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Prompts for ADLs

Prompts for ADLs. Catherine D’Ambrosio, RN, MSN, PhC University of Washington School of Nursing. Determining Appropriate Prompts for ADLs:. Mobility / Functional Status Severity of Problem Cognitive Status. Mobility. Hand grips Lying to Sitting Sitting to Standing Stand & Pivot

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Prompts for ADLs

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  1. Prompts for ADLs Catherine D’Ambrosio, RN, MSN, PhC University of Washington School of Nursing

  2. Determining Appropriate Prompts for ADLs: • Mobility / Functional Status • Severity of Problem • Cognitive Status

  3. Mobility • Hand grips • Lying to Sitting • Sitting to Standing • Stand & Pivot • Locomotion • Standing to Sitting • Sitting to Lying • Mechanical & Human Assistance req’d

  4. Problem Severity • Regarding Functional Urinary Incontinence: FREQUENCY

  5. Cognitive Status • Folstein Mini Mental Status Exam • Not comprehensive • Fairly superficial • Easy to administer • Low-stress for *patient* • Reliable and Valid measure of cog fx • Uniformly used and understood across a spectrum of settings

  6. Level of Cognitive Impairment: • Why would it matter . . . to us?

  7. Why is ASST COG imperative? • Federal & State Funding can’t sustain current rates of expenditure • Society demands independence & control • Nursing Shortage • Facts of Care

  8. Mobility can be “prompted” • Grasping cues • Standing cues • Holding cues • Locomotion cues • Disrobing cues • Sitting cues • Toileting cues

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