Apa: What is the Gir 1, 2, 3 or 4 of the Aggir grid?

Verified 10 May 2024 - Directorate of Legal and Administrative Information (Prime Minister), National Solidarity Fund for Autonomy (CNSA)

The grid ActAct : Autonomy Gerontology Group Iso Resources is used to evaluate the degree of loss of independence of an older person. At the end of the evaluation, the older person is classified in 1 of 6 GirGir : Single Resource Group possible. Depending on her GIR, she may or may not receive the personalized autonomy allowance (Apa). We present you with the information you need to know.

When applying Custom Autonomy Allocation (Apa)However, the elderly person's loss of independence is evaluated using a grid ActAct : Autonomy Gerontology Group Iso Resources.

This grid measures an older person's ability to do the following:

  • 10 bodily and mental activities, so called discriminating activities. The results obtained are used to determine the GirGir : Single Resource Group, i.e. the degree of loss of autonomy of the elderly person.
  • 7 domestic and social activities, known as illustrative activities. The results provide additional information to better understand the overall situation of the older person.

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Bodily and mental activities (so-called "discriminating" activities)

Bodily and mental activities include the following:

  • Communicate verbally and/or non-verbally, act and behave in a logical and sensible manner in relation to the norms accepted by the business
  • Locating oneself in space and time
  • Toilet
  • Get dressed, get undressed
  • Serving and eating
  • Ensure hygiene of urinary and fecal elimination
  • Get up, lie down, sit down, go from one of these 3 positions to another
  • Moving around in the living space
  • Moving outside the living space
  • Use a means of remote communication (telephone, alarm, doorbell, etc.) in order to alert in case of need.

Domestic and social activities (so-called "illustrative")

Domestic and social activities include the following:

  • Prepare meals and package them so they can be served
  • Manage your business, your budget and your assets, recognize the monetary value of your notes and coins, use your money and know the value of your things, do the paperwork, fill out the forms
  • Perform all routine housework
  • Voluntarily use public or private transport
  • Purchase goods voluntarily
  • Follow the doctor's prescription and manage the treatment yourself
  • Voluntarily practice, alone or in groups, various leisure activities.

FYI  

The Aggir grid is integrated into an evaluation repository that allows the collection of all the information necessary for the elder's assistance plan to be developed.

Video: How is autonomy evaluated?

Depending on the degree of loss of independence, the older person is classified in 1 of 6 GirGir : Single Resource Group  :

Tableau - Levels of dependency to which each Gir and possible financial assistance corresponds

GirGir : Single Resource Group

Possible help

Dependency Degrees

Gir 1

Apa

Person confined to bed or chair, whose mental functions are severely impaired and who requires an indispensable and continuous presence of responders

Gir 2

Apa

  • A person who is confined to bed or in a chair, whose mental functions are not totally impaired and whose condition requires management for most activities of daily living
  • Either someone with impaired mental function, who is able to move around, but who requires constant supervision

Gir 3

Apa

A person who has maintained all or part of his or her mental autonomy, partially locomotor autonomy, but who needs assistance for bodily care on a daily basis and several times a day

Gir 4

Apa

  • Either no one who does not take care of his transfers alone but who, once lifted, can move inside his home, but who needs help with washing and dressing
  • Either no one with locomotor problems, but who needs help with body care and meals

Gir 5

Household or pension assistance

Person who only needs one-time help with bathing, preparing meals and cleaning

Gir 6

Household or pension assistance

Person still autonomous for essential acts of everyday life

An elderly person who receives the Apamay request a reassessment of the degree of loss of autonomy, where his state of health so requires. To do this, she must send a letter to the department's services.

Who shall I contact

A senior classified as Gir 5 or Gir 6 in a previous application for an Apa, but whose health condition now requires classification in another Gir, can file a new Apa request.

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