Patient ID #________________________
Katz Index of Independence in Activities of Daily Living
Points (1 or 0)
NO supervision, direction or personal
WITH supervision, direction,
personal assistance or total care.
(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
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
and drawers and puts on clothes and
dressing self or needs to be
outer garments complete with fasteners.
May have help tying shoes.
(1 POINT) Goes to toilet, gets on and
(0 POINTS) Needs help
off, arranges clothes, cleans genital area
transferring to the toilet, cleaning
self or uses bedpan or commode.
(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
aids are acceptable
(1 POINT) Exercises complete self
(0 POINTS) Is partially or totally
control over urination and defecation.
incontinent of bowel or bladder
(1 POINT) Gets food from plate into
(0 POINTS) Needs partial or total
mouth without help. Preparation of food
help with feeding or requires
may be done by another person.
TOTAL POINTS: ________
SCORING: 6 = High (patient independent) 0 = Low (patient very dependent
try this: Best Practices in Nursing Care to Older Adults, The Hartford Institute for Geriatric Nursing, New York University, College of