Age-friendly Primary Health Care Centres Toolkit - World Health ...

AGE-FRIENDLY PRIMARY HEALTH CARE CENTRES TOOLKITTool 7: Activities of Daily Living Assessment (ADL)Index of independence in ADLWhat for ? Assessing autonomy in daily activitiesBy whom ? Nurse or medical doctorHow long ? 10 minutesBATHINGACTIVITIESPoints (0-6)Points----------DRESSINGPoints----------TOILETINGPoints----------TRANSFERRINGPoints----------CONTINENCEPoints-----------FEEDINGPoints----------INDEPENDENCE(1 Point)NO supervision, direction orpersonal assistance(1 POINT) Bathes selfcompletely or needs help inbathing only a single part ofthe body such as the back,genital area or disabledextremity.(1 POINT) Gets clothes fromcloset and drawers and putson clothes and outer garmentscomplete with fasteners. Mayhave help tying shoes.(1 POINT) Goes to toilet, getson and off, arranges clothes,cleans genital area withouthelp.(1 POINT) Moves in and out orchair unassisted. Mechanicaltransferring aides areacceptable.(1 POINT) Exercises completeself control over urination anddefecation.(1 POINT) Gets food fromplate into mouth without help.Preparation of food may bedone by another person.TOTAL POINTS = ____________ 6 = High (patient independent)DEPENDENCE(0 Points)WITH supervision, direction,personal assistance or total care(0 POINTS) needs help withbathing more than one part ofthe body, getting in or out of thetub or shower. Requires totalbathing.(0 POINTS) Needs help withdressing self or needs to becompletely dressed.(0 POINTS) Needs helptransferring to the toilet, cleaningself or uses bedpan orcommode.(0 POINTS) Needs help inmoving from bed to chair orrequires a complete transfer.(0 POINTS) Is partially or totallyincontinent of bowel or bladder.(0 POINTS) Needs partial ortotal help with feeding orrequires parenteral feeding.0 = Low (patient very dependent)Source: Katz S, Down TD, Cash HR, Grotz RC. Progress in the development of the index ofADL. The gerontologist 1970 10(1), 20-30.65