Tools for Living Well Toolkit - Canadian Association of Occupational ...
Tools for Living Well Toolkit - Canadian Association of Occupational ...
Tools for Living Well Toolkit - Canadian Association of Occupational ...
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82<br />
Evaluation <strong>Tools</strong><br />
6. Do you think that your knowledge about the following has changed?<br />
Assistive Device Yes No Comments<br />
Grab bar<br />
Bath bench or seat<br />
Non-slip bath mat <strong>for</strong><br />
outside the tub /shower<br />
Non-slip bath mat <strong>for</strong><br />
inside the tub / shower<br />
7. In the past 6 months, have you received requests <strong>for</strong> rooms equipped with the following bath safety<br />
devices?<br />
a) Bath grab bars: ___Yes ___No ___Don’t know<br />
b) Bath benches or seats: ___Yes ___No ___Don’t know<br />
c) Non-slip mats <strong>for</strong> inside the bathtub: ___Yes ___No ___Don’t know<br />
d) Non-slip mats <strong>for</strong> outside the bathtub: ___Yes ___No ___Don’t know<br />
8. Have you had any reported falls on your premises in the past year?<br />
___No<br />
___Yes…if yes, did any <strong>of</strong> these take place while your client was taking a bath or<br />
shower (e.g. getting in or out <strong>of</strong> the bathtub, during a shower or bath)<br />
___No ___Yes ___Don’t know<br />
9. Do you have any other comments about the <strong>Tools</strong> <strong>for</strong> <strong>Living</strong> <strong>Well</strong> program?<br />
<strong>Tools</strong> <strong>for</strong> <strong>Living</strong> <strong>Well</strong><br />
Evaluation Tool 6