MAO Manual

SKILLS 6 – ONE ARM ASSIST W OUTER GARMENT, STOOL, AND CANE ASSIST

Skills Sheet – One Arm Assist w Outer Garment, Stool, and Cane Assist

Step

Completes Successfully?

Yes

No

1. Informs the patient of the procedure 2. Assists patient with good mobility with outer garment 3. Positions body appropriately with strong stance 4. Grasps patient’s forearm and back above elbow 5. Shifts weight to back leg as patient stands

7. Assists patient for 10 steps or more on side opposite the cane 8. Assists patient into van using step stool; stays nearby and appropriately positions body downhill to prevent falls. Instructor Signature: _________________________________________ Date: _____________

SKILLS 7 – TWO ARM ASSIST

Skills Sheet – Two Arm Assist

Step

Completes Successfully?

Yes

No

1. Informs the patient of the procedure 2. Positions body appropriately with strong stance 3. Grasps own forearm and offers it to patient 4. Shifts weight to back leg as patient stands Instructor Signature: _________________________________________ Date: _____________

SKILLS 8 – STAND AND PIVOT

Skills Sheet – Stand and Pivot

Step

Completes Successfully?

Yes

No

1. Informs the patient of the procedure 2. Positions body in front of patient with strong stance 3. Slides arms under patient’s arms and locks hands 4. Shifts weight to back leg as the patient stands 5. Turns patient in front of chair; sits patient down in chair Instructor Signature: _________________________________________ Date: _____________