Functional Status
Background
Functional status: Ability to perform activities necessary in daily life (ADLs)
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
- Functional decline is not normal with aging and warrants detailed physical, cognitive, and psychosocial evaluations
- Suggested evaluation tools: Katz ADL scale, Lawton-Brody IADL scale, Get Up and Go Test, MMSE, Geriatric Depression Scale
- Vulnerable Elders Scale-13 can identify community dwelling patients at risk of decline over 5 years