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Intégrer les services pour le maintien de l'autonomie des ... - Prisma

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GUIDE D’UTILISATION DU QUESTIONNAIRE PRISMA-7 POUR LE REPÉRAGE... 165<br />

PRISMA-7 Questionnaire<br />

To i<strong>de</strong>ntify el<strong>de</strong>rly peop<strong>le</strong><br />

with a mo<strong>de</strong>rate or severe loss of autonomy<br />

Does this person have a case manager ?<br />

If yes, send the information you have on the person’s health to the case manager, and do<br />

not comp<strong>le</strong>te this questionnaire.<br />

If this person does not have a case manager, do you know his/her « up-to-date » SMAF<br />

score ?<br />

If yes, do not comp<strong>le</strong>te this questionnaire. If his/her score is ≥ 15, refer the person’s fi<strong>le</strong><br />

to the sing<strong>le</strong> entry point.<br />

This questionnaire is <strong>de</strong>signed for el<strong>de</strong>rly peop<strong>le</strong> who do not have a case manager and<br />

whose SMAF score is not known.<br />

www.prisma-qc.ca<br />

Instructions<br />

For questions 3 through 7, no interpretation of the answer is necessary. Simply note the<br />

person’s answer without consi<strong>de</strong>ring if the answer should be Yes or No. If the el<strong>de</strong>rly person<br />

hesitates between Yes and No, you must ask him/her to choose one of the two<br />

answers. If, <strong>de</strong>spite several attempts, he/she persists in answering "A bit" or "Sometimes",<br />

check Yes.

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