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Wisconsin Long Term Care Functional Screen Instructions Department of Health Services Division of Long Term Care October 14, 2014 P-00946 (10/2014) Table of Contents Page # Module #1: Overview of
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How to fill out long term care functional

How to fill out long term care functional:
01
Start by gathering all relevant information and documentation, such as medical records, current medications, and details about daily activities.
02
Understand the purpose of the long term care functional assessment, which is to determine an individual's level of functional impairment and their need for assistance with daily activities.
03
Begin the assessment by carefully reading and understanding each question or statement provided.
04
Answer each question honestly and accurately, keeping in mind the individual's current abilities and limitations.
05
Provide additional information or explanations where necessary to provide a comprehensive understanding of the individual's functional status.
06
Seek assistance from healthcare professionals if needed, especially for medical terminology or complex questions.
07
Take breaks if necessary, as these assessments can be lengthy and exhausting.
08
Once completed, review the form for any errors or inconsistencies, making necessary corrections.
09
Submit the filled out long term care functional assessment to the appropriate authority or healthcare provider.
Who needs long term care functional:
01
Individuals who require long term care services or support due to severe illness, disability, aging, or other medical conditions.
02
Family members or caregivers who are responsible for the care of an individual requiring long term care.
03
Healthcare professionals, including doctors, nurses, therapists, and social workers, who need to assess an individual's functional abilities to determine appropriate care plans and services.
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What is long term care functional?
Long term care functional refers to the assessment of an individual's ability to perform activities of daily living and instrumental activities of daily living.
Who is required to file long term care functional?
Long term care functional assessment is usually required for individuals who are applying for long term care services or benefits.
How to fill out long term care functional?
To fill out long term care functional assessment, a healthcare professional will evaluate the individual's abilities to complete various tasks and document the findings.
What is the purpose of long term care functional?
The purpose of long term care functional assessment is to determine the level of assistance and care needed for an individual to maintain their independence.
What information must be reported on long term care functional?
The information reported on long term care functional assessment typically includes the individual's abilities in areas such as mobility, self-care, and communication.
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