Get Functional Goals Screening Protocol - Northern Speech Services

Filling out the Functional Goals Screening Protocol is an essential task for effectively monitoring residents with dementia. This guide will help you navigate the process of completing the screening protocol online with ease and confidence.

Follow the steps to successfully complete the form.

1. Use the ‘Get Form’ button to obtain the Functional Goals Screening Protocol and open it in your editor.
2. Begin by filling out the resident’s name, date of screening, medical diagnosis, date of birth, age, and sex in the designated fields. Ensure that all information is accurate and up-to-date.
3. Proceed to Part 1: Resident Interview. Under Personal Information, provide details about the resident’s family, occupation, hobbies, dislikes, and premorbid basic reading and writing abilities. Select 'Yes', 'No', or 'Unable to answer' as appropriate.
4. Record the resident’s Mini-Mental State Examination (MMSE) score, noting strengths and weaknesses where relevant.
5. In the Conversational Sample section, document the resident's responses to prompts about their stay, noting the presence or absence of various discourse features and their communication performance.
6. Assess the resident’s orientation to their environment by prompting them to identify various locations within the facility. Record their abilities and any necessary assistance.
7. If applicable, check the Memory Book Use section, noting whether the resident has a memory book, its availability, and their engagement with it.
8. Complete the Reading Screening by indicating whether the resident passed or failed and specifying the level of reading ability.
9. In the Spaced Retrieval Screening box, indicate whether the resident passed or failed and include any observations.
10. Move to Part 2: Resident Observation, documenting observations on social communication and presence of problem behaviors as necessary.
11. Evaluate swallowing capabilities by noting the presence of dysphagia, describing any observed issues, and documenting the current diet.
12. Finally, assess the resident's assistance requirements in activities of daily living by selecting the level of independence or assistance needed in mobility, meals, grooming, dressing, and toileting.
13. Once all sections are completed, you can save your changes, download the document, print it, or share it as needed.

Start filling out the Functional Goals Screening Protocol online today to support residents in their care.