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Activities

活動

Independence

獨立

Dependence

依賴

Points (1 or 0)

分數(1or0)

(1 Point)  NO supervision, direction or personal assistance

（1分）不須監督，指導或個人援助

(0 Points)  WITH supervision, direction, personal assistance or total car

（0分） 需要監督，指導

BATHING 洗澡

Points分數: __________ 

(1 POINT) Bathes self completely or needs help in bathing only a single part of the body such as the back, genital area or disabled extremity 

(1分）完全可自我沐浴，需要幫助的只有一個洗澡的身體部位，如背部，生殖器部位或肢體殘障者

(0 POINTS) Need help with bathing more than one part of the body, getting in or out of the tub or shower. Requires total bathing

（0分）需要幫助洗澡不止一個身體的一部分，進入或離開浴缸或淋浴。

DRESSING 穿衣

Points分數: __________ 

(1 POINT) Get clothes from closets and drawers and puts on clothes and outer garments complete with fasteners. May have help tying shoes. 

（1分）可從壁櫥和抽屜，拿衣服，穿衣服，可穿著鈕扣。需可能幫助系鞋帶。

(0 POINTS) Needs help with dressing self or needs to be completely dressed.

（0分）自己穿衣或需要幫助，需要完全的協助打扮。

TRANSFERRING 運用交通工具

Points分數: __________ 

(1 POINT) Moves in and out of bed or chair unassisted. Mechanical transfer aids are acceptable 

（1分）移動床或椅子求告無門。機械輔助傳輸是可以接受的

(0 POINTS)Needs help in moving from bed to chair or requires a complete transfer. 

（0分）移動從床到座椅或需要幫助，需要一個完整的數據傳輸。

CONTINENCE大小便控制

Points分數: __________

(1 POINT) Exercises complete self control over urination and defecation.

（1分）練習過完整的自我控制排尿和排便。

(0 POINTS) Is partially or totally incontinent of bowel or bladder 

（0分）是部分或完全失禁大小便失禁

FEEDING 飲食

Points分數: __________

(1 POINT) Gets food from plate into mouth without help. Preparation of food may be done by another person. 

（1分）獲取食物從盤子到嘴沒有幫助。需透過將另一人的食物放入嘴。

(0 POINTS) Needs partial or total help with feeding or requires parenteral feeding.

（0分）需要部分或全部餵養或需要幫助腸道餵食。