ADL General Collection Information: Difference between revisions

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{{Reporting Indicators
The '''Activities of Daily Living''' (ADL) assesses a patient's capability to perform a certain daily self-care activities.  
| description = ADL...
| indicator_name = ADL...
| created_raw = Created 
| program = Medicine
| indicator_start_date =
| indicator_end_date =
}}
 
 
'''Activities of Daily Living''' (ADL) refers to 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.
 
{{TT|
When possible, use an ADL assessment  done within 24 hours after the [[Service tmp entry]] start / [[Accept DtTm]].
* To clarify this point, when does the 24 hour timeframe begin, from [[Accept DtTm]] or [[Arrive DtTm]] for patients admitted from ER?
** Answer to this also needs to go to [[Change to start collection at accept rather than arrive time]]. Ttenbergen 20:58, 2020 October 21 (CDT)
*** ADL should start at Service start, not arrival on unit; as confirmed in AJTT meeting. Still need to integrate the answer better. [[User:Ttenbergen|Ttenbergen]] 12:16, 2021 February 22 (CST) }}


=== 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 ===
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* [[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]]
* Reported quarterly
** Average
** Frequencies by Categories (e.g. 1-6, 7-12, 13-18, 19-24, 25-30, 31-36)
=== 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.

Revision as of 10:00, 2021 July 15

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 Service tmp entry start / Accept 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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