Functional Need
Prompt / Observation:
Notes:
Use Call Light
Have you been able to use your call light? Show me how you use it.
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Use Menu
Have you been able to use your menu? Show me how you would find something for lunch.
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Order Meal
Have you been able to order a meal? Tell me what you would order for dinner.
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Phone Call
Have you been able to make a phone call? Show me how you would call someone.
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Ask Medical Question
Have you been able to ask the doctor a question? What might you ask him?
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Follow Therapy Recommendations
Have the other therapies given you any instructions? Tell me what they said.
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Communicate Needs To Nursing Staff
Bathroom | TV | Door / Window | Medicine / Pain | Hunger / Thirst | Warm / Cold
Have you been able to tell nursing when you need something? What would you say if you were cold?
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Follow Safety Precautions
We have rules to keep you safe in the hospital. What is something you need to do to be safe?
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TV / Remote Use
Have you been able to use your TV? Show me how you would turn on the news.
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