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Personal Care Assessment Form V. 02. 16. 11 PCAF 4-20 PERSONAL CARE ASSESSMENT FORM PCAF FOR CHILDREN AGES 4-20 AA. 0 or from the MDS-HC instruments copyrighted by interRAI. In Texas the Texas A M Health Science Center holds the copyright on the PCAF instruments and manual. Outside Texas those copyrights are held by InterRAI. Client/Parent/Guardian Acknowledgment must be signed by the client/parent/guardian By signing this acknowledgment the clie.

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Personal Care Assistance or Activities of Daily Living (ADLs) Get into/out of bed or chair. Toilet hygiene. Bathing or Showering. Getting Dressed. Personal hygiene. Eating. Walking / Climbing Stairs. Safety /emergency responses.

An ADL assessment helps determine whether a patient may require further rehabilitation or assistance at home or if a skilled nursing or long-term care facility would be a safer environment for the patient. Inability to ambulate may result in an increased risk of falls.

ADL self-performance coding ranges from 0 (independent) to 4 (total dependence).

PBS.org and the AARP developed the following Checklist of Activities of Daily Living worksheet to help families. This tool helps determine which ADLs and IADLs their loved ones require assistance with and how much assistance is needed.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232