Professional Documents
Culture Documents
Daily Living
Activities Independence Dependence
Points (1 or 0) (1 Point) (0 Points)
NO supervision, direction WITH supervision,
or personal assistance direction, personal
assistance or total care
BATHING (1 POINT) Bathes self (0 POINTS) Need help with
Points: __________ completely or needs help bathing more than one
in bathing only a single part of the body, getting
part of the body such as in or out of the tub or
the back, genital area or shower. Requires total
disabled extremity bathing
DRESSING (1 POINT) Get clothes (0 POINTS) Needs help
Points: __________ from closets and drawers with dressing self or
and puts on clothes and needs to be completely
outer garments complete dressed.
with fasteners. May have
help tying shoes.
TOILETING (1 POINT) Goes to toilet, (0 POINTS) Needs help
Points: __________ gets on and off, arranges transferring to the toilet,
clothes, cleans genital cleaning self or uses
area without help. bedpan or commode.