Example: Falls Risk Falls 2 or more times in past month, with injury, home is unsafe. Home unsafe. Fall without injury, or no Thriving an evaluator for fall in past 3 months. Scale appropriate use. Home is safe. Fall within three to five () months, no injury. Fall risk factors exist. No in past 6 months, home is safe, no fall risk factors. No falls in past 12 months, gait stable, active, safe home. (continued) Evaluation Instrument Details (continued) Instrument How and citation many Domain links Sample item(s) Instructions, scoring Permissions How in the past six months, have you: Credit the developers Administration Risk by using the complete Blamed (care recipient) for having p. 65-66 instructions are assessment/ 8 citation. No other created difficulties? included on the () Safety permissions are Used a tone of voice with (care instrument. required. recipient)? Permission has been Observed or reported conditions during a obtained for ADSSP, Live Alone home visit: Scoring instructions are Risk ADI-SSS and ADPI Assessment assessment/ 29 included on the Wandering outside the home. grantees. Safety instrument. () Inability to take medications correctly. Other users contact Dirty/infested household. the . Credit the developers Living Administration Do you keep materials present to Risk by using the complete instructions are occupy CR or that provide comfort or assessment/ 14 citation. No other - included on the meaning (e.g. games, sorting tasks, Safety permissions are Positive instrument. magazines, photos, stuffed animals)? required. Aspects and
Thriving Scale () Example: Falls Risk Falls 2 or more times in past month, with injury, home is unsafe. Home unsafe. Fall without injury, or no fall in past 3 months. Home is safe. Fall within three to five months, no injury. Fall risk factors exist. No in past 6 months, home is safe, no fall risk factors. No falls in past 12 months, gait stable, active, safe home. an evaluator for appropriate use. (continued) Evaluation Instrument Details (continued) Domain Instrument and citation links How many Sample item(s) Instructions, scoring Permissions Risk assessment/ Safety p. 65-66 () 8 How in the past six months, have you: Blamed (care recipient) for having created difficulties? Used a tone of voice with (care recipient)? Administration instructions are included on the instrument. Credit the developers by using the complete citation. No other permissions are required. Risk assessment/ Safety Live Alone Assessment () 29 Observed or reported conditions during a home visit: Wandering outside the home. Inability to take medications correctly. Dirty/infested household. Scoring instructions are included on the instrument. Permission has been obtained for ADSSP, ADI-SSS and ADPI grantees. Other users contact the . Risk assessment/ Safety Living - Positive Aspects and 14 Do you keep materials present to occupy CR or that provide comfort or meaning (e.g. games, sorting tasks, magazines, photos, stuffed animals)? Administration instructions are included on the instrument. Credit the developers by using the complete citation. No other permissions are required.
2018EvalInstrumentsResourceListfinal508.docx