There are two parts to this assignment:
First part:
You will be conducting a geriatric functional assessment. This geriatric functional assessment tool is the Katz Index of Independence in Activities of Daily Living. Complete the Katz assessment tool on an elderly individual. Document your findings & provide a brief description of the person and the results of this assessment.
Second part:
Complete the worksheet below. Answer the questions in complete sentences.
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?
Functional Assessment of the Older Adult Questions
1. Differentiate the following, and provide 2 examples of each:
· Activities of daily living (ADLs)
· Instrumental activities of daily living (IADLs)
· Advanced activities of daily living (AADLs)
2. Discuss at least 2 disorders that may alter an older adult’s cognition.
3. What are some indications of possible caregiver burnout?
4. Describe a method of assessing an older adult for depression.
5. Describe 3 contexts of care of an older adult.
6. How do falls affect older adults? Name some interventions.
Jarvis, Carolyn: PHYSICAL EXAMINATION AND HEALTH ASSESSMENT: Study Guide and Laboratory Manual, Eighth Edition. Copyright © 2020, 2016, 2012, 2008, 2004, 2000, 1996 by Elsevier Inc. All rights reserved.