Speech therapy yes no questions

    • [PDF File]COMA RECOVERY SCALE-REVISED

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      no movement. The limb does not need to make contact with the object, only to move toward it; and 4 Object Localization: Reaching 3. Present the object approximately 8 inches to the left or right of the limb's resting position. The object should be placed in a position that is …


    • [PDF File]INSTRUCTIONS FOR COMPLETING MA-51 MEDICAL …

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      INSTRUCTIONS FOR COMPLETING MA-51 MEDICAL EVALUATION ... Speech Therapy Parenteral Fluids Occupational Therapy Suctioning 1. Stable ... YES NO Yes No 1. Within 180 days 2. Over 180 days Inhalation Therapy Special Dressings Irrigations Other (Specify) 2. With Minimal Assistance 3. …


    • [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,


    • [PDF File]RESIDENT CENSUS AND CONDITIONS OF RESIDENTS

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      There is no federal requirement to automate the 672 form. A facility may use its MDS data to assist in completing the entry fields for the 672 form, however, facilities should ensure that the MDS information is not simply counted and copied over into the form.


    • [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 an inquiry to AEVS to verify a recipient’s eligibility for


    • [PDF File]Montreal Cognitive Assessment (MoCA) Administration and ...

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      Montreal Cognitive Assessment (MoCA) Administration and Scoring Instructions The Montreal Cognitive Assessment (MoCA) was designed as a rapid screening inst rument for mild cognitive ... say, “Yes, and they are also both fruit. ... Scoring: No points are allocated for words recalled with a cue.


    • [PDF File]MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES …

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      LEVEL ONE NURSING FACILITY PRE-ADMISSION SCREENING FOR MENTAL ILLNESS/MENTAL RETARDATION OR RELATED CONDITION Completion of this form is mandatory for all persons applying for admission to a Medicaid certified bed to determine appropriateness of the nursing facility placement. ... NO YES - LIST HERE:_____ ...


    • [PDF File]Sport concussion assessment tool - 5th edition

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      The Maddocks questions and cervical spine exam are critical steps of the immediate assessment; however, these do not need to ... Eye opening to speech 3 3 3 Eyes opening spontaneously 4 4 4 Best verbal response (V) ... Yes No Diagnosed / treated for headache disorder or migraines? Yes No


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