2 m with a hemi-walker and required maximal assistance
I No response: Total assistance II Generalized response: Total assistance III Localized response: Total assistance IV Confused-agitated: Maximal assistance
V Confused-inappropriate, non-agitated: Maximal assistance
VI Confused-appropriate: Moderate assistance VII Automatic-appropriate: Minimal assistance for daily living skills VIII Purposeful-appropriate: Stand-by assistance IX Purposeful-appropriate: Stand-by assistance on request X Purposeful-appropriate: Modified independent
She initially required maximal assistance for sit-to-stand (HD 11) but was able to come to stand with moderate assistance, and maintain standing with minimum assistance.
Since she initially (HD 11) required maximal assistance for sit-to-stand, this represented "high-intensity" resistance training for her lower extremity extensors.
For the LR group the guidance forces were set at 100% to provide maximal assistance
Score Independence/Assistance Level 7 Complete Independence 6 Modified Independence (Uses Assistive Device) 5 Requires Supervision 4 Requires Minimal Assistance (client 75%+) 3 Requires Moderate Assistance (client 50%+) 2 Requires Maximal Assistance
(client 25%+) 1 Requires Total Assistance (client 0%+) Table 2.
Scoring refinements converted the six-point MDS scores independent (0), supervision (1), limited assistance (2), extensive assistance (3), total dependence (4), activity did not occur (8) to an eight-point scale by adding a setup help only, and maximal assistance (between extensive assistance and total dependence).
The physical assistance codes were only used in the translation for cases where the MDS-PAC score was scored maximal assistance (5) and (1) two or more persons were needed for physical assistance.
When a nurse passes the medication to the patient, PAC scoring instructions were to score this as maximal assistance.
She was incontinent and needed maximal assistance
with activites of daily living, but was somewhat resistant to care.
Improved static sitting balance from dependent assistance to maximal assistance to enable participation in seated ADLs and prevent adverse effects from prolonged bed rest.
Improved bed mobility from dependent assistance of two persons to maximal assistance of two persons to prevent pressure ulcer development.