When an employee completes ADLs for a client, there are only two options for them to check off, either that they did it or that it is not applicable (NA). There is no fast and easy way for an employee to indicate that the client actually refused care. There is also no fast and easy way for us to determine how often client's do refuse care. Currently the staff member would check off the NA, however that really isn't indicative of the reason. Was it because the client refused care? Was it because the task was unnecessary at the time? Was it because the staff before them did it? A "Refused care" check box along with the other two would ensure that visit ADLs are recorded properly. It would also keep a record, in case something occurred, that a staff member was informed by the client NOT to do something that was on their list of things to do at the visit. To put a note in each visit this occurs would be time consuming for the employee and not very cost effective.
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