Client Factors
Impacted
Performance Skills Impacted
Occupations Impacted
Performance Patterns Impacted
100

Cardiovascular and Respiratory (Additional Functions)

physical endurance, aerobic capacity, stamina, fatigability

100

Applying knowledge

(medication) chooses, handles, inquires 

100

Social participation 

community participation, friendships, peer group participation (clubs/volunteering)

100

Habits

does not set an alarm for work and school, diminished studying and homework
200

Global Mental Functions

consciousness, orientation, psychosocial, temperament and personality, energy, and sleep

200

Initiating and terminating social interaction skills

Approaches/starts, concludes/disengages 

200

IADLs

communication management, driving and community mobility, financial management, safety and emergency maintenance 

200

Roles

employee, student, volunteer

300

Specific Mental Functions

attention, emotional, thought, sequencing functions

300

Shaping content of social interactions

discloses, expresses emotions, disagrees 

300

ADLs

bathing, dressing, eating, functional mobility, personal hygiene, grooming, sexual activity 

300

Routines

Does not follow morning sequence of self care/hygiene, misses classes and shifts