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What are the tasks included in the CARE IADL category?
- Memory Tip: Days of the week
- M
-Meal Preparation- T-Transportation
- W- Wood Supply
- H-Housekeeping
- F- Finances
- S- Shopping
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What is the self-performance category for IADLs trying to capture?
How the client performed the task in the last 30 days. (After setup?)
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How is self-performance coded for IADL categories?
- Independent:No help, setup, supervision
- Set up only: Set up/arrangements
- Limited Assistance: Sometimes did on own, other times needed help.
- Extensive Assistance: Client is involved but required cueing/supervision or partial assist at all times.
- Total Dependence: Activity performed by others
- Activity Did not Occur
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What is the difficulty category for IADLs trying to capture?
How difficult it would be for the client to do the activity on their own.
- How is difficulty coded for IADL categories?
- No difficulty
- Some difficulty (e.g., needs some help, is very slow or fatigues easily)
- Great difficulty (little or no involvement in activity possible)
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What is the status category trying to capture?
Who is available and willing to help client do task? CARE does not want to supplant supports that are already in place.
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How is status coded for IADLs?
- Met: Informal resources will meet all of this need.
- Partially Met: Informal resources will meet part of this need.
- Unmet: There are no other available resources to meet the client's need.
- Client Declines
- Shared Benefit
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If partially met, you have to calculate how much of task is partially met by informal supports. What are the options to choose from?
- Less than 1/4
- 1/4 to 1/2
- Over 1/2 to 3/4
- Over 3/4 but not all the time
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What is assistance available trying to capture?
The amount of time that informal supports are able to help with a task.
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How is informal support defined?
Non-ADSA paid (except adult day health and skilled care).
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How is assistance available calculated?
Number of times task occurred divided by number of times informal (non-ADSA) assistance is available to assist client with task.
- e.g.
- 21 meals during past 7 days
- Informal help everyday for breakfast (7 times)
7/21 = .33, so category equals 1/4 to 1/2
So units could be times per day/week or hours per day, etc.
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What is a shared benefit?
Client and paid caregiver both share in the benefit of an IADL task being performed or two or more client's in a multi-client household benefit from the same IADL task(s) being performed.
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What are some questions you can ask about shared benefit?
When provider does task, is part of task being done for their own benefit
OR
In a multi-client household, when the task is performed, is it being done for more than one person?
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How is meal preparation defined?
How meals are prepared.
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What are subtasks of meal preparation?
- Meal planning + meal preparation
- Preparing ingredients for cooking
- Reheating meals
- Operating Kitchen appliances
- Throwing out spoiled food
- Cleaning up after meal + meal preparation.
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What is considered set up for meal preparation?
- Cueing or reminding to prepare meals/snacks,
- Taking items from shelves,
- Opening cans/bottles & packaged foods
- Assembling ingredients for cooking
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