CAP ADL Select Version: SUITE10_CAP_HC_ADL_G2_V1.0_P_2024-08-29.txt SUITE10_CAP_LTCF_ADL_G2_V1.0_P_2024-08-29.txt SUITE9_CAP_ADL_G2_V2.2_P_2017-01-06.TXT Input Parameters Easily distracted (iC3a) [0-2] 0 - Behavior not present 1 - Behavior present, consistent with usual functioning 2 - Behavior present, appears different from usual functioning (e.g., new onset or worsening; different from a few weeks ago) Mental function varies (iC3c) [0-2] 0 - Behavior not present 1 - Behavior present, consistent with usual functioning 2 - Behavior present, appears different from usual functioning (e.g., new onset or worsening; different from a few weeks ago) Acute change in mental status (iC4) [0,1] 0 - No 1 - Yes Changing decision making (iC5) [0-2,8] 0 - Improved 1 - No change 2 - Declined 8 - Uncertain ADL Decline (iG8a2) [0-2,8] 0 - Improved 1 - No change 2 - Declined 8 - Uncertain Hip fracture (iI1a) [0-3] 0 - Not present 1 - Primary diagnosis / diagnoses for current stay 2 - Diagnosis present, receiving active treatment 3 - Diagnosis present, monitored but no active treatment Pneumonia (iI1q) [0-3] 0 - Not present 1 - Primary diagnosis / diagnoses for current stay 2 - Diagnosis present, receiving active treatment 3 - Diagnosis present, monitored but no active treatment Falls in the last 30 days (iJ1g) [0-2] 0 - No falls 1 - One fall 2 - Two or more falls Falls 31 to 90 days (iJ1h) [0-2] 0 - No falls 1 - One fall 2 - Two or more falls Experiencing a flare up (iJ6b) [0,1] 0 - No 1 - Yes Less than six months to live (iJ6c) [0,1] 0 - No 1 - Yes Physical therapy (iN3ea) [0-7] 0 days1 days2 days3 days4 days5 days6 days7 days Admit to hospital (iN5a) [0-90] 0 times1 times2 times3 times4 times5 times6 times7 times8 times9 times10 times11 times12 times13 times14 times15 times16 times17 times18 times19 times20 times21 times22 times23 times24 times25 times26 times27 times28 times29 times30 times31 times32 times33 times34 times35 times36 times37 times38 times39 times40 times41 times42 times43 times44 times45 times46 times47 times48 times49 times50 times51 times52 times53 times54 times55 times56 times57 times58 times59 times60 times61 times62 times63 times64 times65 times66 times67 times68 times69 times70 times71 times72 times73 times74 times75 times76 times77 times78 times79 times80 times81 times82 times83 times84 times85 times86 times87 times88 times89 times90 times Overall change in care needs (iR2) [0-2] 0 - Improved 1 - No change 2 - Deteriorated ADL Hierarchy (sADLH) [0-6] 0 - Independent 1 - Supervision required 2 - Limited impairment 3 - Extensive Assistance Required - 1 4 - Extensive Assistance Required - 2 5 - Dependent 6 - Total Dependence Cognitive performance scale (sCPS) [0-6] 0 - Intact 1 - Borderline intact 2 - Mild impairment 3 - Moderate impairment 4 - Moderate or severe impairment 5 - Severe impairment 6 - Very severe impairment Calculate 📖 Interpretation Guide cADL Score Interpretation: 0 (Not triggered): No ADL CAP triggered 1 (Triggered - prevent decline): Prevent decline in ADL functioning 2 (Triggered - facilitate improvement): Facilitate improvement in ADL functioning Parameter Descriptions iC3a: Easily distracted [0-2] iC3c: Mental function varies [0-2] iC4: Acute change in mental status [0,1] iC5: Changing decision making [0-2,8] iG8a: ADL Decline [0-3] iG8a2: ADL Decline [0-2,8] iI1a: Hip fracture [0-3] iI1q: Pneumonia [0-3] iJ1g: Falls in the last 30 days [0-2] iJ1h: Falls 31 to 90 days [0-2] xFALLS: Falls frequency [0-3] iJ6b: Experiencing a flare up [0,1] iJ6c: Less than six months to live [0,1] iN3ea: Physical therapy [0-7] iN5a: Admit to hospital [0-90] iR2: Overall change in care needs [0-2] sADLH: ADL Hierarchy [0-6] sCPS: Cognitive performance scale [0-6]