Activities

活動力

　分數(1或0)

(1 Point)

NO supervision,

direction or personal assistance.

(1分)未經監督、指導或他人協助

(0 Points)

WITH supervision, direction, personal assistance or total care

(0分) 經監督、指導、他人協助或完全照護

BATHING

Points: ＿＿

　沐浴

　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)能完全自行沐浴或身體只有一個部位(如背部、生殖器區域)或四肢有殘缺需要協助

(0分) 進入、離開浴缸或淋浴，身體不止有一個部位需要協助沐浴。需要完全協助沐浴

　穿衣

　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) 從衣櫥與抽屜拿出衣服和穿衣且可扣緊鈕扣。也許可以繫鞋帶。

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

(0分)自行穿衣需要協助或完全需要沐浴穿衣。

　如廁

　分數：＿＿

(1 POINT) Goes to toilet, gets on and off, arranges clothes, cleans genital area without help.

(1分) 能去廁所，開門和關門，整理衣服，在没有給予帮助下能清潔生殖器區域。

(0 POINTS) Needs help transferring to the toilet, cleaning self or uses bedpan or commode

(0分) 需要協助移至廁所，自行清潔、使用便盆或馬桶。

　移位

　分數: ＿＿

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

(1分) 能獨立移動和離開床或椅子。可以接受機械輔助移動。

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

(0分) 需要協助從床移到椅子或需要完全協助移位。

　大小便

　分數: ＿＿

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

(1分)自行能完全控制自排尿和排便運動。

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

(0分)部分或完全的大小便失禁

　吃飯

　分數: ＿＿

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

(1分) 不需協助可從盤子將食物取出並放入嘴中。可由另一人準備食物。

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

(0分) 需要部分或完全協助餵食或需要腸道外進食