(NEW 7/1/07 ML #3088)
MEAL PREPARATION – Measure the individual’s ability to prepare hot and/or cold meals that are nutritionally able to sustain the individual or therapeutic, as necessary. Consider individual’s cognitive ability, such as ability to remember to prepare meals, individual’s ability to prepare foodstuffs, to open containers, to properly store and maintain foodstuffs, and to use kitchen appliances. Do not consider clean up. Do not include canning of produce or baking of such items as cookies, cakes, and bread.
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0: |
Able to prepare and cook meals or individual does not usually cook but is able to. |
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1: |
Needs some assistance from another person, i.e., individual is unable to prepare a meal but is able to reheat a prepared meal. |
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2: |
Unable to prepare or cook meals. |
HOUSEWORK – Measure the individual's ability, not the actual performance, to do routine housework. Routine housework does not include cleaning of basement, attic, windows, shampoo carpet, or moving furniture. Consider minimum hygienic conditions required for the individual's health and safety. Do not include laundry. Do not include refusal to do tasks if refusal is unrelated to the impairment.
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0: |
Completely able. |
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1: |
Able to do some but not all housework. |
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2: |
Unable to do any housework. |
LAUNDRY - Measure the individual's ability to do laundry. Consider the individual's cognitive ability to sort, carry, load and unload, fold and put away clothes. Consider the need to use coins for pay machines. Consider the individual's physical and cognitive ability to complete these tasks even if individual lives with others who do the laundry for the individual. Score 0 if the only problem is that laundry facilities are located outside the home.
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0: |
Completely able to do laundry. |
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1: |
Requires some human assistance (i.e., facility is in the basement and a family member carries the laundry up the basement stairs). |
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2: |
Unable to do any laundry. |
TAKING MEDICATION – Measure the individual’s ability to take medicine by oneself. Consider the ability to remember to take medicine, get the medicine from the place it is kept within the home, measure proper amounts, actually swallow the medicine, apply ointment; or give injections (including the filling of syringes). Score 0 for an individual who has no medication needs. Score according to individual's ability to perform the task even if commonly done by others. Score need for service monitoring of medications due to possibility of overdose as a 2. Do not consider obtaining of medication from pharmacy.
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0: |
Completely able to take medication, including giving injections. |
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1: |
Requires some human assistance. |
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2: |
Unable to take medication. |