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NAME : Silva Putri Alessandra

CLASS : 2A
EPN II ADL

A. Case Number : 1/2/3


ADL CHECKLIST
PATIENT NAME : ny. carter WARD :
FUNCTION INDEPENDENT NEED HELPS DEPENDENT
DRESSING She can do
everything by
himself
EATING She has can do
eating by himself
AMBULANTING Help with some
walker
TOILETING She has using
commode
HYGIENE She can do
everything by
himself

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