Get Functional Goals Screening Protocol: Community Clients With Dementia

Navigating the Functional Goals Screening Protocol form can be a key step in assessing clients with dementia. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to effectively complete the screening protocol

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by entering the client's name and the date of screening at the top of the form. Follow this with the medical diagnosis, date of birth, age, and gender.
3. In Part 1, proceed to the client interview section. Fill in personal information, including details about family dynamics, occupation, living situation, hobbies, friends, activities, preferences, and dislikes.
4. Indicate the premorbid abilities by selecting the appropriate responses for basic reading and writing abilities, as well as any need for hearing aids or glasses.
5. Record the MMSE score, categorize it by severity, and list strengths and weaknesses of the client.
6. Document the conversational sample by completing the observations of discourse features, noting whether they are present, absent, or if there was no opportunity.
7. Assess the client's orientation to the environment by asking them to identify locations for the bathroom, telephone, and a source of water.
8. Evaluate auditory and tactile behaviors by answering the yes/no questions provided in the form.
9. In the visual and functional reading behaviors section, assess the client's engagement with reading materials and note your observations.
10. Complete the reading screening and spaced retrieval screening sections, noting whether the client passes or fails each component.
11. In Part 2, record observations from client communication and social interaction, noting the level of assistance required.
12. Document any problem behaviors, along with a brief description.
13. Assess and record swallowing capacity as well as nutritional means, including the current diet and any cues required.
14. Evaluate the client's activities of daily living, indicating their level of independence and assistance requirements for mobility, meals, grooming, dressing, and toileting.
15. After completing the form, review all entries for accuracy. You can then save your changes, download, print, or share the document as needed.

Complete your document online today for effective client assessment.