ADL questions from the SIS assessment in WAC 388-828-4200 and 388-828-4280 | |
Question # | Text of ADL questions: |
A2 | Bathing and taking care of personal |
hygiene and grooming needs | |
A3 | Using the toilet |
A4 | Dressing |
A6 | Eating food |
E1 | Taking medications |
E2 | Ambulating and moving about |
Example:
SIS ADL Questions | Text of SIS ADL Questions | If your "Frequency of Support" score is: | And your "Type of Support" score is: | Then your adjusted "Type of Support" score is: |
A2 | Bathing and taking care of personal hygiene and grooming needs | 1 | 2 | 0 |
A3 | Using the toilet | 3 | 3 | 3 |
A4 | Dressing | 3 | 3 | 3 |
A6 | Eating food | 1 | 2 | 0 |
E1 | Taking medications | 3 | 2 | 2 |
E2 | Ambulating and moving about | 0 | 0 | 0 |
Your SIS ADL support needs score: | 8 |
Wash. Admin. Code § 388-828-5460
Statutory Authority: RCW 71A.12.030 and Title 71A RCW. 07-10-029, § 388-828-5460, filed 4/23/07, effective 6/1/07.