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. Bathing sponge bath, tub bath, or shower receives either. The katz adl, is an appropriate tool to assess functional status when. Katz index of independence in activities of daily living scale katz adl is a widely used tool to assess the level of independency in older adults. The katz index 18 studies and lawton iadl scale 11 studies were the most commonly used instruments. The purpose of this study was to assess the validity, the reliability, and responsiveness of this widely used scale. Physical selfmaintenance scale activities of daily living, or adls. The katz adl index katz, 1963 was first developed in an effort to find a way to assess function and how it changed over time in the elderly. The concept of adls was originally proposed in the 1950s by sidney katz and his team at the benjamin rose hospital in cleveland, ohio and has been added to and refined by a variety of researchers since that time. Katz developed another scale for instrumental adls. Although the katz adl index is sensitive to changes in declining health status, it is limited in its ability to measure small.
The katz activities of daily living scale restrepo, adriana msn, rn ajn the american journal of nursing. Adl activities of daily livingselfcare iadl instrumental activities of daily livingmeasures of independence geriat ric mood scale depression screen it can happen suddenly a phone call in the middle of the night or gradually you begin to notice piledup bills, dents in the car. The katz activities of daily living and the barthel index evaluate a patients function in terms of level of independence or dependence when performing certain activities required for daily living. Decades later, the katz index of independence in activities of daily living is still one of the most common instruments used to gauge someones independence. This page includes the following topics and synonyms. When deciding whether or not your lovedone needs assistance be it an inhome health aide, or moving into an assisted living facility we recommend. The katz index of independence in activities of daily living, commonly referred to as the katz adl, is the most appropriate instrument to assess functional status as a measurement of the clients ability to perform activities of daily living independently. Validation of the spanish version of the lawton iadl scale. The katz activities of daily living adl scale is a widely used graded instrument that assesses six primary and psychosocial functions. Activities of daily lving worksheets lesson worksheets. Other instruments such as the texas functional living scale cullum et al.
Activities of daily living, mobility and instrumental activities of daily living. Katz developed another scale for instrumental activities of daily living such as heavy housework, shopping, managing finances and telephoning. Activities of daily living adls or adl is a term used in healthcare to refer to peoples daily selfcare activities. Get a printable copy pdf file of the complete article 51k, or click on a page image below to browse page by page. Katz activities of daily living adl index springerlink. The iadls are assessed using the lawtonbrody instrumental activities of daily living iadl scale 4 which can also be administered by trained office staff. Goodness of fit indices were obtained after two treatments of covariance, indicating adequacy of the scale for assessing adl by informants. A random sample of 6,472 south carolina residents over 55 years of age selected from a statewide population is used. Displaying all worksheets related to activities of daily living.
Katz index of independence in activities of daily living. Activities of daily living scale, katz adl scale, adl scale, katz index of independence in activities of daily living. Heres a handy checklist of daily activities for you to refer to. Disability in activities of daily living among adults with. In contrast to the katz, which is a good fit in longterm care where patients disability is typically more severe and stable, the barthel adl index. The widelyused activities of daily living assessment tool known as the katz index of independent in activities of daily living adl was initially developed in the 1950s by renowned geriatrician and health services researcher dr. However, they mainly evaluate iadls rather than adl.
The tool is used by certified clinicians to detect issues in performing activities of daily living by ranking adequacy of performance in the 6 adls. International journal of older people nursing, 23, 204212. Activities of daily living scale activities of daily living. Although the katz adl index is sensitive to changes. Seniors are asked whether they can accomplish six different tasks, and one point is given for each activity they can do without any supervision, direction, or assistance. A preliminary 45item questionnaire was developed through intensive interviews with 54 patients with pd and administered to another group of 248.
The katz adl index assesses basic activities of daily living. Katz developed another scale for instrumental activities of daily living such as heavy. Validation of katz index of independence in activities of. Katz activities of daily living scale springerlink.
The katz index of independence in activities of daily living is a commonly used method of evaluation and measure of functional status. Katz developed another scale for instrumental activities of daily living such as heavy housework, shopping. Activities of daily living, or adls uf institute on aging. Validation of katz index of independence in activities of daily living in turkish older adults. These results suggest that the activities of daily living scale is a reliable, valid, and. Selfmaintaining and instrumental activities of daily living. This article has been cited by other articles in pmc. Reliability of katzs activities of daily living scale. Katz index of independence in activities of daily living massage.
Pdf activities of daily living scale needs to be suitable. The aim of this study was to develop an assessment tool for activities of daily living adl from the perspective of patients with parkinsons disease pd and examine the validity and reliability of the assessment. The reliability and validity of selfreport activities of. These skills are considered more complex than the basic activities of daily living as measured by the katz index of adls see. Disability in activities of daily living among adults with cancer. Full text is available as a scanned copy of the original print version. Displaying all worksheets related to activities of daily lving. The lawton iadl instrumental activities of daily living scale is a very often used scale to assess independent living skills, but has never been validated for its use in spanishspeaking populations. Your patient receives one point in a section if they are able to complete the task independently, if they are not they get. There are many variations on the definition of the activities of daily living, but most organizations agree there are. There are many variations on the definition of the activities of daily living, but most organizations agree there are 5 basic categories. The reliability of afiveitem katzs activities of daily living adl scale collected by selfreport telephone interview is presented.
Journal of the american medical directors association. Katz index of independence in activities of daily living adl. Katz and collaborators found that these six activities have a hierarchical order in which the most complex functions are lost first. Index of independence in activities of daily living the katz indexs use of dichotomous scoringthat is, it allows only two possible scores, dependent orindependentarose from extensive field testing of the index, including testing of a version that permitted gradations in scores of each activity of daily living adl. The lawton instrumental activities of daily living iadl. Data from 6,472 south carolina residents aged over 55 years support the reliability of s. Worksheets are checklist of activities of, activities of daily living adls activities of daily, instrumental activities of daily living scale iadl, katz index of independence in activities of daily living adl, activities of daily living flow, lawton brody instrumental activities of daily living. Health professionals often use a persons ability or. Permission is hereby granted to reproduce, post, download, andor distribute, this material. The activities of daily living commonly known as katzs index, assesses the level of dependence. Across the activities studied, the most frequently affected basic adls were personal hygiene, walking and transfers, and instrumental.
This material may be downloaded andor distributed in electronic format. The first study evaluated the internal consistency andinterrater reliability of the dla scoring for 85 clients withsevere mental disorders. Assessment of activities of daily living, selfcare, and. Although the katz adl index is sensitive to changes in declining health status, it is limited in its ability to measure small increments of. Quick and simple frail scale predicts incident activities of daily living adl and instrumental adl iadl disabilities. The aim of this study is to develop an adl scale that will suit the needs of kano communities. Pdf validity of the katz index to assess activities of daily living by. The phrase instrumental activities of daily living iadl was originally introduced in 1969 by lawton and brody in their seminal work assessment of older people. Measurement of instrumental activities of daily living in. The sections are bathing, dressing, toileting, transferring, continence, and feeding.
Factor structure, guttman properties, internal consistency reliability, mokkens index of test homogeneity, and spearmans coefficient. It led to the development of a graded scale known as the index of independence in activities of daily living. Two studies evaluated the validity and reliabilityof the daily living activities scale dla, a 20item functionalassessment measure for adults with severe mental disorders. Assisting with activities of daily living adls providing physical care to our residents is an important part of what we do each day, this is a very special time spent with the residents, it allows us to get to know our residents, it also allows us an opportunity to monitor and assess the. The activities of daily living, or adls, are selfcare activities everyone must perform to lead a normal, independent life. It does not assess more advanced activities of daily living. Sidney katz and a team of health service professionals at the benjamin rose hospital in cleveland, ohio. These skills are considered more complex than the basic activities of daily living as measured by the katz index of adls see try this. Activities of daily living worksheets lesson worksheets. Katz basic activities of daily living adl scale click to download as a fillable pdf performs activity independently activity yes no 1. The activities of daily living are a series of basic activities performed by individuals on a daily basis necessary for independent living at home or in the community. Lawton brody instrumental activities of daily living. Worksheets are daily living activities dla functional assessment, needs assessment work, lawton brody instrumental activities of daily living, physical self maintenance scale activities of daily, activities of daily living adls, katz index of independence in activities of daily living, activities of.
Results indicate that telephone interview methods are a fast, inexpensive, and safe way to collect data for research and policy formation. Although the katz adl index is sensitive to changes in declining health status, it is limited in its ability to measure small increments of change seen in the rehabilitation of older adults. The most often used measure of functional ability is the katz activities of daily living scale katz et al. Katz developed another scale for instrumental activities of daily living such as heavy housework, shopping, managing. The katz activities of daily living and the barthel index are two of the oldest competing indices for assessing activities of daily living. The objective of this study was to assess the validity and reliability of the turkish version of the six item katz adl in geriatric patients aged 65 years and older. The term activities of daily living refers to a set of common, everyday tasks, performance of which is required for personal selfcare and independent living.