Activities of Daily Living (ADL) Self-performance  

Intent:

To record what the person did for him/her self and how others assisted in the performance of the self-care activities of daily living during the last 3 days.

 

Definition:

 

Set-up help — Assistance characterized by the provision of articles, devices, or preparation necessary for the person’s self-performance of an activity. This includes giving or holding out an item the person takes from the other person, but the other person leaves the person alone to complete the activity. If some-one remains nearby to watch over the person, the person is receiving over-sight, thus the code should be “2” Supervision.

 

Examples of set-up help:

 

 

Process:

To describe functioning, the assessor should first get a sense of the episodes in each ADL area over the last 3 days.  Determine what the person does for him/herself and the nature of assistance provided (if any).

 

When ADL self-performance in an area varies over the last 3 days, identify the three most-dependent episodes — i.e., the episodes when the person received the greatest care or assistance from others.  The summarization that is done to develop the ADL scores (as described below) focus on the most de-pendent episodes, providing a picture of the person’s need for input by others in managing this ADL.

 

In order to accomplish this, gather information as follows:

 

The following are the ADL Self-Performance scoring rules:

 

(1) If all episodes in the 3-last days are performed at the same support level, score ADL at that level.    

Note: For 0=Independent, 6=Total Dependence, and 8=Activity Did Not Occur, this is the only way a person can be scored into these levels – all performance episodes must be at these levels.

Note:  This rule also applies even when where there was only one performance episode during the 3-day period (e.g., if the person only moved once during the three days between locations on same floor but was bed-bound for the remainder of the time, then score Locomotion based on the single episode when they moved).

(2) If any episodes at level 6, and other episodes were less dependent, score ADL as a 5.

(3) Otherwise, focus on the three most dependent episodes [or all episodes if performed fewer that 3 times].  

 

If most dependent of these episodes is 1, score ADL as 1.  If not, score ADL as least dependent of those episodes in range 2-5.

      

Scoring Levels into which person is thus placed

0. Independent — No physical assistance, setup, or supervision in any episode

1. Independent, setup help only — Article or device provided or placed within reach, no physical assistance or supervision in any episode

2. Supervision-Oversight/cuing

3. Limited assistance — Guided maneuvering of limbs, physical guidance without taking weight

4. Extensive assistance — Weight-bearing support (including lifting limbs) by 1 helper where person still performs 50% or more of subtasks

5. Maximal assistance — Weight-bearing support (including lifting limbs) by 2+ helpers -OR- Weight-bearing support for more than 50% of sub-tasks

6. Total dependence — Full performance by others during all episodes

8. Activity did not occur during entire period

 

The following chart provides general guidelines for recording accurate ADL Self-Performance.

 

Guidelines for Assessing ADL Self-Performance

 

Example

 

Here is a possible conversation between the assessor and family member regarding rising from a chair for a person who is severely impaired.

 

Assessor: “Tell me how Mrs. L gets up from the chair. Once she is on the chair, how does she move from a sitting to a standing position?”

Family  member: “She can move about by herself, but I help her to grab the side rails as she gets up.”

Assessor: “Do you give her verbal instructions or does this involve physical help?”

Family member:  “Most of the time I just remind her to grab the side rails of the chair when she gets up.  If she doesn't, she might fall.  But once I tell her how to do things, she can do it herself.”

Assessor: “So, how do you help as she actually rises from the chair?”

Family member: “She can help herself by grabbing onto the rail.  I tell her what to do. There are times each day when I hold her arm to steady her in getting up.”

Assessor: “How many days during the three days did you give this type of help?

Family member: “Every day.”

 

For Transfer, Mrs. L would receive an ADL Self-Performance Code of “4” (Extensive Assistance).