ADL General Collection Information: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
m Text replacement - "CCMDB.mdb" to "CCMDB.accdb"
 
(7 intermediate revisions by 3 users not shown)
Line 1: Line 1:
'''Activities of Daily Living''' (ADL) refers to daily self-care activities.
The '''Activities of Daily Living''' (ADL) assesses a patient's capability to perform a certain daily self-care activities.  


== Collection Instructions ==
== Collection Instructions ==
The ADL assesses a patient's capability to perform a certain activity. Enter the status into the ADL dropdown boxes in the ADL tab in [[CCMDB.accdb]].
For every Medicine profile, enter the status into the ADL dropdown boxes in the [[Patient Viewer Tab ADL]] in [[CCMDB.accdb]].


=== Timeframe ===
=== Timeframe ===
An ADL assessment is usually done within 24 hours of admission (done by allied health or nurses).
The ADL assessment (done by allied health or nurses) we utilize is the patient's state of activity '''on admission''' (not at home prior to admission). It takes into consideration acute medical issues that resulted in admission to the hospital.
The ADL assessment we utilize is the patient's state of activity on admission (not at home prior to admission). It takes into consideration acute medical issues that resulted in admission to the hospital.
 
When possible, use an ADL assessment done within 24 hours after the [[Admit DtTm]].


=== Directed Restrictions ===
=== Directed Restrictions ===
Directed restrictions on a patient's activities should not be assessed as requiring assistance. For example, if a pt is on bedrest restrictions, it does not mean that they are unable physically to get out of bed. If the patient would be able to perform the activity if allowed then they are to be assessed accordingly.
Directed restrictions on a patient's activities should not be assessed as requiring assistance. For example, if a pt is on bed rest restrictions, it does not mean that they are unable physically to get out of bed. If the patient would be able to perform the activity if allowed then they are to be assessed accordingly.


=== Where to get data ===
=== Where to get data ===
Line 27: Line 28:
* [[ADL Continence]]
* [[ADL Continence]]
* [[ADL Feeding]]
* [[ADL Feeding]]
== Scoring ==
The field is driven by [[S_ADLOptions table]].
Performance of each of the activities is evaluated as unassisted (0 points), minor assistance (3 points), or major assistance (6 points).
'''Total ADL Score''' is the sum of points of all the six activities.
ADL is also part of the [[ALERT Scale]].


== Data Use ==
== Data Use ==
* [[ADL Score]]
* [[ALERT Scale Calculation]]
* [[ALERT Scale Calculation]]
{{Discuss | who = Julie | question = What else in addition to [[ALERT Scale Calculation]] uses this? }}
=== in CCMDB.accdb ===
In CCMDB the ADLs are stored as their full words rather than scores, e.g. "ADL_Bathing" might have a value of "unassisted". The values are entered via dropdown list, which is driven by the [[S_ADLOptions table]]. In that table there is a column "sorter" with numbers used to change the order the values appear in the dropdown list. The column is '''not''' a score and not used for anything beyond sorting.


== References/Background ==
== References/Background ==
The evaluation tool used for all Medicine patients is the Katz ADL.
The evaluation tool used for all Medicine patients is the Katz ADL.
* S Katz et al. Studies of illness in the aged: the index of ADL. American Medical Association, 1963.
* S Katz et al. Studies of illness in the aged: the index of ADL. American Medical Association, 1963.
* S Katz, SD Downs, HR Cash, RC Grotz. Index of daily living. ''The Gerontologist'' 1:20-301.
* S Katz, SD Downs, HR Cash, RC Grotz. Index of daily living. ''The Gerontologist'' 1:20-301.

Latest revision as of 15:51, 2022 April 21

The Activities of Daily Living (ADL) assesses a patient's capability to perform a certain daily self-care activities.

Collection Instructions

For every Medicine profile, enter the status into the ADL dropdown boxes in the Patient Viewer Tab ADL in CCMDB.accdb.

Timeframe

The ADL assessment (done by allied health or nurses) we utilize is the patient's state of activity on admission (not at home prior to admission). It takes into consideration acute medical issues that resulted in admission to the hospital.

When possible, use an ADL assessment done within 24 hours after the Admit DtTm.

Directed Restrictions

Directed restrictions on a patient's activities should not be assessed as requiring assistance. For example, if a pt is on bed rest restrictions, it does not mean that they are unable physically to get out of bed. If the patient would be able to perform the activity if allowed then they are to be assessed accordingly.

Where to get data

Data to evaluate ADL can be obtained from the following sources:

  • OT/PT initial assessment
  • Nursing activity flow sheets (if used)
  • Nursing database or primary care patient record
  • Integrated progress notes
  • Risk assessment for falls form (if used)

Specific Activities collected

See the following for specific coding instructions for the different activities.

Data Use

References/Background

The evaluation tool used for all Medicine patients is the Katz ADL.

  • S Katz et al. Studies of illness in the aged: the index of ADL. American Medical Association, 1963.
  • S Katz, SD Downs, HR Cash, RC Grotz. Index of daily living. The Gerontologist 1:20-301.

Related articles

Related articles: