| |
Care Level I
Medication &Wellness Management |
Care Level IA
Intermittent
Assistance |
Care Level II
Continual
Assistance |
Care Level III
Extensive
Assistance |
| Bathing |
Cues to initiate showering/ bathing and set up of supplies. Assistance with safe care moving in and out of the shower. |
Intermittent hands-on assistance (washing hard to reach areas, etc.) with showering. Set up of supplies. Assistance with safe care moving in and out of the shower. May be resistant to care. |
Continual hands-on assistance with showering and bathing (undressing, washing, drying, and redressing). Set up of supplies. Assistance with safe care moving in and out of the shower. May be resistant to care. |
Extensive, hands-on assistance with showering and bathing at a frequency required to maintain a proper level of personal hygiene. May require more than one person to assist in completing task. May be resistant to care. |
Personal
Grooming |
Cues to initiate and complete grooming. May include set up of grooming materials. Hands on assistance with shaving and denture care, if required. |
Intermittent hands-on assistance with dental care and hair styling. Set up of supplies. Possible task segmentation to facilitate completion of personal hygiene activities. May be resistant to care. |
Continual hands-on assistance to complete personal grooming. Set up of supplies. Requires direct instruction to facilitate completion of personal hygiene activities. May be resistant to care. |
Extensive, hands-on assistance up to and including the completion of grooming. May be resistant to care. |
| Dressing |
Cues to initiate dressing. May have to offer and encourage proper selection of clothing choices. |
Intermittent assistance with dressing, laying out clothing and cueing to get dressed or undressed. Requires task segmentation to facilitate completion of task. May be resistant to care. |
Continual hands-on assistance with dressing and undressing. Requires direct instruction in order to complete task. May be resistant to care. |
Extensive hands-on assistance to complete dressing task. Resistant to care or does not participate in completion of dressing activities. |
| Mobility |
No mobility impairments. May need reminders to take occasional rest periods. |
May use assistive device for ambulation (cane, walker, etc.). Requires transfer assistance and/ or intermittent assistance and supervision. May need to monitor for perceptual difficulties. |
Uses assistive device for ambulation (cane, walker, etc.). Requires continual assistance and supervision with mobility. Monitoring and interventions for perceptual difficulties. |
Hands-on assistance with ambulation and assistance with wheelchair for longer distances. May require one or more people to assist. |
| Toileting |
No physical assistance required. Directional cues and reminders to use the bathroom. May need cues for bathroom location. |
Intermittent assistance with continence management. May require reminders and limited physical assistance to maintain continence. May require limited assistance in the bathroom. May be resistant to care. |
Continual assistance with incontinence management. Complete incontinence is fairly easy to manage. Requires continual, hands-on assistance in the bathroom. May be resistant to care. |
Extensive hands-on assistance with incontinence management. Complete incontinence is difficult to manage. Requires extensive assistance in the bathroom. May be resistant to care. |
| Eating |
Assistance making menu choices. Cues and reminders of meal times and locations. Monthly weight monitoring. |
Assistance to and from the dining area. Intermittent interactive motivation to eat. Requires intermittent assistance with cutting food. Monthly weight monitoring. |
Assistance to and from the dining area. One-on-one interactive motivation to eat. Continual assistance with meals such as cutting food and using condiments. Possible modifications to increase meal consumption and beverage intake. Monthly weight monitoring. |
Assistance to and from the dining area. Extensive hand-over-hand assistance with completion of the meal. May require meal supplement to maintain adequate calorie intake. Monthly weight monitoring. |
Medication
Management |
Medication administration and coordination of medical appointments. |
Medication administration and coordination of medical appointments. |
Medication administration and coordination of medical appointments. |
Medication administration and coordination of medical appointments. |
