What exceptional medical support activities are evaluated to assess your medical support needs?
The SIS exceptional medical support needs scale measures your personal support needs for the following medical support need(s) activities:
# | Medical supports needed | No support needed | Some support needed | Extensive support needed |
1. | Inhalation or oxygen therapy | 0 | 1 | 2 |
2. | Postural drainage | 0 | 1 | 2 |
3. | Chest PT | 0 | 1 | 2 |
4. | Suctioning | 0 | 1 | 2 |
5. | Oral stimulation or jaw positioning | 0 | 1 | 2 |
6. | Tube feeding (e.g., nasogastric) | 0 | 1 | 2 |
7. | Parenteral feeding (e.g., IV) | 0 | 1 | 2 |
8. | Turning or positioning | 0 | 1 | 2 |
9. | Dressing of open wound(s) | 0 | 1 | 2 |
10. | Protection from infectious diseases due to immune system impairment | 0 | 1 | 2 |
11. | Seizure management | 0 | 1 | 2 |
12. | Dialysis | 0 | 1 | 2 |
13. | Ostomy care | 0 | 1 | 2 |
14. | Lifting and/or transferring | 0 | 1 | 2 |
15. | Therapy services | 0 | 1 | 2 |
16. | Hypertension | 0 | 1 | 2 |
17. | Allergies | 0 | 1 | 2 |
18. | Diabetes | 0 | 1 | 2 |
19. | Other(s) - specify | 0 | 1 | 2 |
Subtotal scores of 1s and 2s: | | |
Add subtotals scores for 1s and 2s for total exceptional medical support needs score: | |
[Statutory Authority: RCW
71A.12.030 and
71A.12.120. WSR 19-02-020, § 388-828-4360, filed 12/21/18, effective 2/1/19. Statutory Authority: RCW
71A.12.030 and Title
71A RCW. WSR 07-10-029, § 388-828-4360, filed 4/23/07, effective 6/1/07.]