Printable nutrition questions and answers
[PDF File]BRADEN SCALE For Predicting Pressure Sore Risk
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BRADEN SCALE – For Predicting Pressure Sore Risk Use the form only for the approved purpose. Any use of the form in publications (other than internal policy manuals and training material) or for profit-making ventures requires additional permission and/or negotiation.
[PDF File]EXAMINATION FOR HOUSEBOUND STATUS OR PERMANENT …
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36. describe restriction of the spine, trunk and neck 37. set forth all other pathology including the loss of bowel or bladder control or the effects of advancing age, such as dizziness,
[PDF File]Patient Health Questionnaire (PHQ-9)
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PHQ-9 Patient Depression Questionnaire For initial diagnosis: 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
[DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal
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The Aid Codes Master Chart was developed for use in conjunction with the Medi-Cal Automated Eligibility Verification System (AEVS). Providers must submit …
[PDF File]Information about Form 8850 and its separate instructions ...
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• I am a veteran and a member of a family that received Supplemental Nutrition Assistance Program (SNAP) benefits (food stamps) for at least a 3-month period during the past 15 months. • I was referred here by a rehabilitation agency approved by the state, an employment network under the Ticket to Work
[PDF File]DRDP (2015) Preschool - Child Development (CA Dept of ...
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related to personal care, safety, and nutrition. The knowledge or skill areas in this domain include perceptual-motor skills and movement concepts, gross locomotor movement skills, gross motor manipulative skills, fine motor manipulative skills, active physical play, nutrition, safety, and personal care routines (hygiene, feeding, dressing).
[PDF File]NICHQ Vanderbilt Assessment Scale—PARENT Informant
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Symptoms (continued) Never Occasionally Often Very Often 33. Deliberately destroys others’ property 0 1 2 3 34. Has used a weapon that can cause serious harm (bat ...
[PDF File]PDPM Calculation Worksheet for SNFs
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PDPM Calculation Worksheet for SNFs 6 This document is a draft worksheet that is intended to aid stakeholders in their review of the FY 2019 SNF PPS Notice
[PDF File]HEALTH SCREENING REPORT - FACILITY PERSONNEL
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DATE OF HEALTH SCREENING NAME OF PHYSICIAN (PHYSICIAN’S STAMP) DATE HEALTH SCREENING BY: (ORIGINAL SIGNATURE) TELEPHONE # DATE Infants Adults Developmentally Disabled Physically Handicapped Children Elderly Mentally …
[DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy
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navcompt form 3065 (3pt) (rev. 2-83) 1. date of request. 2. for . admin. use only. approval of this leave is . not valid . without control no,
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