The Pool Activity Level (PAL)

Developed by Jackie Pool, the Pool Activity Level (PAL) instrument has become the framework for care in settings across the UK for clients with cognitive impairments caused by conditions related to dementia, strokes and learning disabilities.


The PAL Instrument contains a valid and reliable tool for assessing level of ability which is recommended in the National Clinical Practice Guideline for Dementia (NICE, 2006), for activity of daily living skill training and for activity planning. The instrument also contains profiling tools for interpreting the assessment in order to plan and deliver effective, enabling care and support.


The PAL Instrument is available to photocopy from the PAL Instrument book or as a free electronic version by following the link below. Users of the PAL Instrument will need a PAL book.


The PAL book contains background information, statistical evidence from the research study, case studies and a selection of possible activities, with sources for obtaining them and guidance for carrying them out with individuals who have different levels of ability as revealed by the completion of the PAL Instrument


To use the free electronic version of the PAL Instrument, follow this link Please note that you will need to have a PAL Instrument book to support your use of the PAL Instrument

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