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Katz Independence Index ADLs Cheat Sheet by

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Introd­uction

Commonly referred to as the Katz ADL, is a tool to assess functional status by measuring the thc elient's ability to indepe­ndently perform basic activities of daily living. Clinicians use the tool to detect perfor­mance issues if activities of daily living. 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=full function, 4=moderate impair­ment, and 2=severe functional impair­ment.
Slightly adapted from Katz S., Down, T.D., Cash, H.R. et al. (1970) Progress in the Develo­pment of the Index of ADL. Geront­ologist
10:20-30. Copyright The Geront­olo­gical Society of America.

Activities for Daily Living

Katz Index of Indepe­ndence in ADLs

Acti­vity
Points
Independence
1 point
Dependence
0 Points
BATH­ING
[__]
Bathes self completely or needs help in bathing only a single part of the body such as the back, genital area or disabled extremity.
Needs help with bathing more than one part of the body, getting in or out of the tub or shower. Requires total bathing.
DRES­SING
[__]
Gets clothes from closets and drawers and puts on clothes and outer garments complete with fasteners. May have help tying shoes.
Needs help with dressing self or needs to be completely dressed.
TOIL­ETING
[__]
Goes to toilet, gets on and off, arranges clothes, cleans genital area without help.
Needs help transf­erring to the toilet, cleaning self or uses bedpan or commode.
TRANSFERRING
[__]
Moves in and out of bed or chair unassi­sted. Mechanical transf­erring aides are accept­able.
Needs help in moving from bed to chair or requires a complete transfer.
CONT­INE­NCE
[__]
Exercises complete self control over urination and defeca­tion.
Is partially or totally incont­inent of bowel or bladder.
FEED­ING
[__]
Gets food from plate into mouth without help. Prepar­ation of food may be done by another person.
Needs partial or total help with feeding or requires parenteral feeding.
Total Pts
[___]
Clients are scored yes/no for indepe­­ndence in each of the six functions.
A score of 6=full function, 4=moderate impair­­ment, and 2=severe functional impair­­me­nt.

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