5 Maximal assistance—Weight-bearing support (including lifting Will assistance be required- episodic, not limbs) by 2+ helpers—OR—Weight-bearing support for more than episodic, no, yes/unable to determine 50 per cent of subtasks For items: 6 Total dependence—Full performance by others during all Episodes Dressing Eating 8 Activity did not occur during entire period Transfers Toilet use Independent, Needs some help, dependent If difficulty, who assists? Will assistance be required? ADL (cont.) ACFI 1-4 Page 50 CA: Physical Domain – Function Based on evidence from a The scales in Items G1 are used to record the person’s actual level Eating contemporaneous assessment of involvement in self-care and the type and amount of support Transfers completed in last 6 months (of the received during the last 3 days. Walking required needs) Bath or shower DO Engage direct care staff from all shifts who have cared for the Must reflect current needs Dressing resident over the last 3 days in discussions regarding the resident’s Restricted to specified activities Toilet use ADL functional performance. Remind staff that the focus is on the Reflects usual care needs last 3 days only. Independent, Needs some help, dependent To clarify your own understanding and observations about each ADL Without help, with some help, completely activity (bed mobility, locomotion, transfer, etc.) ask probing unable. questions, beginning with the general and proceeding to the more specific. DO NOT record your assessment of the resident’s capacity for involvement in self-care — that is, what you believe the resident might be able to do for himself or herself based on demonstrated skills or physical attributes. Functional No items titled function. Section G: Functional Status In last 3 days CA: Physical Domain – Function Can the client walk? ACFI 2 Transfers and Locomotion is P52: Ask the person and direct care staff about the person’s Transfers similar to InterRAI item G2. movement in the unit and outdoors during the last 3 days. Record the farthest distance travelled without a prolonged stop. Requires contemporaneous assessment in last 6 months (note 2. Locomotion/Walking
5 Maximal assistance—Weight-bearing support (including lifting limbs) by 2+ helpers—OR—Weight-bearing support for more than 50 per cent of subtasks 6 Total dependence—Full performance by others during all Episodes 8 Activity did not occur during entire period Will assistance be required- episodic, not episodic, no, yes/unable to determine For items: Dressing Eating Transfers Toilet use Independent, Needs some help, dependent If difficulty, who assists? Will assistance be required? ADL (cont.) ACFI 1-4 Based on evidence from a contemporaneous assessment completed in last 6 months (of the required needs) Must reflect current needs Restricted to specified activities Reflects usual care needs Page 50 The scales in Items G1 are used to record the person’s actual level of involvement in self-care and the type and amount of support received during the last 3 days. DO Engage direct care staff from all shifts who have cared for the resident over the last 3 days in discussions regarding the resident’s ADL functional performance. Remind staff that the focus is on the last 3 days only. To clarify your own understanding and observations about each ADL activity (bed mobility, locomotion, transfer, etc.) ask probing questions, beginning with the general and proceeding to the more specific. DO NOT record your assessment of the resident’s capacity for involvement in self-care — that is, what you believe the resident might be able to do for himself or herself based on demonstrated skills or physical attributes. CA: Physical Domain – Function Eating Transfers Walking Bath or shower Dressing Toilet use Independent, Needs some help, dependent Without help, with some help, completely unable. Functional No items titled function. ACFI 2 Transfers and Locomotion is similar to InterRAI item G2. Requires contemporaneous assessment in last 6 months (note Section G: Functional Status In last 3 days P52: Ask the person and direct care staff about the person’s movement in the unit and outdoors during the last 3 days. Record the farthest distance travelled without a prolonged stop. 2. Locomotion/Walking CA: Physical Domain – Function Can the client walk? Transfers
acfi_review_report_part_3_appendices.docx