Tuesday, March 13, 2012

UPPER BODY DRESSING

Good morning. Time to go to the gym. Let's get dressed!


How much can your patient accomplish without your help??? 


DRESSING - UPPER BODY: Dressing – Upper Body includes dressing and undressing above the waist, as well as applying and removing a prosthesis or orthosis when applicable. The patient performs this activity safely. This assessment will depend on whether the patient wears one piece of clothing or such as a sweatshirt or several pieces such as a bra, a blouse and a sweater.

NO HELPER

7 Complete Independence—The patient dresses and undresses self. This includes obtaining clothes from their customary places (such as drawers and closets), and may include managing a bra, pullover garment, front-opening garment, zippers, buttons, or snaps, as well as the application and removal of a prosthesis or orthosis (which is not used as an assistive device for upper body dressing) when applicable. The patient performs this activity safely.

Modified Independence—The patient requires 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 an upper 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.

0 Activity Does Not Occur—Enter code 0 only for the admission assessment. The patient does not dress and the helper does not dress the patient in clothing that is appropriate to wear in public during the entire assessment time frame. The subject who wears only a hospital gown would be coded “0 – Activity Does Not Occur.” 


Putting on and taking off scrubs may be appropriate for purposes of assessment. Use of this code should be rare.

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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