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

Verified 05 October 2021 - Directorate of Legal and Administrative Information (Prime Minister), National Solidarity Fund for Autonomy (CNSA)

The national grid Act: titleContent measures the degree of loss of autonomy of the applicant of theApa: titleContent. It is used to determine whether the applicant is entitled to the AAA and, if so, the level of assistance required. The degrees of loss of autonomy are classified in 6 Gir: titleContent. Each Gir corresponds to a level of support needs to perform the essential acts of daily life.

The grid Act: titleContent is used as part of an application Custom Autonomy Allocation (Apa).

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

  • 10 bodily and mental activities, so called discriminating activities,
  • and 7 domestic and social activities, so-called illustrative activities.

Only the 10 discriminating activities are used to determine the Gir: titleContent to which the applicant for the Apa is subject.

The 7 illustrative activities are intended to provide additional information to the assessor in order to better understand the overall situation of the applicant.

The Aggir grid is integrated into an evaluation reference system which makes it possible to collect all the information necessary for drawing up the applicant's assistance plan.

Video: How is autonomy evaluated?

Credits :, website of the National Solidarity Fund for Autonomy (CNSA)

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

  • 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")

  • 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

Depending on the degree of loss of autonomy, the applicant is classified in a Gir: titleContent.

There are 6 Girs:

Tableau - Meaning of the Gir to which the applicant is attached

Gir: titleContent

Dependency Degrees

Gir 1

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

Gir 2

- Applicant confined to bed or chair, whose mental functions are not totally impaired and whose condition requires management for most activities of daily life

- Or applicant whose mental functions are impaired, but who is able to move and who requires constant supervision

Gir 3

Applicant who has retained mental autonomy, partially locomotor autonomy, but who requires daily and several times a day assistance with bodily care

Gir 4

- Applicant who does not assume his transfers alone but who, once he gets up, can move inside his accommodation, and who needs help with the toilet and dressing

- Or applicant who does not have locomotor problems but who must be helped for body care and meals

Gir 5

Applicant requiring only one-time assistance with bathing, preparing meals and cleaning

Gir 6

Applicant still autonomous for essential acts of daily living

If the health of the older person receiving the Apa requires it, they may request a reassessment of their situation. She has to send a letter to the department.

Who shall I contact

If the person had been classified as Gir 5 or Gir 6 in a previous application for an Apa and his health condition now requires classification in another Gir, he can file a new one request for allocation.

Who can help me?

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