Mobility Independently mobile. Not able to consistently weight bear. Completely unable to weight bear and is unable to assist or cooperate with transfers OR OR and/or repositioning. Able to weight bear but needs some Completely unable to weight bear but is able OR assistance and/or requires mobility to assist or cooperate with transfers and/or equipment for daily living. repositioning. Due to risk of physical harm or loss of muscle tone or pain on movement needs careful OR positioning and is unable to cooperate. In one position (bed or chair) for majority of OR the time but is able to cooperate and assist carers or care workers. At a high risk of falls (as evidenced in a falls history and risk assessment). OR OR At moderate risk of falls (as evidenced in a falls history or risk assessment) Involuntary spasms or contractures placing the individual or others at risk. description Write A, B or C of need and below: source of evidence to support the chosen level Name of individual Date of completion C B A
Mobility Independently mobile. OR Able to weight bear but needs some assistance and/or requires mobility equipment for daily living. Not able to consistently weight bear. OR Completely unable to weight bear but is able to assist or cooperate with transfers and/or repositioning. OR In one position (bed or chair) for majority of the time but is able to cooperate and assist carers or care workers. OR At moderate risk of falls (as evidenced in a falls history or risk assessment) Completely unable to weight bear and is unable to assist or cooperate with transfers and/or repositioning. OR Due to risk of physical harm or loss of muscle tone or pain on movement needs careful positioning and is unable to cooperate. OR At a high risk of falls (as evidenced in a falls history and risk assessment). OR Involuntary spasms or contractures placing the individual or others at risk. description of need and source of evidence to support the chosen level Write A, B or C below: Name of individual Date of completion C B A