Scribd Logo
Upload

Welcome to Scribd!

  • 17 views

    Functional Status

    Uploaded by

    taiso
    This document contains a patient's functional status assessment with sections on activities of daily living (ADLs) and instrumental activities of daily living (IADLs). The ADL section rates the patient's ability to eat, dress, bathe, transfer, toilet, and maintain continence on a scale of 0 to 2. The IADL section similarly rates the patient's ability to perform tasks like meal preparation, housework, medication management, shopping, and handling finances on a scale of 0 to 2. Scores are totaled for each section to evaluate overall functional independence.

    Copyright:

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

    Functional Status

    Uploaded by

    taiso
    17 views1 page
    This document contains a patient's functional status assessment with sections on activities of daily living (ADLs) and instrumental activities of daily living (IADLs). The ADL section rates the patient's ability to eat, dress, bathe, transfer, toilet, and maintain continence on a scale of 0 to 2. The IADL section similarly rates the patient's ability to perform tasks like meal preparation, housework, medication management, shopping, and handling finances on a scale of 0 to 2. Scores are totaled for each section to evaluate overall functional independence.

    Original Title

    FUNCTIONAL-STATUS

    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 contains a patient's functional status assessment with sections on activities of daily living (ADLs) and instrumental activities of daily living (IADLs). The ADL section rates the patient's ability to eat, dress, bathe, transfer, toilet, and maintain continence on a scale of 0 to 2. The IADL section similarly rates the patient's ability to perform tasks like meal preparation, housework, medication management, shopping, and handling finances on a scale of 0 to 2. Scores are totaled for each section to evaluate overall functional independence.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    17 views1 page

    Functional Status

    Uploaded by

    taiso
    This document contains a patient's functional status assessment with sections on activities of daily living (ADLs) and instrumental activities of daily living (IADLs). The ADL section rates the patient's ability to eat, dress, bathe, transfer, toilet, and maintain continence on a scale of 0 to 2. The IADL section similarly rates the patient's ability to perform tasks like meal preparation, housework, medication management, shopping, and handling finances on a scale of 0 to 2. Scores are totaled for each section to evaluate overall functional independence.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 1

    Name:

    Age/Sex/Civil Status:
    Birthday:
    Date of Assessment:
    Attending Physician:

    FUNCTIONAL STATUS

    A. ACTIVITIES OF DAILY LIVING (KATZ Scale)


    Present
    Activity Description and Score
    Score
    ¨ No assistance ( 2 )
    Eating ¨ Needs assistance in cutting meat or buttering bread ( 1 )
    ¨ Needs assistance in eating or is fed intravenously (0)
    ¨ Gets clothes and dresses without assistance ( 2 )
    Dressing ¨ Needs assistance in tying one’s shoes, in getting clothes or in getting dressed (1)
    ¨ Stays partly or completely undressed ( 0 )
    ¨ Bathes without assistance ( 2 )
    Bathing ¨ Needs assistance only in bathing one part of the body (e.g. back) ( 1 )
    ¨ Needs assistance in bathing more than one part of the body or does not bathe ( 0 )
    ¨ Moves in and out of bed and chair without assistance; may use cane or walker ( 2 )
    Transferring ¨ Needs assistance in moving in and out of bed or chair ( 1 )
    ¨ Does not get out of bed ( 0 )
    ¨ Goes to the bathroom, uses toilet, cleans self, arranges clothes, and goes out of the bathroom without
    assistance; may use cane or walker for support; and may use bedpan or urinal at night ( 2 )
    Toileting ¨ Needs assistance in going to the bathroom, using the toilet, cleaning self, arranging clothes or going
    out of the bathroom ( 1 )
    ¨ Does not go to the bathroom to relieve bladder or bowel ( 0 )
    ¨ Controls bladder and bowel completely without occasional accidents ( 2 )
    Continence ¨ Occasionally loses control of bladder and bowel ( 1 )
    ¨ Needs supervision to control bladder or bowel, requires use of a catheter, or is incontinent ( 0 )
    TOTAL SCORE / 12
    B. INSTRUMENTAL ACTIVITIES OF DAILY LIVING SCALES (LAWTON Scale)
    Description and Score
    Present
    Activity Without help With some help Completely unable
    Score
    (2) (1) (0)

    Meal Preparation   
    Housework   
    Laundry   
    Taking of medications   
    Traveling beyond walking distance   
    Shopping   
    Handling of Finances   
    Use of the Telephone   
    TOTAL SCORE / 16

    You might also like