B01_PopulationAnalysisWorksheet.pdf

Minnesota’s Call to Action
Quality of Life Initiative for Activities F248/249
An Interdisciplinary Approach
Provided by the Good Samaritan Society
Population Analysis Example
POPULATION ANALYSIS WORKSHEET
I: INDEPENDENT / MODIFIED INDEP
• Self directed or some dependence
for staff assistance
• Compensates for limitations
• Moderate to good attention span
• Able to pursue & express interests
• Able to make choices
• Good comprehension
• Not disruptive
GROUP
PARTICIPANT
NON-GROUP
PARTICIPANT
II: MODIFIED INPAIRED
•
•
•
•
•
Impaired long & short term
memory
Frequently disoriented to
where he or she is or what he
or she is doing
Responds appropriately to
simple requests & direction
Easily distracted
Needs assistance in making
choices
GROUP
PARTICIPANT
NON-GROUP
PARTICIPANT
•
•
•
•
•
•
•
III: SEVERELY IMPAIRED
Resident’s impairment prevents
interaction with others
Responds only to sensory
stimulation
Most responses are
inappropriate
Very short attention span
Disruptive behavior for no
apparent reason
Unable to make needs known
Non-responsive
GROUP
PARTICIPANT
Per – Margaret Hemauer Activity / Wellness Consultant @May2006
NON-GROUP
PARTICIPANT