ADL General Collection Information: Difference between revisions

(52 intermediate revisions by 9 users not shown)

Line 1:

~~== General Considerations ==~~

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

* [[:Category:ADL | ADL]] - assess functional status during the '''~~first 24 hours~~''' ~~after the patient has been "accepted" to medicine service by a medicine service attending physician.~~

* If dependancy of an ADL is induced solely by medical intervention, estimate the ADL without intervention.

* ADL assesses a patient ''"capability~~"''~~ to perform a certain activity if allowed. Patients who are ordered not to do a certain activity should '''not''' be assessed as requiring assistance. If patient ''would be able'' to perform the activity if allowed then they are to be assessed as '''"unassisted"'''.

~~{{Discussion}}~~

== Collection Instructions ==

* The ADL assessment should reflect the amount of assistance a patient requires to perform the six activities. It takes into consideration acute medical issues that resulted in admission to the hospital.

* Using your best judgment based on age, diagnosis, pre hospital admission ADL, and [[#Where to get data]] below, select the option that best reflects their ADL status

* For ostomy care see [[ADL Toiletting]] and [[ADL Continence]]

* For use of mechanical aids see [[ADL Transfering]]

== ~~Discussion~~ ==

=== Timeframe ===

==~~= where to get~~ the ~~data===~~

The ADL assessment (done by allied health or nurses) we utilize is the patient's state of activity on first [[Service tmp entry]]. When possible, use an ADL assessment done within 24 hours after the admission to the ward

~~This information can be obtained from a variety~~ of ~~sources '''in the~~ first 24 hours~~''' depending on~~ the ~~timing and details documented.For example:~~

*OT/PT assessment

*Activity flow sheets if used

* Nursing data base

*nurses note

*risk assessment for falls form if used

=== ~~which of several values~~ to ~~use~~ ===

=== Low functioning ADL due to condition that is expected to be temporary ===

*We have ~~addressed~~ that ~~status during first 24 hrs is what should~~ be ~~collected~~. ~~Should it really be '''worst''' status during the first 24 hrs?~~{{~~Discussion~~}}

If a patient is admitted with a diagnosis that is expected to improve to the point of higher functioning ADLs (and they possibly have improved already by the time collection happens), code the ADLs that are expected to be the long-term state.

** most likely accurate in other location

{{Ex|

A patient is admitted with [[Diabetic ketoacidosis (DKA)]] and is expected to improve with treatment to the point where they can manage their activities of daily living (ADLs) independently. Code the ADLs based on their anticipated long-term state of independent functioning, even if they are still experiencing limitations at the time of data collection.

}}

== ~~Reference~~ ==

=== Directed Restrictions ===

*Studies of ~~Illness~~ in ~~the Aged: The Index of ADL;~~ a ~~standardized measure of~~ .~~..ological~~ and ~~Psychological functioning~~. ~~by Katz S, et al~~.~~. Copyright 1963 by~~ the ~~American Medical Association~~. ~~Reprinted with permission of AMA via the Copyright Clearance Center~~.

Directed restrictions on a patient's activities should not be assessed as requiring assistance. Code these based on what the patient would actually be capable of doing if they were permitted.

{{Ex|

A patient comes in with a stroke. They can mobilize independently and go to the washroom. The patient is then ordered to be on bedrest after a procedure. If the patient would be able to perform the activity if allowed then they are to be assessed accordingly. So in this case they would would be coded as '''unassisted'''.

}}

* ~~S Katz, TD Downs, HR Cash, RC Grotz,~~ (~~1970~~)~~. Index of Activities of Daily Living, ''The Gerontologist'', 1:20-301.~~

=== 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)

==~~Discussion~~==

== Data Entry Instructions ==

[[Category: ADL|*]]

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

[[Category: ~~Questions_ADL~~]]

=== Specific Activities collected ===

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

* [[ADL Bathing]]

* [[ADL Dressing]]

* [[ADL Toiletting]]

* [[ADL Transfering]]

* [[ADL Continence]]

* [[ADL Feeding]]

== Data Use ==

* [[ADL Score]]

* [[ALERT Scale]]

== 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 ==

[[Category:ADL| *]]

[[Category:Data Collection Guide]]

[[Category:ALERT Scale Elements]]

@@ Line 1: / Line 1: @@
-== General Considerations ==
+The '''Activities of Daily Living''' (ADL) assesses a patient's capability to perform six daily self-care activities.
-* [[:Category:ADL | ADL]] - assess functional status during the '''first 24 hours''' after the patient has been "accepted" to medicine service by a medicine service attending physician.
-* If dependancy of an ADL is induced solely by medical intervention, estimate the ADL without intervention.
-* ADL assesses a patient ''"capability"'' to perform a certain activity if allowed. Patients who are ordered not to do a certain activity should '''not''' be assessed as requiring assistance. If patient ''would be able'' to perform the activity if allowed then they are to be assessed as '''"unassisted"'''.
-{{Discussion}}
+== Collection Instructions ==
+* The ADL assessment should reflect the amount of assistance a patient requires to perform the six activities. It takes into consideration acute medical issues that resulted in admission to the hospital.
+* Using your best judgment based on age, diagnosis, pre hospital admission ADL, and [[#Where to get data]] below, select the option that best reflects their ADL status
+* For ostomy care see [[ADL Toiletting]] and [[ADL Continence]]
+* For use of mechanical aids see [[ADL Transfering]]
-== Discussion ==
+=== Timeframe ===
-=== where to get the data===
+The ADL assessment (done by allied health or nurses) we utilize is the patient's state of activity on first [[Service tmp entry]]. When possible, use an ADL assessment done within 24 hours after the admission to the ward
-This information can be obtained from a variety of sources '''in the first 24 hours''' depending on the timing and details documented.For example:
-*OT/PT assessment
-*Activity flow sheets if used
-* Nursing data base
-*nurses note
-*risk assessment for falls form if used
-=== which of several values to use ===
+=== Low functioning ADL due to condition that is expected to be temporary ===
-*We have addressed that status during first 24 hrs is what should be collected. Should it really be '''worst''' status during the first 24 hrs?{{Discussion}}
+If a patient is admitted with a diagnosis that is expected to improve to the point of higher functioning ADLs (and they possibly have improved already by the time collection happens), code the ADLs that are expected to be the long-term state.
-** most likely accurate in other location
+{{Ex|
+A patient is admitted with [[Diabetic ketoacidosis (DKA)]] and is expected to improve with treatment to the point where they can manage their activities of daily living (ADLs) independently. Code the ADLs based on their anticipated long-term state of independent functioning, even if they are still experiencing limitations at the time of data collection.
+}}
-== Reference ==
+=== Directed Restrictions ===
-*Studies of Illness in the Aged: The Index of ADL; a standardized measure of ...ological and Psychological functioning. by Katz S, et al.. Copyright 1963 by the American Medical Association. Reprinted with permission of AMA via the Copyright Clearance Center.
+Directed restrictions on a patient's activities should not be assessed as requiring assistance. Code these based on what the patient would actually be capable of doing if they were permitted.
+{{Ex|
+A patient comes in with a stroke. They can mobilize independently and go to the washroom. The patient is then ordered to be on bedrest after a procedure. If the patient would be able to perform the activity if allowed then they are to be assessed accordingly. So in this case they would would be coded as '''unassisted'''.
+}}
-* S Katz, TD Downs, HR Cash, RC Grotz, (1970). Index of Activities of Daily Living, ''The Gerontologist'', 1:20-301.
+=== 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)
-==Discussion==
+== Data Entry Instructions ==
-[[Category: ADL|*]]
+For every Medicine profile, enter the status into the ADL dropdown boxes in the [[Patient Viewer Tab ADL]] in [[CCMDB.accdb]].
-[[Category: Questions_ADL]]
+=== Specific Activities collected ===
+See the following for specific coding instructions for the different activities.
+* [[ADL Bathing]]
+* [[ADL Dressing]]
+* [[ADL Toiletting]]
+* [[ADL Transfering]]
+* [[ADL Continence]]
+* [[ADL Feeding]]
+== Data Use ==
+* [[ADL Score]]
+* [[ALERT Scale]]
+== 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}}
+[[Category:ADL| *]]
+[[Category:Data Collection Guide]]
+[[Category:ALERT Scale Elements]]