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Functional Status

Thomas Horton


Background

  • Functional status: Ability to perform activities necessary in daily life (ADL)
Basic ADL’s Instrumental ADL’s Advanced ADL’s

Dressing

Eating

Ambulating/transfer

Toileting/continence

Hygiene (bathing)

Shopping

Housekeeping & laundry

Handling medications

Accounting (finances)

Food preparation

Telephone

Transportation (driving)

Fulfill societal, community and family roles

Participate in recreational tasks

Evaluation

  • Katz ADL scale, Lawton-Brody IADL scale, Get up and Go test, MMSE, Geriatric depression scale.
  • Vulnerable Elders Scale-13: Identifies community dwelling pts at risk for decline over 5 yrs
  • Functional decline is not normal with aging and warrants detailed physical, cognitive, and psychosocial evaluations