Scribd Logo
Upload

Welcome to Scribd!

  • 68 views

    Activities of Daily Living - : B. Functional Assessment

    Uploaded by

    Lore Anne Mhae Santos
    This document discusses activities of daily living (ADLs) and their use in measuring functional status. It introduces basic ADLs like bathing, dressing, and feeding, as well as instrumental ADLs (IADLs) like transportation, housekeeping, and managing finances that allow independent living. The Katz Index is presented as the best tool for assessing functional status through a scoring system of independence across six basic ADLs. Maintaining functional status through ADL assessments can help identify health declines in older adults and allow for early intervention.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Activities of Daily Living - : B. Functional Assessment

    Uploaded by

    Lore Anne Mhae Santos
    68 views3 pages
    This document discusses activities of daily living (ADLs) and their use in measuring functional status. It introduces basic ADLs like bathing, dressing, and feeding, as well as instrumental ADLs (IADLs) like transportation, housekeeping, and managing finances that allow independent living. The Katz Index is presented as the best tool for assessing functional status through a scoring system of independence across six basic ADLs. Maintaining functional status through ADL assessments can help identify health declines in older adults and allow for early intervention.

    Original Title

    HA-lecture-week-3-functional-health-assessment.docx

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document discusses activities of daily living (ADLs) and their use in measuring functional status. It introduces basic ADLs like bathing, dressing, and feeding, as well as instrumental ADLs (IADLs) like transportation, housekeeping, and managing finances that allow independent living. The Katz Index is presented as the best tool for assessing functional status through a scoring system of independence across six basic ADLs. Maintaining functional status through ADL assessments can help identify health declines in older adults and allow for early intervention.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    68 views3 pages

    Activities of Daily Living - : B. Functional Assessment

    Uploaded by

    Lore Anne Mhae Santos
    This document discusses activities of daily living (ADLs) and their use in measuring functional status. It introduces basic ADLs like bathing, dressing, and feeding, as well as instrumental ADLs (IADLs) like transportation, housekeeping, and managing finances that allow independent living. The Katz Index is presented as the best tool for assessing functional status through a scoring system of independence across six basic ADLs. Maintaining functional status through ADL assessments can help identify health declines in older adults and allow for early intervention.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    B.

    Functional Assessment

    1. Activities of Daily Living

    - used as a measurement of a person’s functional status

    - First proposed in 1950 by Sidney Katz, who developed the first evaluation tool called the Katz
    ADL scale

    - ADLs consist of Basic ADLs and Instrumental ADLs

    - Basics ADLs are more essential for survival than IADLs

    - Instrumental ADLs (IADLs) are not necessary for fundamental functioning, but they let an
    individual live independently in a community

    Basic Activities of Daily Living

    - Activities of daily living (ADLs) are basic tasks that must be accomplished every day for an
    individual to thrive. Generally, ADLs can be broken down into the following categories:

     Personal hygiene
    Bathing, grooming, oral, nail and hair care
     Continence management
    A person’s mental and physical ability to properly use the bathroom
     Dressing
    A person’s ability to select and wear the proper clothes for different occasions
     Feeding
    Whether a person can feed themselves or needs assistance
     Ambulating
    The extent of a person’s ability to change from one position to the other and to walk
    independently

    Instrumental Activities of Daily living (IADLs)


    Instrumental activities of daily living (IADLs) are somewhat more complex but nevertheless also reflect
    on a person’s ability to live independently and thrive. IADLs thus include securing assistance for:

     Companionship and mental support


    This is a fundamental and much needed IADL for daily living. It reflects on the help that may be
    needed to keep a person in a positive frame of mind
     Transportation and shopping
    How much a person can go around or procure their grocery and pharmacy needs without help
     Preparing meals
    Planning and preparing the various aspects of meals, including shopping and storing groceries
     Managing a person’s household
    Cleaning, tidying up, removing trash and clutter, and doing laundry and folding clothes
     Managing medications
    How much help may be needed in getting prescriptions filled, keeping medications up to date and
    taking meds on time and in the right dosages
     Communicating with others
    Managing the household’s phones and mail and generally making the home hospitable and
    welcoming for visitors
     Managing finances
    How much assistance a person may need in managing bank balances and checkbooks and paying
    bills on time

    Katz Index of Independence in Activities of Daily Living (ADL)

    WHY: Normal aging changes and health problems frequently show themselves as declines in the
    functional status of older adults. Decline may place the older adult on a spiral of iatrogenesis leading to
    further health problems. One of the best ways to evaluate the health status of older adults is through
    functional assessment which provides objective data that may indicate future decline or improvement in
    health status, allowing the nurse to intervene appropriately.

    BEST TOOL: The Katz Index of Independence in Activities of Daily Living, commonly referred to as the
    Katz ADL, is the most appropriate instrument to assess functional status as a measurement of the
    client’s ability to perform activities of daily living independently. Clinicians typically use the tool to
    detect problems in performing activities of daily living and to plan care accordingly. The Index ranks
    adequacy of performance in the six functions of bathing, dressing, toileting, transferring, continence,
    and feeding. Clients are scored yes/no for independence in each of the six functions. A score of 6
    indicates full function, 4 indicates moderate impairment, and 2 or less indicates severe functional
    impairment.

    Bartel

    Gordon

    You might also like