Pain/Sensitivity (sharp/dull) Body Position Awareness Taste/Smell Impairment Evidence of Hypersensitivity To Sensory Stimuli Evidence of Hyporesponsiveness To Sensory Stimuli Other Physical Bowl Bladder Regulate Appetite/Thirst Respiratory Complications Yawning Overall Level of Concern for this students MOTOR/SENSORY PHYSICAL IX. EXECUTIVE FUNCTIONS Pre TBI Current Rating Level Source Functioning Functioning of Concern Domain/Description and (A) - Assessed Observed/Reported Behavior (DK) - Don't Know (DK) - Don't Know (0) - Little or none (O) - Observed Examples (RN) - Reported Normal (RN) - Reported Normal (1) - Mild (RO) - Report Others (ON) - Observed Normal (ON) - Observed Normal (2) - Moderate (MR) - Medical Report (AN) - Assessed Normal (AN) - Assessed Normal (3) - High Goal Setting
Pain/Sensitivity (sharp/dull) Body Position Awareness Taste/Smell Impairment Evidence of Hypersensitivity To Sensory Stimuli Evidence of Hyporesponsiveness To Sensory Stimuli Other Physical Bowl Bladder Regulate Appetite/Thirst Respiratory Complications Yawning Overall Level of Concern for this students MOTOR/SENSORY PHYSICAL IX. EXECUTIVE FUNCTIONS Domain/Description and Examples Observed/Reported Behavior Source (A) - Assessed (O) - Observed (RO) - Report Others (MR) - Medical Report Pre TBI Functioning (DK) - Don't Know (RN) - Reported Normal (ON) - Observed Normal (AN) - Assessed Normal Current Functioning (DK) - Don't Know (RN) - Reported Normal (ON) - Observed Normal (AN) - Assessed Normal Rating Level of Concern (0) - Little or none (1) - Mild (2) - Moderate (3) - High Goal Setting
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