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  • QUALITY OF LIFE RISK REVIEW ASSESSMENT

    FOR PROFESSIONALS
  • This assessment should take between two to five minutes to complete.

  • © 2025 Solutions for Dignity All rights reserved.

  • INTRODUCTION

  • The Quality-of-Life Risk Review Assessment was designed to help identify early patterns that place a vulnerable individual at risk. Most instability does not appear all at once. It emerges slowly through small changes, missed signals, increased stress, or declining support. This tool helps make those patterns visible. An individual may seem stable in isolated moments, but stability is the accumulation of many small predictable factors. These include health oversight, daily functioning, medication use, decision making, home safety, and the strength of the support system. When several of these areas begin to show signs of strain at the same time, the likelihood of preventable crisis rises.

    This assessment supports individuals, families, and professionals to recognize these early indicators. It also creates a shared language so that conversations about safety and support become easier, more objective and grounded in true patterns. This tool is not intended to diagnose medical conditions or replace medical legal or financial guidance. It exists to help you see the whole picture before a crisis develops. It can be repeated any time there is a health event, hospitalization, decline in functioning, change in caregiver support, or any situation that creates new stress.

  • You will answer each question by selecting a number from the scale below. Choose the number that best reflects your level of concern now.

    1 – Strong and steady
    2 – Mild concern
    3 – Emerging concern
    4 – High concern
    5 – Crisis or urgent concern

  • At the end of the review, you will add the numbers together to find the total score. A scoring guide is included so you can understand the level of risk and the recommended next steps. You may notice that different categories have different patterns of concern. These patterns are often more important than any single number.
  • © 2025 Solutions for Dignity® All rights reserved.

  • BACKGROUND INFORMATION

    This review is about the person receiving support or care.
  • For each following question, select one number that best describes your level of concern now.

  • HEALTH AND MEDICAL STABILITY

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  • SAFETY AND ENVIRONMENTAL STABILITY

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  • DECISION MAKING AND LEGAL STABILITY

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  • SUPPORT SYSTEM AND CAREGIVER STABILITY

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  • OVERALL FUNCTIONING AND DAILY LIFE

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  • SCORING WORKSHEET FOR PROFESSIONALS

  • Use this worksheet to total scores in each category.

  • Scoring Rubric on the next page.

  • © 2025 Solutions for Dignity® All rights reserved.

  • QUALITY OF LIFE RISK REVIEW

    DETAILED RISK RECOMMENDATION SCORING
  • The total score ranges from twenty to one hundred. Lower numbers indicate steadiness. Higher numbers indicate instability that is likely to worsen without structured support. Each range includes a clear recommendation, a plain-language interpretation, and a guidance statement so families and professionals know exactly what to do next.

    • Score Range: 20 to 34 
    • Score Range: 20 to 34
      RISK LEVEL: Low Risk - Monitor Stability

    • What this means:

    • Life is functioning in a relatively steady way. There may be mild concerns in one or two areas, but there are no patterns that indicate escalating instability.

    • Recommended action:

    • • Continue current routines and supports
      • Review this tool every three to six months.
      • Repeat after any major change such as:d
                           - Hospitalization
                           - Fall
                           - New diagnosis
                           - Change in caregiver availability
                           - Changes in memory, behavior or mood

    • Guidance:

    • Stability can shift quickly during stress. Staying proactive prevents small concerns from evolving into crisis.
    • Score Range: 20 to 34

    • © 2025 Solutions for Dignity® All rights reserved.
    • Score Range: 35 to 55 
    • Score Range: 35 to 55
      RISK LEVEL: Moderate Risk with Emerging Instability

    • What this means:

    • There are early signs of strain that, if left unaddressed, are likely to increase stress on the individual and their support network. No single concern may be alarming, but the pattern matters.
    • Recommended action:

      • Strengthen support before the situation becomes urgent.
      • Consult with a Life Care Expert to review risks, plan supports and prevent escalation.
      • Begin improving one or two high-concern areas (such as medical follow up, safety planning, nutrition, caregiver wellness, or medication oversight).
    • Guidance:

    • This is the ideal window for early intervention. Preventative action here dramatically reduces the likelihood of crisis, hospitalization, caregiver burnout, or financial vulnerability.
    • Score Range: 35 to 55

    • © 2025 Solutions for Dignity® All rights reserved.
    • Score Range: 56 to 75 
    • Score Range: 56 to 75
      RISK LEVEL: Elevated Risk with Instability Concerns Present

    • What this means:

    • Multiple domains show moderate to high concern. These patterns signal that the person's current level of support is not strong enough to maintain long term stability. Without structured planning, there is a high chance of preventable crisis.
    • Recommended action:

      • Schedule a consultation with a Life Care Expert ASAP
      • Develop a stabilization plan that includes:
        • Medical and mental health oversight
        • Safety planning
        • Review of legal and financial support
        • Caregiver and support network assessment
        • Environmental and home safety planning
        • Connection to trusted providers
    • Guidance:

    • This score reflects a level of risk that should not be managed informally. Early, structured intervention prevents emergencies and protects quality of life.
    • Score Range: 56 to 75

    • © 2025 Solutions for Dignity® All rights reserved.
    • Score Range: 76 to 100 
    • Score Range: 76 to 100
      RISK LEVEL: Critical Risk with Serious Stability Concerns

    • What this means:

    • Several areas of life appear unstable at the same time. Crisis, harm, or avoidable decline is likely or already unfolding. This score reflects significant strain on the individual, the family, or the support system.

      This level of risk often precedes:

      • Hospitalizations
      • Safety incidents
      • Mental health crises
      • Caregiver breakdown
      • Financial exploitation
      • Rapid decline in functioning
    • Recommended action:

      • Contact A Life Care Expert within the next 48 hours.
      • Implement immediate stabilization steps, which may include:
        • Urgent care coordination
        • Safety assessment
        • Medication review
        • Environmental risk reduction
        • Connection to mental health or medical services
        • Support for overwhelmed caregivers
        • Legal and financial safeguards
    • Guidance:

    • This is a now situation. Acting quickly can prevent avoidable loss of health, dignity, safety, and financial security.
    • Score Range: 76 to 100

    • © 2025 Solutions for Dignity® All rights reserved.
    • Referral and Next Steps for Professionals 
    • REFERRAL AND NEXT STEPS FOR PROFESSIONALS

    • If you would like someone to review this case with you or consult on next steps, please complete the information below.

    • Format: (000) 000-0000.
    • ABOUT SOLUTIONS FOR DIGNITY®

    • Solutions for Dignity® supports older adults, individuals with disabilities, and children with special needs. We focus on stability, safety and care oversight so that dignity and quality of life remain at the center of every plan.

    • © 2025 Solutions for Dignity® All rights reserved.

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