Assistive Care Services and Assisted Living for the Elderly Waiver

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Assistive Care Services and Assisted Living for the Elderly Waiver Services Coverage and Limitations Handbook AMBULATION Activities and Services Assistance includes: Providing physical support to enable the resident to move about within or outside the facility. Physical support includes supporting or holding the resident's hand, elbow, or arm; holding on to a support belt worn by the resident to assist in providing stability or direction while the resident ambulates; or pushing the resident's wheelchair. The term does not include assistance with transfer. Example of an expected outcome for Ambulation: Resident will be able to move about as needed. BATHING Assistance includes: Assembling towels, soaps, and other necessary supplies; helping the resident in and out of the bathtub or shower; turning the water on and off; adjusting water temperatures, washing and drying portions of the body which are difficult for the resident to reach; or being available while the resident is bathing. Example of an expected outcome for Bathing: Resident will be able to maintain body hygiene. DRESSING Assistance includes: Helping the resident to choose and to put on and remove clothing. Example of an expected outcome for Dressing: Resident will be appropriately dressed. TOILETING Assistance includes: Assisting the resident to the bathroom, helping to undress, positioning on the commode, and helping with related personal hygiene, including assistance with changing an adult brief. Assistance with toileting includes assistance with routine emptying of a catheter or colostomy bag. Example of an expected outcome for Toileting: Resident will maintain hygienic body functions EATING Assistance includes: Helping with cutting food, pouring beverages. Example of an expected outcome for Eating: Resident will be able to consume an adequate and appropriate diet. GROOMING Assistance includes: Physically helping the resident with shaving, with oral care, with care of the hair, and with nail care. Example of an expected outcome for Grooming: Resident's teeth, nails, hair, etc., will be adequately groomed. July 2001 D-2
TRANSFERRING Assistive Care Services and Assisted Living for the Elderly Waiver Services Coverage and Limitations Handbook Assistance includes: Providing verbal and physical cueing or physical assistance or both while the resident moves between bed and a standing position or between bed and chair or wheelchair. Example of an expected outcome for Transferring: Resident will be able to move from bed to chair and standing position or wheelchair as needed. MEDICATIONS If assistance is required with prescribed medications, the rule requirements for medication assistance applicable to the provider type must be followed. Non-daily medication supervision is not considered assistance. Example of an expected outcome for Medications: Resident will take medications as prescribed, and concerns will be communicated to health care provider. MAKING TELEPHONE CALLS Assistance includes: Dialing a number for a resident unable to do so. Example of an expected outcome for Making Telephone Calls: Resident will be able to make telephone calls as needed. MANAGING MONEY Assistance includes: Facility staff manages resident’s funds as representative payee or power of attorney. Such assistance must comply with Section 400.424, FS. Example of an expected outcome for managing money: Resident’s funds will be spent as desired by the resident. SHOPPING FOR PERSONAL ITEMS Assistance includes: Purchasing items the resident chooses. Example of expected outcome for shopping for personal items: Resident will be able to obtain desired items. USING AVAILABLE TRANSPORTATION Assistance includes: Making arrangements for transportation needed by resident and supervising or physically assisting resident into/out of the vehicle. Escort includes: Providing or arranging for someone to accompany the resident while off-site. Example of expected outcome for Using Available Transportation: Resident will safely access off-site services and activities. REMINDING RESIDENT OF IMPORTANT TASKS Daily tasks could include meals, getting up and going to bed, attending activities, etc. Example of expected outcome for Reminding Resident of Important Tasks: Resident will know to do specified tasks. July 2001 D-3
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Assistive Care Services and Assisted Living for the Elderly Waiver

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