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Click ‘Get Form’ to open the ADL form in the editor.
Begin by entering the resident's name at the designated field. This ensures accurate tracking of data.
For each day of the month, assess and record the self-performance and support provided for activities such as Bed Mobility, Eating, Transfer, and Toilet Use. Use the provided keys to input codes in the appropriate boxes.
Make sure to place the self-performance key value in the upper left corner and the support provided key value in the lower right corner of each shift box.
Initial each entry in the 'Int' box following each day to validate your observations. Remember, this form is invalid without initials and a full signature/title at the bottom of page 2.

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