Modified Katz Activities of Daily Living (ADL) Scale
Activity | Item | Score |
|---|---|---|
Eating | Gets food from plate into mouth without help Food may be prepared by another person Eats without assistance | 1 |
Needs partial or complete assistance in eating or is fed intravenously | 0 | |
Dressing | Gets clothes from closets and drawers and puts on clothes and outer garments complete with fasteners. May have help tying shoes. | 1 |
Needs help with dressing or needs to be completely dressed | 0 | |
Bathing (sponge bath, tub bath, shower) | Bathes self completely or needs help in bathing only a single part of the body such as the back, genital area, or disabled extremity | 1 |
Needs assistance in bathing more than one part of the body, getting in and out of the tub or shower, or needs total assistance | 0 | |
*Transferring | Moves in and out of bed or chair unassisted (mechanical transfer aids are acceptable) | 1 |
Needs help in moving from bed to chair or requires a complete transfer | 0 | |
Toileting | Goes to toilet, gets on and off, arranges clothes, and cleans genital area without help | 1 |
Needs help transferring to the toilet, cleaning self or uses bedpan or commode | 0 | |
Continence | Controls bladder and bowel completely (without occasional accidents) | 1 |
Is partially or totally incontinent of bowel or bladder | 0 | |
* Transferring is the only measure of mobility in the Katz ADL scale. | ||
A score of 6 indicates the patient is independent, 4 indicates the patient has moderate impairment, and 0 indicates the patient is very dependent. | ||
Katz S, Downs TD, Cash HR, et al: Progress in the development of the index of ADL. Gerontologist 10 (1):20–30, 1970 as modified by Try this: Best practices in nursing care to older adults, The Hartford Institute for Geriatric Nursing, New York University, College of Nursing, www.hartfordign.org. | ||