Intent:
To assess the likelihood that the person may have capacity for greater independence and involvement in his or her care.
Definitions:
Person believes he/she is capable of improved performance in physical function
Care professional believes person is capable of improved performance in physical function
Process:
Assess for indications that the person thinks he or she can be more self-sufficient. Ask what health professionals have told the person and family. Do their statements seem reasonable? Is the person’s description clear and unequivocal? Could the person be more self-sufficient if mood or motivational problems were addressed? Speak with caregivers. What is their perception of the person’s capacity? How does this relate to the person’s perception and your observations? Assess whether the person’s functional performance has recently changed. Has there been an intervening acute episode? What is the likelihood that the person will recover from the current disease or condition?
Coding:
No
Yes
Example
Mrs. S has had Alzheimer’s
disease resulting in short- and long-term memory loss for several
years. She states to the assessor, “I can do everything myself, if
they let me.” Daughter states that she must perform all care activities
for her mother.
Person believes = Yes
Care professional believes = No