HowRthey is a short generic staff or carer-reported measure of need and risk. Carers, family or professional staff can use howRthey to record the level of need and risk for people they care for. This can enable prompt identification of change and trigger timely effective intervention.
HowRthey has similarities to howRu. The four items are:
- Physical care needs ¬ the help needed for activities of daily living (ADLs). Options are none, a liitle (simple supervision), a lot (physical assistance needed from one person), extreme (complete dependence needing two or more carers)
- Pain and/or distress – physical and emotional suffering. Options are none, a little (some support as needed), a lot (needing planned, regular therapy and support), extreme (needing 24/7 support and care)
- Unpredictable needs – the extent that needs ar not predictable. Options are none, a little (easily provided in planned care), a lot (unpredictable), extreme (unpredictable and urgent needing 24/7 cover)
- Behaviour problems – behaviour which could lead to harm to self or others. Options are none, a little (occasional support needed), a lot (planned and structured support), extreme (24/7 support needed)