4 M's/DICE
ACL Stages
Key skills
Cognitive Disabilities Model
Misc.
100

D_______

What is describe? (situation & context)

100

-Moves against gravity 

-Follows one-step direction in context with cues 

What are postural actions? Level 2

100

"put your arm through the sleeve"

What is direct verbal cue?

100

Can do, Will do, May do

What is best ability to function?
100

- A state of confusion

What is delirium?

200

I_________

What is Investigate? (why & how)

200

-Manipulate objects

-Enjoy familiar tasks

-Use phrases to communicate

What are manual actions? Level 3

200

Touching the clients hand when giving facilitating social engagement

What is a tactile cue?

200

Realistic abilities

What is Can do?
200

Hold and manipulate information as needed for function

What is working memory?
300

E_______

What is evaluate? 

300

-reflexes and minimal response to stimuli

-vocalization and facial expressions

What are automatic actions? Level 1

300

-Use of familiar materials and over-learned activities 

What is use of procedural memories

300

Externally influenced

What is May do?

300

Abilities to process through a series of steps to complete a task

What is sequencing?
400

C______

What is create? (plan/prevent/respond)

400

-Goal-directed activities

-Sequence self through familiar activity

What are primary remaining abilities? Level 4 

400

Guiding client to the bathroom and turning on the shower? 

What are contextual cues?

400

Personally influenced

What is Will do?

400

-identify remaining abilities

-see person within 

-modify

What is the Abilities Care Approach?
500

Fill in the gaps: M_____, Me____, Me_____, M_____

What Matters, Medication, Mentation, Mobility?

500

-Slow progression

-Slow decline in cognitive function 

-Difficulty remembering new information

What is Alzheimer's Disease?

500

-approaching from front

-avoiding pronouns and open ended questions

-multi-sensory cues 

What are adapted communication techniques? 

500

Cognitive abilities individuals use to perform everyday tasks

What is functional cognition?

500

-Sundowning, agitation, vocalization, shadowing, resistance to care, exit-seeking

What are Neuropsychiatric Behaviors?