Medical Alert Self-Assessment
A medical alert service gives older adults and those with chronic medical conditions the security and confidence to continue to live independently at the one place they feel most comfortable – in their own home.
Is it time to consider a medical alarm for you or someone you care for?
To find out answer the nine simple questions below.
| Questions | Points | |
| 1. | Are you alone for several hours during the day or night? | 2 |
| 2. | In the past year, have you fallen, been worried about falling, or otherwise been at risk of falling in your home? | 3 |
| 3. | Have you been hospitalized, or been to the emergency room, in the past year? | 2 |
| 4. | Do you have at least one of these chronic ailments: Heart Disease? Stroke? Chronic Obstructive Pulmonary Disease? Osteoporosis? Diabetes? Arthritis? | 2 |
| 5. | Do you use a cane, walker, wheelchair, stair climber or other assistive device to help with balance or walking? | 3 |
| 6. | Are you required to take several daily medications? | 3 |
| 7. | Do you require assitance with at least one of the following activities: Bathing? Toileting? Dressing? Meal Preparation? | 3 |
| 8. | Would a medical alert provide peace of mind for you or your loved ones? | 1 |
| 9. | Is it important to you to continue living independently? | 1 |
| TOTAL POINTS | ___ | |
| Determine Your Need | |
| Your total points indicate the level of need for a medical alert service. | |
| 15-20 points – Urgent Need | A medical alert is likely to be recommended with some urgency by doctors, nurses and professional caregivers in this situation. |
| 8-14 points – Elevated Need | A medical alert is likely to be highly recommended by hospitals, doctors, nurses and professional caregivers. |
| 4-7 points – Moderate Need | Hospitals, doctors, nurses and professional caregivers might advise you to consider a medical alert. |
| 0-3 points – Limited Need | A medical alert may not be required immediately, but re-evaluation is recommended as time goes on or the situation changes. |
| Important Note: Every situation is unique, so if you have any particular concerns, contact a trusted health professional, or call Lifeline at 785.452.6177. | |
To enroll or for more information, call Salina Regional Health Center Lifeline
785-452-6177 or
800-242-1306 - Ext. 4793