Health Assessment

NURSE medical
ATTACHED FILE(S)

Katz Index of Independence in Activities of Daily Living

Activities
Points (1 or 0)

Independence
(1 Point)
NO supervision, direction or personal assistance.

Dependence
(0 Points)
WITH supervision, direction, personal assistance or total care.

BATHING
Points:

(1 POINT) Bathes self completely or needs help in bathing only a single part of the body such as the back, genital area or disabled extremity.

(0 POINTS) Need help with bathing more than one part of the body, getting in or out of the tub or shower. Requires total bathing

DRESSING
Points:

(1 POINT) Get clothes from closets and drawers and puts on clothes and outer garments complete with fasteners. May have help tying shoes.

(0 POINTS) Needs help with dressing self or needs to be completely dressed.

TOILETING
Points:

(1 POINT) Goes to toilet, gets on and off, arranges clothes, cleans genital area without help.

(0 POINTS) Needs help transferring to the toilet, cleaning self or uses bedpan or commode.

TRANSFERRING
Points:

(1 POINT) Moves in and out of bed or chair unassisted. Mechanical transfer aids are acceptable

(0 POINTS) Needs help in moving from bed to chair or requires a complete transfer.

CONTINENCE
Points:

(1 POINT) Exercises complete self control over urination and defecation.

(0 POINTS) Is partially or totally incontinent of bowel or bladder

FEEDING
Points:

(1 POINT) Gets food from plate into mouth without help. Preparation of food may be done by another person.

(0 POINTS) Needs partial or total help with feeding or requires parenteral feeding.

TOTAL POINTS: SCORING: 6 = High (patient independent) 0 = Low (patient very dependent
· Patient is (what score did they receive)__________________What does this mean?

Katz Index of Independence in Activities of Daily Living

Activities
Points (1 or 0)

Independence
(1 Point)
NO supervision, direction or personal assistance.

Dependence
(0 Points)
WITH supervision, direction, personal assistance or total care.

BATHING
Points:

(1 POINT) Bathes self completely or needs help in bathing only a single part of the body such as the back, genital area or disabled extremity.

(0 POINTS) Need help with bathing more than one part of the body, getting in or out of the tub or shower. Requires total bathing

DRESSING
Points:

(1 POINT) Get clothes from closets and drawers and puts on clothes and outer garments complete with fasteners. May have help tying shoes.

(0 POINTS) Needs help with dressing self or needs to be completely dressed.

TOILETING
Points:

(1 POINT) Goes to toilet, gets on and off, arranges clothes, cleans genital area without help.

(0 POINTS) Needs help transferring to the toilet, cleaning self or uses bedpan or commode.

TRANSFERRING
Points:

(1 POINT) Moves in and out of bed or chair unassisted. Mechanical transfer aids are acceptable

(0 POINTS) Needs help in moving from bed to chair or requires a complete transfer.

CONTINENCE
Points:

(1 POINT) Exercises complete self control over urination and defecation.

(0 POINTS) Is partially or totally incontinent of bowel or bladder

FEEDING
Points:

(1 POINT) Gets food from plate into mouth without help. Preparation of food may be done by another person.

(0 POINTS) Needs partial or total help with feeding or requires parenteral feeding.

TOTAL POINTS: SCORING: 6 = High (patient independent) 0 = Low (patient very dependent
· Patient is (what score did they receive)__________________What does this mean?
There are two parts to this assignment:
You will be conducting a geriatric functional assessment. This geriatric functional assessment tool is the Katz Index of Independence in Activities of Daily Living
At the end of the geriatric functional assessment, you will be asked to document your findings & provide a brief description of the person and the results of this assessment.

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