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Senior exhibits normal mental function with occasional forgetfulness. Senior is able to identify their needs and meet them.
Senior exhibits occasional confusion & needs reminders & reorientation.
Senior requires constant orientation, assistance and reminders. Memory & judgment is severely impaired.
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Senior is independently able to make and receive calls & can hear & understand.
Senior can dial 911 or preprogramed numbers but may need assistance hearing or speaking.
Senior is unable to effectively use phone or communicate
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Senior can independently pay bills in a timely manner.
Senior is sometimes late paying bills, overdrawn, making questionable payments or needing help with checkbook.
Senior is dependent on others & a high risk for senior fraud.
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Senior is able to order and safely self-administer medications.
Senior may be able to self-administer but may need reminders or supervision to order or take medications.
Senior requires medication supervision to take medication.
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Senior is able to bathe, dress & groom independently.
Senior may require assistance with one or two personal activities.
Senior requires assistance with two or three of these personal activities.
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Senior is continent and maintains normal bathroom habits.
Senior exhibits occasional incontinency & needs reminders & assistance with proper supplies & aids.
Senior is often times incontinent & requires assistance.
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Senior is able to arrange medical appointments and visits as needed.
Senior needs assistance arranging & making visits or has health conditions that would benefit from a mobile physician.
Senior requires medical care or supervision on a regular basis.
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