ADL General Collection Information: Difference between revisions

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== General Considerations ==
The '''Activities of Daily Living''' (ADL) assesses a patient's capability to perform a certain 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"'''
* If the patient is''' surgical''' take the ADL prior to surgery. This information is from Fran Lindell who gets the renal transplants.


{{Discussion}}
== Collection Instructions ==
For every Medicine profile, enter the status into the ADL dropdown boxes in the [[Patient Viewer Tab ADL]] in [[CCMDB.accdb]].


== 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 admission''' (not at home prior to admission). It takes into consideration acute medical issues that resulted in admission to the hospital.
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


=== which of several values to use ===
When possible, use an ADL assessment done within 24 hours after the [[Admit DtTm]].
*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}}
** most likely accurate in other location


===specific guidelines===
=== 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)


== Reference ==
=== Specific Activities collected ===
*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.  
See the following for specific coding instructions for the different activities.
* [[ADL Bathing]]
* [[ADL Dressing]]
* [[ADL Toiletting]]
* [[ADL Transfering]]
* [[ADL Continence]]
* [[ADL Feeding]]


* S Katz, TD Downs, HR Cash, RC Grotz, (1970). Index of Activities of Daily Living, ''The Gerontologist'', 1:20-301.
== Data Use ==
* [[ADL Score]]
* [[ALERT Scale Calculation]]


==Discussion==
== References/Background ==
[[Category: ADL|*]]
The evaluation tool used for all Medicine patients is the Katz ADL.
[[Category: Questions_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]]

Latest revision as of 16:51, 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:
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