Tuesday, March 13, 2012

LOWER BODY DRESSING

Whether you call them trousers, pants, or slacks they can sometimes be hard to get on, especially if the person is donning a foley catheter. Follow the numbers down to one and see where your patients 'fits in.'


                                        DRESSING 


LOWER BODY: Dressing – Lower Body includes dressing and undressing from the waist down, as well as applying and removing a prosthesis or orthosis when applicable. The patient performs this activity safely.

NO HELPER

7 Complete Independence—The patient dresses and undresses safely. This includes obtaining clothes from their customary places (such as drawers and closets), and may also include managing underpants, slacks, skirt, belt, stockings, shoes, zippers, buttons, and snaps, as well as the application and removal of a prosthesis or orthosis (which is not used as an assistive device for lower body dressing) when applicable.

6 Modified Independence—The patient requires a special adaptive closure such as a Velcro® fastener, or an assistive device (including a prosthesis or orthosis) to dress, or takes more than a reasonable amount of time.

HELPER

5 Supervision or Setup—The patient requires supervision (e.g., standing by, cueing, or coaxing) or setup (application of a lower body or limb orthosis/prosthesis, application of an assistive/adaptive device or setting out clothes or dressing equipment).

4 Minimal Contact Assistance—The patient performs 75% or more of dressing tasks.

3 Moderate Assistance—The patient performs 50% to 74% of dressing tasks. 


2 Maximal Assistance—The patient performs 25% to 49% of dressing tasks. 


1 Total Assistance—The patient performs less than 25% of dressing tasks.


COMMENT: When assessing dressing and undressing, the subject must use clothing that is appropriate to wear in public. If the subject wears only hospital gowns or nightgowns/pajamas, rate this activity as code 0. 

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