In the ever-changing world of business and professional life, it is important to stay organized and efficient. This can become a complex task when our daily lives are filled with numerous tasks that need to be completed in order to reach even short term goals. One solution which has been found effective by many successful professionals is the use of an index daily living form – an organized system for tracking activities throughout the day, week, or month that helps you stay productive and on track with your larger objectives. Read on for more information about how this unique tool can help increase productivity levels while reaching your desired results!
Question | Answer |
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Form Name | Index Daily Living Form |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | index of activities of daily living, katz index of independence in activities of daily living, activity daily living, katz index of activities of daily living |
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general assessment series |
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Best Practices in Nursing |
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Care to Older Adults |
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From The Hartford Institute for Geriatric Nursing, New York University, College of Nursing |
Issue Number 2, Revised 2012 |
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New York University College of Nursing |
Katz Index of Independence in Activities of Daily Living (ADL)
By: Mary Shelkey, PhD, ARNP, Virginia Mason Medical Center, and
Meredith Wallace, PhD, APRN, BC, Fairfield University School of Nursing
WHY: Normal aging changes and health problems frequently show themselves as declines in the functional status of older adults. Decline may place the older adult on a spiral of iatrogenesis leading to further health problems. One of the best ways to evaluate the health status of older adults is through functional assessment which provides objective data that may indicate future decline or improvement in health status, allowing the nurse to plan and intervene appropriately.
BEST TOOL: The Katz Index of Independence in Activities of Daily Living, commonly referred to as the Katz ADL, is the most appropriate instrument to assess functional status as a measurement of the client’s ability to perform activities of daily living independently. Clinicians typically use the tool to detect problems in performing activities of daily living and to plan care accordingly. The Index ranks adequacy of performance in the six functions of bathing, dressing, toileting, transferring, continence, and feeding. Clients are scored yes/no for independence in each of the six functions. A score of 6 indicates full function, 4 indicates moderate impairment, and 2 or less indicates severe functional impairment.
TARGET POPULATION: The instrument is most effectively used among older adults in a variety of care settings, when baseline measurements, taken when the client is well, are compared to periodic or subsequent measures.
VALIDITY AND RELIABILITY: In the
STRENGTHS AND LIMITATIONS: The Katz ADL Index assesses basic activities of daily living. It does not assess more advanced activities of daily living. Katz developed another scale for instrumental activities of daily living such as heavy housework, shopping, managing inances and telephoning. Although the Katz ADL Index is sensitive to changes in declining health status, it is limited in its ability to measure small increments of change seen in the rehabilitation of older adults. A full comprehensive geriatric assessment should follow when appropriate. The Katz ADL Index is very useful in creating a common language about patient function for all practitioners involved in overall care planning and discharge planning.
MORE ON THE TOPIC:
Best practice information on care of older adults: www.ConsultGeriRN.org.
Graf, C. (2006). Functional decline in hospitalized older adults. AJN, 106(1),
Hartigan, I. (2007). A comparative review of the Katz ADL and the Barthel Index in assessing the activities of daily living of older people. International Journal of Older People Nursing, 2(3),
Katz, S. (1983). Assessing
Katz, S., Down, T.D., Cash, H.R., & Grotz, R.C. (1970) Progress in the development of the index of ADL. The Gerontologist, 10(1),
measure of biological and psychosocial function. JAMA, 185(12),
Kresevic, D.M. (2012). Assessment of physical function. In M. Boltz, E. Capezuti, T.T. Fulmer, & D. Zwicker (Eds.), A. O’Meara (Managing Ed.),
Permission is hereby granted to reproduce, post, download, and/or distribute, this material in its entirety only for
The Hartford Institute for Geriatric Nursing, New York University, College of Nursing is cited as the source. This material may be downloaded and/or distributed in electronic format,
including PDA format. Available on the internet at www.hartfordign.org and/or www.ConsultGeriRN.org.
Katz Index of Independence in Activities of Daily Living
ACTIVITIES |
INDEPENDENCE: |
DEPENDENCE: |
POINTS (1 OR 0) |
(1 POINT) |
(0 POINTS) |
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NO supervision, direction or personal |
WITH supervision, direction, personal |
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asS IS TA nce |
assistance or total care |
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BATHING |
(1 POINT) Bathes self completely or needs |
(0 POINTS) Needs help with bathing more |
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help in bathing only a single part of the |
than one part of the body, getting in or |
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body such as the back, genital area or |
out of the tub or shower. Requires total |
POINTS:___________ |
disabled extremity. |
bathing. |
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DRESSING |
(1 POINT) Gets clothes from closets and |
(0 POINTS) Needs help with dressing self |
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drawers and puts on clothes and outer |
or needs to be completely dressed. |
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garments complete with fasteners. May |
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POINTS:___________ |
have help tying shoes. |
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TOILETING |
(1 POINT) Goes to toilet, gets on and |
(0 POINTS) Needs help transferring to |
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off, arranges clothes, cleans genital area |
the toilet, cleaning self or uses bedpan or |
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without help. |
commode. |
POINTS:___________ |
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TRANSFERRING |
(1 POINT) Moves in and out of bed or chair |
(0 POINTS) Needs help in moving from |
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unassisted. Mechanical transferring aides |
bed to chair or requires a complete |
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are acceptable. |
transfer. |
POINTS:___________ |
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CONTINENCE |
(1 POINT) Exercises complete self control |
(0 POINTS) Is partially or totally |
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over urination and defecation. |
incontinent of bowel or bladder. |
POINTS:___________ |
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FEEDING |
(1 POINT) Gets food from plate into |
(0 POINTS) Needs partial or total help |
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mouth without help. Preparation of food |
with feeding or requires parenteral feeding. |
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may be done by another person. |
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POINTS:___________ |
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TOTAL POINTS = ______ 6 = High (patient independent) 0 = Low (patient very dependent) |
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Slightly adapted from Katz, S., Down, T.D., Cash, H.R., & Grotz, R.C. (1970) Progress in the development of the index of ADL.
The Gerontologist, 10(1),
Copyright © The Gerontological Society of America. Reproduced [Adapted] by permission of the publisher.
general assessment series
Best Practices in Nursing Care to Older Adults
A series provided by The Hartford Institute for Geriatric Nursing, New York University, College of Nursing
EMAIL hartford.ign@nyu.edu HARTFORD INSTITUTE WEBSITE www.hartfordign.org CLINICAL NURSING WEBSITE www.ConsultGeriRN.org