Practice Consideration
Measuring and Reporting Functional Status Measures
Specific instruments were validated to measure the impact of aging and chronic health conditions on a person’s functional ability to perform Activities of Daily Living (ADL)(1) and/or Instrumental Activities of Daily Living (IADL).(2)
Activities of Daily Living (ADL) include the following types of basic activities of living (applicable to either community or institutional settings):(1)
Activities of Daily Living (ADL) include the following types of basic activities of living (applicable to either community or institutional settings):(1)
» Toileting
» Bathing
» Eating
» Dressing
Instrumental Activities of Daily Living (IADL) include items related to the ability to live independently in a community setting such as:2
» Money management
» Shopping
» Using telephone
» Travel
» Housekeeping
» Preparing meals
» Taking medications
NCPT includes terms that provide the opportunity for dietitians to specifically report their assessment of a patient’s ability to maintain daily living activities most directly related to nutrition. The Nutrition Assessment/Monitoring and Evaluation Terminology includes the scores from these two instruments under the category called Nutrition-related ADLs and IADLs (FH-7.2) terms in the Physical Activity and Function (FH-7) domain.(3)
» Nutrition-related activities of daily living (ADL) score (FH-7.2.10)
» Nutrition-related instrumental activities of daily living (IADL) score (FH-7.2.11)
References
1. Shelkey M, Wallace M. Katz. Index of Independence in Activities of Daily Living (ADL). General assessment series 2012; Accessed 2 January 2018. Available from: https://consultgeri.org/try-this/general-assessment/issue-2.pdf.
2. Instrumental Activities of Daily Living (ADL) Scale. Occas Pap R Coll Gen Pract. 1993 (59):25.
3. Academy of Nutrition and Dietetics. Nutrition-Related Activities of Daily Living and Instrumental Activities of Daily Living (FH-7.2). 2017; Accessed 2 January 2018. Available from: https://www.ncpro.org/pubs/idnt-en/codeFH-7-2.
References
1. Shelkey M, Wallace M. Katz. Index of Independence in Activities of Daily Living (ADL). General assessment series 2012; Accessed 2 January 2018. Available from: https://consultgeri.org/try-this/general-assessment/issue-2.pdf.
2. Instrumental Activities of Daily Living (ADL) Scale. Occas Pap R Coll Gen Pract. 1993 (59):25.
3. Academy of Nutrition and Dietetics. Nutrition-Related Activities of Daily Living and Instrumental Activities of Daily Living (FH-7.2). 2017; Accessed 2 January 2018. Available from: https://www.ncpro.org/pubs/idnt-en/codeFH-7-2.
Updated January 16, 2018