Dementia review

Housing

Accomodation:

Bed-sit

Bungalow

Caravan park

Care home

Flat – Ground floor

Flat – Lower floor

Flat – Upper floor

Homeless

House

Houseboat

Mobile home

Mobile home – Fixed site

Lives in Extra Care housing

Nursing home

Refuge

Residential home

Supported home

Warden attended accommodation

Travelling family member

Sofa surfer – person of no fixed abode

Women’s refuge

Lives with:

Stairs:

Difficulty managing stairs

Able to manage stairs

Unable to manage stairs

No stairs in home environment

Access:

Access to residence is difficult

Access to residence is not difficult

Housebond:

Housebound

Temporarily housebound

No longer housebound

Not housebound

Impression:

Activity

Bed:

Able to get on and off a bed

Difficulty to get on and off a bed

Unable to get on and off a bed

Dressing:

Able to perform dressing activity

Difficulty performing dressing activity

Able to perform dressing activity with assistance

Unable to perform dressing activity

Eating:

Able to eat

Difficulty eating

Able to eat with assistance

Unable to eat

Finances:

Able to manage personal financial activities

Difficulty managing personal financial activities

Unable to manage personal financial activities

Laundry:

Able to do laundry

Difficulty performing laundry activities

Unable to do laundry

Leisure:

Able to participate in leisure activities

Difficulty participating in leisure activities

Does not participate in leisure activities

Meals:

Able to prepare meal

Difficulty preparing meal

Unable to prepare meal

Medication:

Able to manage medication

Difficulty managing medication

Unable to manage medication

Mobility:

Able to mobilise

Able to mobilise using mobility aids

Difficulty mobilising

Difficulty mobilising using mobility aids

Unable to mobilise

Unable to mobilise using mobility aids

Mobility aids:

Personal care:

Able to perform personal care activity

Difficulty performing personal care activity

Unable to perform personal care activity

Shopping:

Able to perform shopping activities

Difficulty performing shopping activities

Able to perform shopping activities with assistance

Unable to perform shopping activities

Toileting:

Able to use toilet

Able to use toilet with assistance

Difficulty using toilet

Unable to use toilet

Transfers:

Able to transfer

Difficulty transferring

Unable to transfer

Transfers using hoist

Transfers using rotunda transfer platform

Transfers using slide sheet

Transport:

Washing:

Able to wash self

Difficulty washing self

Able to wash self with assistance

Unable to wash self

Education and work

Education:

Attending nursery school

Attending primary school

Attending secondary school

Attending sixth form college

Educated at special needs school

Educated at mixed mainstream and special needs school

In special class at mainstream school

Student

Employment:

Section

About me

Preferred name

Current interests and hobbies

People who are important to me

My preferences (likes and dislikes)

Activities of everyday life

My safety

Regular daily routine

Patient and care concerns

My personality

My eating and drinking abilities

My religion and beliefs

My ability to communicate

Housing and activities of daily living

Housing

Activity

Education and work

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Dementia review

Section

About me

Preferred name

Current interests and hobbies

People who are important to me

My preferences (likes and dislikes)

Activities of everyday life

My safety

Regular daily routine

Patient and care concerns

My personality

My eating and drinking abilities

My religion and beliefs

My ability to communicate

Housing and activities of daily living

Housing

Activity

Education and work