|
Question # | Text of ADL questions: |
A2 | Bathing and taking care of personal hygiene and grooming needs |
A3 | Using the toilet |
A4 | Dressing |
A6 | Eating food |
E1 | Taking medications |
E2 | Ambulating and moving about |
(2) If your "Frequency of support" score for a SIS ADL question is zero or one, adjust your "Type of support" score for that question to zero.
(3) If your "Frequency of support" score for a SIS ADL support question is two, three, or four, no adjustment is needed to your "Type of support" score.
Example:
SIS ADL Questions | Text of SIS ADL Questions | If your "Frequency of Support" score is: | And your "Type of Support" score is: | Then your adjusted "Type of Support" score is: |
A2 | Bathing and taking care of personal hygiene and grooming needs | 1 | 2 | 0 |
A3 | Using the toilet | 3 | 3 | 3 |
A4 | Dressing | 3 | 3 | 3 |
A6 | Eating food | 1 | 2 | 0 |
E1 | Taking medications | 3 | 2 | 2 |
E2 | Ambulating and moving about | 0 | 0 | 0 |
Your SIS ADL support needs score: | 8 |
[Statutory Authority: RCW
71A.12.030 and
71A.12.120. WSR 19-02-020, § 388-828-5460, filed 12/21/18, effective 2/1/19. Statutory Authority: RCW
71A.12.030 and Title
71A RCW. WSR 07-10-029, § 388-828-5460, filed 4/23/07, effective 6/1/07.]