Current through Register Vol. 48, No. 38, September 20, 2024
a) An individual receiving a 14 or more on
the Mini-Mental Status Examination shall receive "zero" points towards his/her
column A score. An individual receiving less than 14 points shall receive an
additional "10" points added to his/her column A score for the determination of
eligibility and a SCM.
b) The
remaining two sections of the DON measure the individual's ability to complete
the ADLs. The ADLs are specifically: eating, bathing, grooming, dressing,
transferring, incontinence care, preparing meals, being alone, telephoning,
managing money, routine health care tasks (or those health care tasks not
requiring specialized training), specialized health care tasks (or those
requiring assistance from trained medical practitioners), necessary travel
outside the home, laundry, and housework.
1)
Part A of the DON measures the individual's need for assistance in the
completion of each of the ADLs on the following rating scale.
A) None ("0" points) - the individual can
perform all essential components of the ADL with or without an existing
assistive device;
B) Minimal ("1"
point) - the individual can perform most of the ADL, with or without an
existing assistive device, but requires some supervision and/or assistance to
ensure the task is fully completed;
C) Moderate ("2" points) - the individual
requires a great deal of supervision and/or assistance, with or without
existing assistive devices, in the completion of the essential components of
the task; and
D) Severe ("3"
points) - the individual cannot perform any of the essential components of the
task, with or without existing assistive devices and requires constant
supervision and/or assistance.
2) Part B of the DON measures the
individual's unmet need for care in the completion of the ADLs on the following
scale.
A) None ("0" points) - the individual
has no unmet need for care in that the individual needs no assistance in
completion of the essential components of the task, or family and/or other
resources already provide for this task;
B) Minimal ("1" point) - the individual's
need for assistance in the completion of the task is met at least 50% of the
time, and, without periodic assistance, there is a risk to the individual's
health and safety;
C) Frequent ("2"
points) - the individual's need for assistance in the completion of the task is
met less than 50% of the time and, without assistance, there is moderate risk
to the individual's health and safety; and
D) Constant ("3" points) - the individual's
need for assistance in the completion of the task is seldom (less than 10% of
the time) or never met and, without assistance, there is extreme risk to the
individual's health and safety.
c) In administering the DON for children, the
assessor should ensure the ratings given reflect limitations due to the
individual's disability and not the individual's age and/or the additional
burden placed on the caregiver.
1) On Part A,
determine if a child of the individual's age should be able to complete all or
part of the task. If the inability to perform the task relates only to the
individual's age, a score of "zero" should be given. Otherwise, score "1", "2",
or "3" according to the individual's impairment level.
2) On Part B, determine the additional burden
placed on a caregiver providing the service. If, because of the individual's
age, there is no increased burden, a score of "0" should be given. If there is
an increased burden on the caregiver due to the individual's disability, score
"1", "2", or "3" according to the increased level of burden in providing the
task.
