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Caregiving Assessment

Things to Consider

Select the numbered statement (statements are rated on a scale of 1 - 3) that best describes your situation for each item below. You can total your scores by adding the numbers of the selected statement. This will give you a big picture of the caregiving situation. Lower scores indicate situations that are less manageable -- that is situations that require additional support beyond that provided by the primary caregiver. Higher scores indicate situations that may be more readily managed.

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Hannah Kalil is 83 years old, and lives by herself in upstate New York. She has aides who help with her caregiving throughout the day. But the responsibility of managing her finances, health care -- both mental and physical -- and long-term living situation falls to one person: her daughter -- and my mother -- Eleanor. It's almost a full-time job. Making sure my grandmother is happy and not feeling lonely means daily visits. Her never-ending stream of medical issues means weekly -- if not...

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The care receiver is usually:

_____ (1) Confined to the bed

_____ (2) Homebound, but not bed bound

_____ (3) Able to get about on his or her own

The care receiver is:

_____ (1) Not able to feed himself or herself

_____ (2) Able to feed himself or herself but needs supervision, coaching, and company

_____ (3) Able to come to the table for meals

The care receiver is:

_____ (1) Not able to bathe himself or herself or provide other routine care (for example, shaving or

dressing)

_____ (2) Able to take a tub bath or a shower but must have assistance and support to do so

_____ (3) Independent in bathing, grooming, and dressing

The care receiver is:

_____ (1) Not able to control his or her bowels or bladder

_____ (2) Able to control bowels and bladder but must have assistance using a bedpan or

getting to the bathroom

_____ (3) Independent in getting to the bathroom

The care receiver:

_____ (1) Requires 20 hours personal care a week

_____ (2) Requires between 10 and 20 hours personal care a week

_____ (3) Requires less than 10 hours personal care a week

The care receiver is:

_____ (1) Usually mentally confused

_____ (2) Sometimes mentally confused

_____ (3) Able to think clearly and make competent decisions

From the Primary Caregiver's Perspective

The caregiver:

_____ (1) Is in frail or poor health

_____ (2) Has some limitations in activities

_____ (3) Is in good health and is physically active

The caregiver is:

_____ (1) Employed full-time outside the home

_____ (2) Employed part-time outside the home or has a flexible and supportive work setting

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What's your top caregiving challenge?