Feeding |
Independent |
10 |
Needs help |
5 |
Unable |
0 |
|
Bathing |
Independent |
5 |
Unable |
0 |
|
Grooming |
Independent |
5 |
Unable |
0 |
|
Dressing |
Independent |
10 |
Needs help |
5 |
Unable |
0 |
|
Bowel control |
Continent |
10 |
Occasional accident |
5 |
Incontinent (or needs to be given enemas) |
0 |
|
Bladder control |
Continent |
10 |
Occasional accident |
5 |
Incontinent (catheterized, unable to manage alone) |
0 |
|
Toilet use |
Independent |
10 |
Needs help |
5 |
Unable |
0 |
|
Transfers (bed to chair and back) |
Independent |
15 |
Needs minor help (verbal or physical) |
10 |
Needs major help (1-2 people, physical), can sit |
5 |
Unable |
0 |
|
Mobility on level surfaces |
Independent (but may use any aid, e.g., stick), >50 yards |
15 |
Walks with help of one person (verbal or physical), >50 yards |
10 |
Wheelchair independent, including corners, >50 yards |
5 |
Immobile or <50 yards |
0 |
|
Stairs |
Independent |
10 |
Needs help (verbal, physical, carrying aid) |
5 |
Unable |
0 |