Pubmed ncbi nlm nih 25473924Activities of daily living are associated with older adult 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the patient's name, date of birth, and member ID number in the designated fields.
3. For the 'Activities of Daily Living' section, indicate whether the patient is completely independent by selecting 'Y' or 'N'. If assistance is required, circle the types needed from bathing, dressing, eating, transferring, toileting, and walking.
4. In the 'Assistance with IADLs' section, check all applicable tasks such as shopping and meal preparation. Ensure this component is fully completed for compliance.
5. Proceed to the Advance Care Planning section. Indicate if advance directives are present and provide dates discussed with family members.
6. Complete the Medication Review/List section by confirming if a medication review was conducted and attach a current medication list as required.
7. Fill out the Comprehensive Pain Assessment by marking if pain is present and indicating its level on a scale from 0 to 10.
8. Finally, ensure that all physician details are filled in correctly before saving your document.

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