
Get the free ACTIVITY OF DAILY LIVING PLANNING AND NEEDS FORM
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FORM 9 ACTIVITY OF DAILY LIVING
PLANNING FORM
60 Kelvin Street, May lands 6051
Phones: (08) 9462 6700
Email: maylandspeninsula.ps@education.wa.edu.auPLEASE RETURN THIS FORM TO ADMINISTRATION OFFICE
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How to fill out activity of daily living

How to fill out activity of daily living
01
Identify the activities of daily living that need to be filled out.
02
Gather all necessary information such as the individual's current abilities and any assistance they may require.
03
Begin by documenting the individual's ability to perform basic tasks such as bathing, dressing, eating, and toileting.
04
Use a scale to rate the individual's level of independence in each activity, such as independent, modified independence, or dependent.
05
Record any specific assistance or adaptive equipment that is needed for each activity.
06
Review the completed form with the individual and any caregivers to ensure accuracy.
Who needs activity of daily living?
01
Individuals who require assistance with daily tasks due to physical or cognitive limitations.
02
Elderly individuals who may need help with self-care activities.
03
Patients recovering from an illness or injury who need support with daily living tasks.
04
Individuals with disabilities who require assistance to maintain their independence.
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What is activity of daily living?
Activity of daily living refers to the basic tasks individuals need to perform on a daily basis, such as eating, bathing, dressing, toileting, and transferring.
Who is required to file activity of daily living?
Individuals who are receiving long-term care services or support are required to file activity of daily living.
How to fill out activity of daily living?
Activity of daily living forms can be filled out by the individual receiving care or support, or by their caregiver or legal representative.
What is the purpose of activity of daily living?
The purpose of activity of daily living is to assess the individual's ability to perform daily tasks and determine the level of care and support they may need.
What information must be reported on activity of daily living?
Information such as the individual's ability to perform tasks like dressing, bathing, eating, toileting, and transferring must be reported on activity of daily living forms.
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