Katz Index Of Independence In Activities Of Daily Living printable pdf download

Katz Index Of Independence In Activities Of Daily Living

Patient Name:______________________

Date:_____________

Patient ID #________________________

Katz Index of Independence in Activities of Daily Living

Activities

Independence

Dependence

Points (1 or 0)

(1 Point)

(0 Points)

NO supervision, direction or personal

WITH supervision, direction,

assistance.

personal assistance or total care.

BATHING

(1 POINT) Bathes self completely or

(0 POINTS) Need help with

needs help in bathing only a single part

bathing more than one part of the

Points: __________

of the body such as the back, genital

body, getting in or out of the tub or

area or disabled extremity.

shower. Requires total bathing

(1 POINT) Get clothes from closets

(0 POINTS) Needs help with

DRESSING

and drawers and puts on clothes and

dressing self or needs to be

Points: __________

outer garments complete with fasteners.

completely dressed.

May have help tying shoes.

TOILETING

(1 POINT) Goes to toilet, gets on and

(0 POINTS) Needs help

off, arranges clothes, cleans genital area

transferring to the toilet, cleaning

Points: __________

without help.

self or uses bedpan or commode.

TRANSFERRING

(1 POINT) Moves in and out of bed or

(0 POINTS) Needs help in moving

chair unassisted. Mechanical transfer

from bed to chair or requires a

Points: __________

aids are acceptable

complete transfer.

CONTINENCE

(1 POINT) Exercises complete self

(0 POINTS) Is partially or totally

control over urination and defecation.

incontinent of bowel or bladder

Points: __________

FEEDING

(1 POINT) Gets food from plate into

(0 POINTS) Needs partial or total

mouth without help. Preparation of food

help with feeding or requires

Points: __________

may be done by another person.

parenteral feeding.

TOTAL POINTS: ________

SCORING: 6 = High (patient independent) 0 = Low (patient very dependent

Source:

try this: Best Practices in Nursing Care to Older Adults, The Hartford Institute for Geriatric Nursing, New York University, College of

Nursing,

Katz Index Of Independence In Activities Of Daily Living

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