Adult LTC FS Clinical Instructions

The Adult Long-Term Care Functional Screen clinical instructions are available both by individual module and as a complete document. Please note that the complete document is a large file and may take awhile to download, especially if you are using a modem. 

• COMING SOON: PDF copy of complete instructions with revisions to:

  • Module 1, section 1.12(D) Strategies to Minimize Screening Limitations.
    
    

  • Module 8 Behaviors/Mental Health and Module 6.8 Interventions Related to Behaviors. 
    
    

  • View/print complete set of clinical instructions (Note: These instructions do NOT include the revisions referenced above):

    • LTC FS Clinical Instructions, Updated 12/21/05, unmarked copy, 90 pgs (PDF, 466 KB)

    • Marked copy (PDF, 365 KB) of the LTC FS Clinical Instructions with recent changes highlighted so that screeners are able to note new areas.

View/print by module:

• Module 1: Overview of the LTC FS NOTE: Change to Section 1.12(D)
• Module 2: LTC FS Target Groups 
• Module 3: LTC FS Basic Information (Screen Information, Demographics)
• Module 4: ADLs and IADLs 
• Module 5: Diagnosis 
• Module 6: Health-Related Services (HRS) Table REVISED JUNE 2008: 6.8 Interventions Related to Behaviors
• Module 7: Communications & Cognition 
• Module 8: Behaviors/Mental Health Module REVISED JUNE 2008
• Module 9: Risk
• Module 10: Completion of the Screen and Notes

Back to: Wisconsin's Functional Screen Home Page

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Last Revised:  July 25, 2008