General safety Current status Expected future level of independence Personal ADL Including impact of physical, cognitive or behavioural issues on independence client/worker’s Toileting Dressing Showering/bathing Grooming Other Who completed this task prior to the Domestic ADL Current status Expected future optimum level accident? Meal preparation Cleaning Laundry Other Community Activities/ Current status Expected future level of independence Access Recreation and leisure Driving and/or transportation in vehicle/cars Work and study issues 7. Goals of the proposed home modifications In nominating goals, consider the area of the home and what the recommended specifications for home modifications will achieve If the client has an Independence Plan, please align the goals of your proposed home modifications to the where feasible. client’s goal(s) Area of the Home Goal Functional Skill Example: Example: Gina will be able to shower independently and safely after bathroom Example: modifications Bathroom Mobility, general safety 8. Recommendations You should detail the existing home environment and provide clinical justification for any and all home modification client/worker’s recommendation(s). Recommended specifications for access must be consistent with Australian Standards 1428.1 unless specifically referenced as an ‘exception’.
General safety Personal ADL Current status Including impact of physical, cognitive or behavioural issues on client/worker’s independence Expected future level of independence Toileting Dressing Showering/bathing Grooming Other Domestic ADL Current status Expected future optimum level Who completed this task prior to the accident? Meal preparation Cleaning Laundry Other Community Activities/ Access Current status Expected future level of independence Recreation and leisure Driving and/or transportation in vehicle/cars Work and study issues 7. Goals of the proposed home modifications In nominating goals, consider the area of the home and what the recommended specifications for home modifications will achieve If the client has an Independence Plan, please align the goals of your proposed home modifications to the client’s goal(s) where feasible. Area of the Home Goal Functional Skill Example: Bathroom Example: Gina will be able to shower independently and safely after bathroom modifications Example: Mobility, general safety 8. Recommendations You should detail the client/worker’s existing home environment and provide clinical justification for any and all home modification recommendation(s). Recommended specifications for access must be consistent with Australian Standards 1428.1 unless specifically referenced as an ‘exception’.
Framework%20OT%20Home%20Modifications%20Assessment.docx