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ADL Checklist and Solutions Guide

This document contains an ADL checklist for a patient named EPN II ADL with case number 1/2/3. It lists functions like dressing, eating, ambulating, toileting, and hygiene and ranks the patient's independence on each as independent, needing help, or dependent. It also includes a blank section for a friend's ADL checklist and recommendations to provide video, dialog, or practical instructions as solutions to help the friend with their ADL needs.

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Refina Salsabila Abinoor
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54 views1 page

ADL Checklist and Solutions Guide

This document contains an ADL checklist for a patient named EPN II ADL with case number 1/2/3. It lists functions like dressing, eating, ambulating, toileting, and hygiene and ranks the patient's independence on each as independent, needing help, or dependent. It also includes a blank section for a friend's ADL checklist and recommendations to provide video, dialog, or practical instructions as solutions to help the friend with their ADL needs.

Uploaded by

Refina Salsabila Abinoor
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

NAME :

CLASS :
EPN II ADL

A. Case Number : 1/2/3


ADL CHECKLIST
PATIENT NAME : WARD :
FUNCTION INDEPENDENT NEED HELPS DEPENDENT
DRESSING
EATING
AMBULANTING
TOILETING
HYGIENE
B. ADL my friend case number : 1/2/3
Insert your friend ADL CHECKLIST here.
C. Solution for ADL my friend (her/his name)
- Bisa video
- Bisa dialog
- Bisa petunjuk praktis

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