MP notes. MP notes, diagnoses Table 4.5b: R-ACFI ADL rating (Personal Hygiene, Toileting) 0 1 2 Requirements Standard Care Moderate assistance Full assistance Personal Hygiene Independent (with or without aids). Always providing physical assistance, on a Always providing physical assistance, by one-to-one basis, for at least part of the at least two staff, throughout the entire Standing by for occasional or episodic Toileting activity, whenever the activity is needed. activity, whenever the activity is needed. assistance. Setting up activities: Dressing e.g. choosing and laying out clothes Washing e.g. up toiletries within reach, turning on or adjusting taps Use of Toilet e.g. setting up toilet aids or handing the resident the bedpan or urinal, or placing ostomy articles in reach Toilet Completion: e.g. emptying drainage bags, urinals, bed pans or commode bowl. Verbal assistance, prompting, cuing. Supporting Not required for standard care. Supporting Evidence R-ACFI Q3-4: Supporting Evidence: PMS/FRAT items, Evidence NSAF, MP/AHP notes - as directed by AHP PMS/FRAT items, NSAF, MP/AHP notes. or MP. Moderate cognitive impairment, requires Severe cognitive impairment e.g. does staff to initiate the activity. not participate in the activity. Evidence: Cognition Assessment (SMMSE), Evidence: COGNITION Assessment clinical report, NSAF, MP notes. (SMMSE), clinical report, NSAF, MP notes, Sensory Impairment: Evidence- NSAF, MP
MP notes. MP notes, diagnoses Table 4.5b: R-ACFI ADL rating (Personal Hygiene, Toileting) Requirements 0 Standard Care 1 Moderate assistance 2 Full assistance Personal Hygiene Toileting Independent (with or without aids). Standing by for occasional or episodic assistance. Setting up activities: Dressing e.g. choosing and laying out clothes Washing e.g. up toiletries within reach, turning on or adjusting taps Use of Toilet e.g. setting up toilet aids or handing the resident the bedpan or urinal, or placing ostomy articles in reach Toilet Completion: e.g. emptying drainage bags, urinals, bed pans or commode bowl. Verbal assistance, prompting, cuing. Always providing physical assistance, on a one-to-one basis, for at least part of the activity, whenever the activity is needed. Always providing physical assistance, by at least two staff, throughout the entire activity, whenever the activity is needed. Supporting Evidence Not required for standard care. Supporting Evidence R-ACFI Q3-4: PMS/FRAT items, NSAF, MP/AHP notes. Moderate cognitive impairment, requires staff to initiate the activity. Evidence: Cognition Assessment (SMMSE), clinical report, NSAF, MP notes. Sensory Impairment: Evidence- NSAF, MP Supporting Evidence: PMS/FRAT items, NSAF, MP/AHP notes - as directed by AHP or MP. Severe cognitive impairment e.g. does not participate in the activity. Evidence: COGNITION Assessment (SMMSE), clinical report, NSAF, MP notes,