Division Div 2 - Disability Care Load Assessment (Child) Determination 2009 - Functional Abilities domain

Div 2Functional Abilities domain

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Division 2 Functional Abilities domain

The following questions are only to be completed by a claimant claiming carer payment for a child aged over 12 months, if the claimant considers that his or her child has more problems doing everyday tasks (eg eating, grooming, bathing, using the toilet) than other children of the same age. The claimant must select only the response that best describes the child’s ability. Responses must be based on what the child does, taking into account any aids, appliances or home modifications that assist with the care of the child. If the child has a condition that changes from day to day, responses must be based on the child’s ability when the child’s condition is at its worst.

Domain C — Functional abilities — subdom Domain C — Functional abilities — subdomain 1

Domain C — Functional abilities — subdomain 1

Question number	Question	Response	Answer code
15	Does the child use a spoon, fork or cup?	The child feeds himself/herself and does not require me to provide any help	a
		The child requires me to provide supervision with or without a small amount of physical help with feeding	b
		The child requires me to provide considerable physical help with feeding	c
		The child is bottle fed OR is completely dependent and requires me to feed him/her	d
16	Does the child do everyday grooming tasks (eg brush teeth, brush/comb hair, wash and rinse hands and face)?	The child grooms himself/herself and does not require me to provide any help	a
		The child requires me to provide supervision with or without a small amount of physical help with grooming	b
		The child requires me to provide considerable physical help with grooming.	c
		The child is completely dependent and requires me to do all of his/her grooming	d
17	Does the child bathe himself/herself from the neck down (except for his/her back) in a bath, shower, or sponge/bed bath?	The child bathes himself/herself and does not require me to provide any help

Question number	Question	Response	Answer code
21	Does the child have bladder accidents?	The child never has bladder accidents and is able to control his/her bladder functions without help from me	a
		The child has occasional bladder accidents during the day or during the night, but not both	b
		The child has occasional bladder accidents during the day and during the night	c
		The child has frequent bladder accidents during the day or during the night	d
		The child is completely incontinent and requires me to assist him/her with his/her bladder functions (eg requires a catheter)	e
		The answer to question 20 is yes	y
22	Does the child have bowel accidents?	The child never has bowel accidents and is able to control his/her bowel functions without help from me	a
		The child has occasional bowel accidents during the day or during the night, but not both	b
		The child has occasional bowel accidents during the day and during the night	c
		The child has frequent bowel accidents during the day or during the night	d
		The child is completely incontinent and requires me to assist him/her with his/her bowel functions (eg requires an enema)	e
		The answer to question 20 is yes	y

Question number	Question	Response	Answer code
23	Does the child sit down and get up from the toilet?	The child can sit down and get up from a toilet by himself/herself and does not require help from me	a
		The child requires me to provide supervision with or without a small amount of physical help to sit down and get up from a toilet	b
		The child requires me to provide considerable physical help to sit down and get up from a toilet	c
		The child cannot sit on a toilet OR requires me to place him/her on the toilet and lift him/her off it	d
		The answer to question 20 is yes	y
24	Does the child sit down and get up from a chair or wheelchair?	The child can sit down and get up from a chair or wheelchair himself/herself and does not require me to provide any help	a
		The child requires me to provide supervision with or without a small amount of physical help to sit down and get up from a chair or wheelchair	b
		The child requires me to provide considerable physical help to sit down and get up from a chair or wheelchair	c
		The child cannot sit in a chair OR is completely dependent and requires me to place him/her in a chair or wheelchair and lift him/her out of it	d
25	Does the child get into or out of a bath or shower (whichever is used more often)?	The child can get into or out of a bath or shower and does not require me to provide any help	a
		The child requires me to provide supervision with or without a small amount of physical help to get into or out of a bath or shower	b
		The child requires me to provide considerable physical help to get into or out of a bath or shower	c
		The child is completely dependent and requires me to help him/her get into or out of a bath or shower	d
26	Please indicate how the child usually moves around by selecting the most appropriate response:	The child moves around by walking.	a
		The child moves around by using a wheelchair or other mobility aids	b
		The child moves around by crawling	c
		The child is not able to move around by himself/herself	d
27	Does the child move around by himself/herself indoors on a level surface?	The child moves around indoors on a level surface by himself/herself and does not require me to provide any help	a
		The child requires me to provide supervision with or without a small amount of physical help when moving around indoors on a level surface	b
		The child requires me to provide considerable physical help when moving around indoors on a level surface	c
		The child cannot move around indoors by himself/herself	d
28	Does the child move around by himself/herself outdoors on uneven surfaces?	The child moves around outdoors on uneven surfaces by himself/herself and does not require me to provide any help	a
		The child requires me to provide supervision with or without a small amount of physical help to move around outdoors on uneven surfaces	b
		The child requires me to provide considerable physical help to move around outdoors on uneven surfaces	c
		The child cannot move around outdoors	d
29	Does the child go up and down stairs?	The child can go up and down 12 steps indoors himself/herself and does not require me to provide any help	a
		The child requires me to provide supervision with or without a small amount of physical help to go up and down 12 steps indoors	b
		The child requires me to provide considerable physical help to go up and down 12 steps indoors	c
		The child cannot go up or down stairs	d

Question number

Question

Response

Answer code

Does the child sit down and get up from the toilet?

The child can sit down and get up from a toilet by himself/herself and does not require help from me

The child requires me to provide supervision with or without a small amount of physical help to sit down and get up from a toilet

The child requires me to provide considerable physical help to sit down and get up from a toilet

The child cannot sit on a toilet OR requires me to place him/her on the toilet and lift him/her off it

The answer to question 20 is yes

Does the child sit down and get up from a chair or wheelchair?

The child can sit down and get up from a chair or wheelchair himself/herself and does not require me to provide any help

The child requires me to provide supervision with or without a small amount of physical help to sit down and get up from a chair or wheelchair

The child requires me to provide considerable physical help to sit down and get up from a chair or wheelchair

The child cannot sit in a chair OR is completely dependent and requires me to place him/her in a chair or wheelchair and lift him/her out of it

Does the child get into or out of a bath or shower (whichever is used more often)?

The child can get into or out of a bath or shower and does not require me to provide any help

The child requires me to provide supervision with or without a small amount of physical help to get into or out of a bath or shower

The child requires me to provide considerable physical help to get into or out of a bath or shower

The child is completely dependent and requires me to help him/her get into or out of a bath or shower

Please indicate how the child usually moves around by selecting the most appropriate response:

The child moves around by walking.

The child moves around by using a wheelchair or other mobility aids

The child moves around by crawling

The child is not able to move around by himself/herself

Does the child move around by himself/herself indoors on a level surface?

The child moves around indoors on a level surface by himself/herself and does not require me to provide any help

The child requires me to provide supervision with or without a small amount of physical help when moving around indoors on a level surface

The child requires me to provide considerable physical help when moving around indoors on a level surface

The child cannot move around indoors by himself/herself

Does the child move around by himself/herself outdoors on uneven surfaces?

The child moves around outdoors on uneven surfaces by himself/herself and does not require me to provide any help

The child requires me to provide supervision with or without a small amount of physical help to move around outdoors on uneven surfaces

The child requires me to provide considerable physical help to move around outdoors on uneven surfaces

The child cannot move around outdoors

Does the child go up and down stairs?

The child can go up and down 12 steps indoors himself/herself and does not require me to provide any help

The child requires me to provide supervision with or without a small amount of physical help to go up and down 12 steps indoors

The child requires me to provide considerable physical help to go up and down 12 steps indoors

The child cannot go up or down stairs

Div 2Functional Abilities domain

Get a plain-English read of Div 2

Domain C — Functional abilities — subdom Domain C — Functional abilities — subdomain 1

Domain C — Functional abilities — subdomain 1

Domain C — Functional abilities — subdom Domain C — Functional abilities — subdomain 2

Domain C — Functional abilities — subdomain 2

Domain C — Functional abilities — subdom Domain C — Functional abilities — subdomain 3

Domain C — Functional abilities — subdomain 3