Purpose: To identify possible hazards for a person on a low income trying to keep warm during the winter.			Citations with documentation. 34.01.18	Medal Project 2005. See disclaimer.
data	enter
Are you evaluating a person on a low income who is trying to heat the home in winter? (Y or N)		:-):-):-)
Is the person?
• lighting fires in the home? (Y or N)		:-):-):-)		1
• using a propane heater or other unsafe gas heater? (Y or N)		:-):-):-)		1
• using an electric heater? (Y or N)		:-):-):-)		1
• paying the heating bill rather than buying medications? (Y or N)		:-):-):-)		1
• paying the heating bill rather than buying food? (Y or N)		:-):-):-)		1
• reducing the room temperature a lot? (Y or N)		:-):-):-)		1
Has the person lost heat entirely? (Y or N)		:-):-):-)		1
calculate	result
data complete?	Yes
evaluation appropriate?	Yes	:-):-):-)
number of potentially risky responses being used	7	potentially risky situations
Potential Hazards:
• Fire and/or burns.
• Smoke inhalation.
• Carbon monoxide poisoning.
• Electric shock.
• Worsening of comorbid conditions
• Malnutrition
• Risk for pneumonia or other infection.
• Freezing of water pipes, with flooding.
• Hypothermia.