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Evaluation

Select the description that most closely applies for each area of functioning listed below. (The word 'assistance' means supervision, direction or personal assistance)

Bathing (sponge bath, tub bath, or shower)

Dressing (gets clothes from closet and drawers including underclothes, outer garments and using fasteners including braces if worn)

Toileting (going to the 'toilet room' for bowel and urine elimination; cleaning self after elimination; arranging clothes)

Transfer

Continence

Feeding

Results

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