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    • [PDF File]TINETTI BALANCE ASSESSMENT TOOL

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      TINETTI BALANCE ASSESSMENT TOOL GAIT SECTION Patient stands with therapist, walks across room (+/- aids), first at usual pace, then at rapid pace. Risk Indicators: Tinetti Tool Score Risk of Falls ≤18 High 19-23 Moderate ≥24 Low Date Indication of gait (Immediately after told to ‘go’.) Any hesitancy or multiple attempts = 0 No hesitancy = 1

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    • [PDF File]COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS)

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      The C-SSRS Risk Assessment is intended to help establish a person’s immediate risk of suicide and is used in acute care settings. In order to make the C-SSRS Risk Assessment available to all Lifeline centers, the Lifeline collaborated with Kelly Posner, Ph.D., Director at the Center for Suicide Risk Assessment at Columbia

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    • [PDF File]AUTHORIZATION, AGREEMENT B. Request Status …

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      Purposes and Uses ─ The primary purpose of the information collected is for use in the administration of the Federal Training Program (FTP) to document the nomination of trainees and completion of training. Information collected may also be provided to

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    • [PDF File]VAMC SLUMS Examination - Saint Louis University

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      SH Tariq, N Tumosa, JT Chibnall, HM Perry III, and JE Morley. The Saint Louis University Mental Status (SLUMS) Examination for Detecting Mild Cognitive Impairment and Dementia is more sensitive than the Mini-Mental Status Examination (MMSE) - A pilot study. J am Geriatri Psych ( in press). 2 3 Questions about this assessment tool? E-mail aging ...

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    • [PDF File]Oswestry Low Back Disability Questionnaire

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      functional disability. The test is considered the ‘gold standard’ of low back functional outcome tools [1]. Scoring instructions . For each section the total possible score is 5: if the first statement is marked the section score = 0; if the last statement is marked, it = 5. If all 10 sections are completed the score is calculated as follows:

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    • [PDF File]Patient Health Questionnaire (PHQ-9)

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      1. Patient completes PHQ-9 Quick Depression Assessment. 2. If there are at least 4 3s in the shaded section (including Questions #1 and #2), consider a depressive disorder. Add score to determine severity. Consider Major Depressive Disorder - if there are at least 5 3s in the shaded section (one of which corresponds to Question #1 or #2)

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    • [PDF File]Edinburgh Postnatal Depression Scale (EPDS)

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      score should not override clinical judgment. A careful clinical assessment should be carried out to confirm the diagnosis. The scale indicates how the mother has felt during the previous week . In doubtful cases it may be useful to repeat the tool after 2 weeks. The scale will …

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    • [PDF File]The Mood Disorder Questionnaire (MDQ) - Overview

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      The Mood Disorder Questionnaire (MDQ) - Overview The Mood Disorder Questionnaire (MDQ) was developed by a team of psychiatrists, researchers and consumer advocates to address the need for timely and accurate evaluation

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    • [PDF File]Disability Report- Adult

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      DISABILITY REPORT - ADULT SSA-3368-BK PLEASE READ THIS INFORMATION BEFORE COMPLETING THIS REPORT. The information you give us on this report will be used by the office that makes the disability decision on your disability claim. Completing this report accurately and completely will help us expedite your claim.

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    • [PDF File]2018 Publication 946 - Internal Revenue Service

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      Publication 946 Cat. No. 13081F How To Depreciate Property •Section 179 Deduction •Special Depreciation Allowance •MACRS •Listed Property For use in preparing 2018 Returns Get forms and other information faster and easier at: •IRS.gov (English) •IRS.gov/Spanish (Español) •IRS.gov/Chinese (中文) •IRS.gov/Korean (한국어)

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