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Get the free medical and mobility assessment form - Blaby District Council

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MEDICAL AND MOBILITY ASSESSMENT FORM Before filling in this form please make sure that you can provide any evidence in the form of information from your GP, health care professional, social worker
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How to fill out medical and mobility assessment

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How to fill out medical and mobility assessment

01
To fill out a medical and mobility assessment, follow these steps:
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Start by gathering all the necessary information about the patient's medical history and their current mobility status.
03
Begin the assessment by recording the patient's basic information such as name, date of birth, and contact details.
04
Ask specific questions to gather detailed information about the patient's medical conditions, past surgeries, and current medications.
05
Evaluate the patient's mobility by conducting physical tests to assess their ability to move, walk, and perform daily activities.
06
Use standardized assessment tools, such as the Modified Barthel Index (MBI) or Timed Up and Go (TUG) test, to measure the patient's functional mobility.
07
Document the assessment findings accurately and comprehensively, including any observed limitations in mobility or medical conditions that may affect it.
08
Analyze the assessment results and identify any areas of concern that may require further medical intervention or support.
09
Prepare a comprehensive report summarizing the assessment findings, recommendations for treatment or rehabilitation, and any assistive devices that may be needed.
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Share the assessment report with the relevant healthcare professionals involved in the patient's care to ensure continuity and appropriate follow-up.
11
Regularly review and update the medical and mobility assessment as the patient's condition or needs change over time.

Who needs medical and mobility assessment?

01
Medical and mobility assessment is needed for individuals who:
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- Have experienced a recent injury or illness that affects their mobility.
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- Suffer from chronic medical conditions that may impact their ability to move or perform daily activities.
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- Require assistance or support with mobility aids or assistive devices.
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- Are undergoing rehabilitation or physical therapy.
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- Need to assess their eligibility for disability benefits or support services.
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- Are being evaluated for pre-operative or post-operative planning.
08
- Have experienced a decline in mobility or functional abilities due to aging or other factors.
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- Are transitioning from hospital care to home or assisted living settings.
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Medical and mobility assessment is a process where an individual's medical condition and physical abilities are evaluated to determine their need for assistance or accommodations.
Individuals who have medical conditions or physical disabilities that may impact their mobility or ability to perform daily tasks are required to file a medical and mobility assessment.
To fill out a medical and mobility assessment, individuals need to provide detailed information about their medical history, current conditions, limitations, and any assistance or accommodations needed.
The purpose of medical and mobility assessment is to ensure that individuals with medical conditions or physical disabilities receive the necessary support and accommodations to maintain their independence and quality of life.
Information that must be reported on a medical and mobility assessment includes medical history, current conditions, limitations, required assistance or accommodations, and any healthcare provider recommendations.
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