Resident completes activity by themself with no assistance from the helper
Independent
The assistance of 2 or more helpers is required for the resident to complete the activity.
Dependent
The ability to use suitable utensils to bring food and/or liquid to the mouth and swallow food and/or liquid once the meal is placed before the resident.
Eating
The ability to get on and off a toilet or commode
Toilet transfer
The ability to move from sitting on side of bed to lying flat on the bed
Sit to lying
Helper sets up or cleans up; resident completes activity.
Set up or clean-up assistance
Resident did not preform this activity prior to the current illness, exacerbation or injury.
Not applicable
The ability to use suitable items to clean teeth. Dentures (if applicable): The ability to insert and remove dentures into and from the mouth, and manage denture soaking and rinsing with use of equipment.
Oral hygiene
The ability to dress and undress above the waist; including fasteners, if applicable.
Upper body dressing
The ability to move from lying on the back to sitting on the side of the bed and with no back support.
Lying to sitting on side of bed
Helper assists only prior to or following the activity
Set up or clean-up assistance
If the helper provides verbal cues or touching/steadying and/or contact gaud assistance. Assistance may be provided throughout or intermittently.
Supervision or touching assistance
The ability to maintain personal hygiene, including combing hair, shaving, applying makeup, washing/drying face and hands (excludes baths, showers, and oral hygiene).
Personal hygiene
The ability to dress and undress below the waist, including fasteners; does not include footwear.
Lower body dressing
The ability to roll from lying on back to left and right side, and return to lying on back on the bed.
Roll left and right
Helper does left than half the effort. Helper lifts, holds, or supports trunk or limbs but provides less than half the effort.
Partial/moderate assistance
If the resident chose not to complete the activity
Resident refused
The ability to bathe self, including washing, rinsing, and drying self (excludes washing of back and hair). Does not include transferring in/out of tub/shower.
Shower/bathe self
The ability to put on and take off socks and shoes or other footwear that is appropriate for safe mobility; including fasteners, if applicable.
Putting on/taking off footwear
The ability to transfer to and from a bed to a chair (or wheelchair)
Chair/bed-to-chair transfer
Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.
Dependent
Resident was not in the building or room at time activity was attempted
Resident not available
The ability to maintain perineal hygiene, adjust clothes before and after voiding or having a bowel movement. If managing an ostomy, include wiping the opening but not managing equipment.
Toileting hygiene
The ability to come to a standing position from sitting in a chair, wheelchair, or on the side of the bed.
Sit to stand
The ability to get in and out of a tub/shower.
Tub/shower transfer: