Limitations
I am a Morse Fall Risk of Low may require 1:1 for task completion, and usually confined to a wheelchair with profound physical or cognitive deficitsr
What is O- Total Assistance
Moderate assistance
What is NTC scale 3
RHIGH high level of routine
SMIN minimal to no sensory stimuli
What is NTC Scale 0- Total assistance
50/50
What is Mod assist
Asleep 4-6 hour checks
What is Minimal Assistance
Otherwise known as Within Functional Limits
What is NTC Scale 8- Independent
Supervision Assistance
What is NTC scale 6
RMOD-HIGH moderate to high level of routine
SMIN-MOD minimal to moderate sensory stimuli
What is NTC Scale 2
1- 24%
What is Min assist
SCI Awake: Checks and pressure relief every 30 min
SCI Asleep: Pressure relief every 3 hours
What is NTC Scale 2 Mod to max assist
Morse fall scale risk of Low, Insight is beginning to emerge, may be stubborn, inflexible or rigid, maybe challenged by new and stressful situations
What is NTC Scale 5- Minimal assist
Minimal to moderate assistance
What is NTC Scale 4
RMIN minimal level of routine
SMOD-HIGH moderate to high level of sensory stimuli
What is NTC scale 5
75-89%
What is Maximal Assistance
Within eyesight for specially designated higher risk activities such as ADLS and IADLs.
What is NTC Scale 4 Min to Mod assist
Burden of care remains high, 70% dependent on staff for safety, easily redirected may still be in PTA, Moderate limitation with walking or moving self around
What is NTC Scale 3- Moderate assistance
Moderate to Maximal Assistance
What is NTC scale 2
RMIN minimal level of routine
SHigh high level of sensory stimuli
What is NTC Scale 7
90-100%
What is Total Assistance
Awake:
Within Arm’s Reach
What is NTC Scale 1 Max Assist
Requires repetition to learn new routine, Dependent of others for all medical needs, no control of bolus/food, thickened liquids- at significant risk for aspiration, severe impulsivity, elopement risk and or agitation
Minimal Assistance
What is NTC Scale 5
Tolerates all environments without strategies
Automatic adjustment not a conscious effort (none of us)
What is NTC Scale 8
51-74%
What is Mod to max assist
Awake:
Within Eyesight
What is NTC Scale 0 Total Assist