Levels of Assistance and Assistive devices (lecture 5)

what are the levels of assistance from least to most

independent, gaurding, physical assist, dependency

describe independence

the patient is able to perform movement in a typical manner. They require no assist of others, special equipment, or conditions. You feel comfortable leaving the patient alone.

what is modified independence

the patient is able to perform movement without any assistance of another person. They may require a special device or increased time to perform.

what is SBA / supervision

no contact guarding, would not let the patient do the task alone. This can be close or distant. The helper may provide verbal cues.

what is contact guard / touch assist

the helper is providing light touch, holding the gait belt.

what level of assist should we initially provide during an eval

contact guard or touch assist

what is minA

patient expends at least 75% effort and the helper provides

what is ModA

patient expends 50-74% effort and the helper provides

what is MaxA

patient expends 25-49% effort and the helper provides >50%.

what is totA

patient expends less than 25% effort and the helper provides >75% effort. This is also assist x2.

what is dependent

the helper provides 100% of the effort.

Section GG .06

patient is independent and can complete the activity by themselves with no assistance from a helper.

section GG .05

set up or clean up assistance where the helper helps with set up or clean up but the resident completes the activity.

section GG .04

supervision or touching assist where the helper provides verbal cues or touching / steadying assistance as the resident completes the activity. Assistance may be provided throughout the activity or intermittently.

section GG .03

partial / moderate assistance where the helper does less than hald the effort.

section GG .02

substantial / maximal assistance where the helper does more than half the effort.

section GG .01

dependent where the helper does ALL of the effort. Or the assistance of two or more helpers is required.

when you cannot document independent

if the patient requires verbal cues, if there are safety concerns, and if there is use of an assistive device

what is HHA

hand held assist. It is common in neuro.

most supportive to least supportive bilateral device

parallel bars, standard walker, 2WW, 4WW, axillary crutches, loftstrand crutches

most supportive to least supportive unilateral device

hemirail, hemi-walker, LBQC, SBQC, tripod cane, single point cane