| 89391-7 |
Functional Abilities and Goals - Discharge |
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| Indent89475-8 |
Self-Care - Discharge Performance |
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| Indent Indent89410-5 |
Eating |
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| Indent Indent89405-5 |
Oral hygiene |
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| Indent Indent57245-3 |
Toileting hygiene |
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| Indent Indent89397-4 |
Shower/bathe self |
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| Indent Indent89388-3 |
Upper body dressing |
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| Indent Indent89407-1 |
Lower body dressing |
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| Indent Indent89401-4 |
Putting on/taking off footwear |
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| Indent89474-1 |
Mobility - Discharge Performance |
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| Indent Indent89399-0 |
Roll left and right |
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| Indent Indent89395-8 |
Sit to lying |
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| Indent Indent85926-4 |
Lying to sitting on side of bed |
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| Indent Indent89393-3 |
Sit to stand |
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| Indent Indent89415-4 |
Chair/bed-to-chair transfer |
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| Indent Indent57244-6 |
Toilet transfer |
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| Indent Indent89413-9 |
Car transfer |
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| Indent Indent89386-7 |
Walk 10 feet |
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| Indent Indent89382-6 |
Walk 50 feet with two turns |
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| Indent Indent89384-2 |
Walk 150 feet |
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| Indent Indent89380-0 |
Walking 10 feet on uneven surfaces |
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| Indent Indent89421-2 |
1 step (curb) |
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| Indent Indent89417-0 |
4 steps |
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| Indent Indent89419-6 |
12 steps |
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| Indent Indent89403-0 |
Picking up object |
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| Indent Indent89411-3 |
Does the patient use a wheelchair and/or scooter? |
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| Indent Indent89376-8 |
Wheel 50 feet with two turns |
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| Indent Indent89408-9 |
Indicate the type of wheelchair or scooter used |
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| Indent Indent89378-4 |
Wheel 150 feet |
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| Indent Indent89408-9 |
Indicate the type of wheelchair or scooter used |
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