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Evaluation

Are you evaluating a quadriplegic patient?

Select the appropriate answer for each function

Drinking from glass or cup

Use a fork or spoon

Cut up food

Pour out liquids

Open a carton or jar

Apply butter or spreads to bread

Moving from supine to prone

Chane from lying to long sitting

Moving from supine to side

Moving from side to side

Maintaining balance while long sitting

Brushing teeth or maintaining dentures

Brushing or combing hair

Washing and drying upper body

Washing and drying lower body

Washing and drying feet

Washing and drying hair

Moving from bed to chair

Moving from chair to bed

Moving from chair to toilet/commode

Moving from toilet/commode to chair

Moving from chair to vehicle

Moving from vehicle to chair

Moving from chair to shower/bathtub

Moving from shower/bathtub to chair

Putting upper body indoor clothes on

Taking upper body indoor clothes off

Putting lower body indoor clothes on

Taking lower body indoor clothes off

Putting socks on or taking socks off

Putting shoes on or taking shoes off

Use of fasteners

Turning corners in wheelchair

Reversing direction in wheelchair

Lock wheelchair brakes

Moving and positioning in chair

Maintaining balance while sitting

Results

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