ADL General Collection Information
General Considerations
- 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 dependance on 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"
- If the patient is surgical take the ADL prior to surgery. This information is from Fran Lindell who gets the renal transplants.
where to get the data
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 intial assessment
- nursing activity flow sheets if used
- Nursing data base or Primary patient care record
- Integrated progress notes
- risk assessment for falls form if used
Reference
- 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.
- S Katz, TD Downs, HR Cash, RC Grotz, (1970). Index of Activities of Daily Living, The Gerontologist, 1:20-301.