Table 2.

Function-Focused Care Goal Form.

Resident Goal	Caregiver Role to Assist	Scoringa
Activities of daily living
Example: Resident will participate in am/pm care  Example: Resident will self-feed	Example: Provide cueing during am/pm care to assist the resident to brush teeth, wash face, get dressed Example: Place food in resident’s hand and provide cueing during meals	0—hand over hand or physical hands on cueing/help 1—role modeling needed 2—verbal cueing needed 3—verbal encouragement needed 4—reminding needed
Exercise/ROM
Example: Resident will attend exercise class 3 times per week	Example: Encourage resident to attend exercise class 3 times per week	0—one-on-one assistance to go to and stay in class 1—assistance needed to take to class 2—cueing needed to walk with individual to class 3—encouragement needed to go to class 4—reminding needed verbally only to go to class

Abbreviation: ROM, range of motion.

^aGoal difficult is evaluated such that higher scores indicate a more challenging goal and a higher level of capability and functioning/engagement.