2

Power

Can do active SLR

Can do active SLR but cannot

sustain for

more than 5s

Needs initial

support

for active SLR

Cannot do active

SLR

3

Ambulation

Able to

walk independently

Able to walk

with stick

Able to walk

with walker

Unable to stand

4

Pain

Mild or no pain

Pain tolerable

with oral

medications

Requires systemic

medications

to control pain

Severe pain

despite of

systemic

medications

5

Wound status

Clean

Mild

spotting

Minimal soakage

or drain < 300

over 24 hours

Complete

soakage or

drain > 300

over 24 hours

6

Bladder

Can pass urine

comfortably

Frequency

but no retention

Less control

and incomplete

emptying

Require

catheterization

7

Vital signs

Pulse and BP stable

and input and

output maintained

Needs mild s

upport

Not affecting

mobilisation

Needs more

support severe

enough to affect

mobilisation

Needs continual

support (ICU)

8

Attitude

Happy

Enthusiastic

but anxious

Concerned

Unhappy

9

Sleep

Sleeping well

Sleep less than

normal

Sleep with help

of sedatives

Could not sleep

even with

sedatives