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Uniform Assessment Instrument

Department for Aging and Rehabilitative Services December 2015 Adult Protective Services Division User s Manual: UAI DARS Adult Protective Services Division Page 1 of 91 13 UAI 13 Uniform Assessment Instrument TABLE OF CONTENTS Introduction Screenings for children Legal basis Definitions Short Assessment Full Assessment Consent and Confidentiality Interview Process Asking questions Using probes Assessment process Changing Assessment information ALF reassessments Section 1 of the UAI: Identification/Background Name and vital information Demographics Marital status Race Education Communication of needs Primary caregiver/emergency contact/primary physician Initial contact Presenting Problem/Diagnosis Department for Aging and Rehabilitative Services December 2015 Adult Protective Services Division User s Manual: UAI DARS Adult Protective Services Division Page 2 of 91 13 UAI Current formal services Financial resources Annual monthly/income Income sources Legal representatives Benefits/entitlements Health insurance Physical environment Living arrangement Problems Section 2 of the UAI: Functional Status Levels of functioning Activities of daily living Bathing Dressing Toileting Transferring Eating/Feeding Continence Ambulation Instrumental activities of daily living Section 3 of the UAI: Physical health Assessment Professional visits/medical admissions Doctors

13.14.3 Sensory functions 13.14.3.1 Vision, Hearing, and Speech 13.14.4 Physical status 13.14.4.1 Joint motion ... The Uniform Assessment Instrument (UAI) is a multidimensional, standardized document, which is used to assess an individual’s social, …

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