Journal of Rehabilitation Medicine 51-10 | Page 73

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RAPT
Please answer the following questions to help us plan your discharge:
1. How old are you?
793
Value
30-65 years
66-75 years
>75 years
Male
Female
Over 300 yards (+/- rests)
50-300 yards
Housebound most of the time
Please tick
a
a p
a p
o
2. Are you male or female?
a p
o
s
a p
o
s t
3. How far can you walk at the
p
o
s t a
moment?
o
a
o
p
s t o
l a p
o
s o
t
l i p
4. Do you use any aids to help
None
a o
t o
l i s
your walking?
Stick
d
a o
s t
p
Crutches or frame
l o
i d
i a p
s o
t o
5. Do you have any additional
None or one time per week
l i d
i s a p
o
help at home? (e.g. meals on
Two or more times per week
l
i i t s o
d
s k a p
o
wheels)
s o
d
i s k t l i p
o
s t l
6. Will you have someone living
Yes
a s i @
i d
o
k @
o
with you after your operation?
No
s t o
h
a p
i l d
s k @
i s
h
t o
o
p
o
i l d
k h
@
t s l
o
t
i d
o
What type of property do you live in?
s @
k
h
o
t s m
l i d
t o
i k @
h
t m
l
House
a i d
t o
i k s @
a
h
t o
m
i i
a
i d
o
s @
p
l
Flat
t a k h
o
a
m
i d
s k h
l i m
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@
p
a
i l t s k
Bungalow
@
i a . h
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d
a s o
i l . t s m
k @
d
t o
t p
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m
s
l
. a k @
Maisonette
h
a o
i l c o
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s
t a m
i
t
. c o
@
h
m
p
s
l
k . t a m
i l
Other (please specify) s o
………………………………………………….
c
a
h
o
m
t m
o
k o
@
a l . i
t i p
c
l
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t m
Do you have external steps
to
access
your
property?
s d
@
h
o
o a l t i . c
i
m
o
a i .
t l i
h m
o
l c o
m
Yes
s d
m
a
i l c
o
o a o
s i
t
. m
i
t
a
p
l d
t i l c . o
k
No
m
a
s
o
i l .
o
c
i @
a m
o
l i k from hospital are you planning to go home or are you l . c staying
When you p s are discharged
a m
o
d
h
i
s
i @
. c o
elsewhere? o t
i o
l i m
k d
s o
h
c o
m
s
l
t
.
Home
@
t a
i o
o
m
l
k m
.
c
o
s t h
m
Elsewhere i p
(e.g.
son/daughters
home)……………………………………..
@
c
a o
a
o
l d o
k m
h
o
i t
p
m
i i s Predictor @
a Tool (RAPT) questionnaire.
Appendix I. Risk Assessment and
o
m
l m
o
d t
i
h
s s
t . a
i o
l
o
k t
m
c i
s @ l
t .
a o
o
l m
k h i
c
i m
l
. o
@ d
J Rehabil Med 51, 2019