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Referral attached. Home visit today. Peter makes simple meals but won't use the stovetop when he's home alone, since a burn earlier this year.
Read referral.docx · checked guidance · edited the report (3 changes)
I've drafted Part A from the referral and added the stovetop to meal preparation in Part C.
Show this change in the reportDid you see him cook, or did he tell you?
I saw him cookHe told meBothI saw him make toast and a sandwich. His aunt does the cooking
Listening StopFunctional capacity assessment
Participant: Peter Parker
Client reference: Not recorded PP-100
Assessing clinician: Mary Jane
Part A · participant background
Peter lives with his aunt. The referral asks for current evidence of his daily living and community access.
Part C · functional performance
Meal preparation
Peter prepares simple meals and reports that he avoids the stovetop when home alone, following a burn earlier this year.
Part D · assessment results
Not recorded.
Add your notes
Referral attached. Home visit today. Peter makes simple meals but won't use the stovetop when he's home alone, since a burn earlier this year.
Draft with ellieai, AI assistant
Part C · functional performance
Peter prepares simple meals and reports that he avoids the stovetop when home alone, following a burn earlier this year.
Review and edit
Did you see him cook, or did he tell you?
Say it in any order. Each thing you tell ellie lands where it belongs, and you check every change.
Peter showers standing and holds the rail getting in and out1. He's fine with toast and sandwiches but won't use the stovetop when he's home alone, there was a burn earlier this year2. His aunt does the cooking most nights3. Um, that's it for today.
Part C · functional performance
Personal care
Peter showers standing and holds the rail when getting in and out of the shower.1
Meal preparation
Peter prepares simple meals such as toast and sandwiches. He reports avoiding the stovetop when home alone, following a burn earlier this year.2 His aunt prepares most evening meals.3
Community access
Not recorded.
You didn’t mention it, so it says so.
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Personal care
Ask about thisShortenWhere is this from?Peter showers standing. He holds the rail when getting in and out, and his aunt waits nearby on days he describes as bad.
Dressing
Peter dresses independently. Edit this part
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Functional capacity assessment
Peter Parker · open a part to see what goes in it
Referral purpose, dates, contributors, documents reviewed and tools used.
Home visit with Peter and his aunt. Referral read. No standardised assessment supplied.
Diagnoses as recorded, social background, supports and home environment.
Peter lives with his aunt, who prepares most evening meals. Diagnoses as recorded in the referral.
Only the factors the evidence connects to function.
A burn earlier this year, which Peter links to avoiding the stovetop.
Mobility, personal care, domestic and community tasks, with assistance and variability.
Peter prepares simple meals and reports avoiding the stovetop when home alone. Community access: not recorded.
Results of the assessments you supply, with their limits.
Not recorded.
Goals, functional impact, and numbered recommendations with rationale.
Peter’s goal, in his words: to cook a hot meal on his own. Each recommendation numbered, with its reason.
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