RUBRIC

KATZ INDEX OF INDEPENDENCE OF ACTIVITIES IN DAILY LIVING

ADL 1 2 3

Data collection is minimally Data collection is Data collection is

moderately discussed on comprehensively discussed on
BATHING focused on the person's ability
the person's ability to bathe the person's ability to bathe
to bathe himself.
himself. himself.

Assessment is minimally Assessment is

Assessment is minimally
focused on the ability of the comprehensively focused on
focused on the ability of the
client to put on clothes in the ability of the client to put
DRESSING client to put on clothes in their
closets, putting on their own their closets, putting on on clothes in their closets,
their own clothes and putting on their own clothes
clothes and shoes.
shoes. and shoes.

Data collection is Data collection is

TOILETING Data collection is minimally moderately focused the comprehensively focused the
focused the toileting abiliy of toileting abiliy of the client toileting abiliy of the client
the client ( arrranging clothes, ( arrranging clothes, ( arrranging clothes, cleaning
cleaning own genitalia) cleaning own genitalia) own genitalia)

Assessment is moderately Assessment is

Assessment is minimally
focused on the ability of comprehensively focused on
focused on the ability of the the clien to on her/his self
TRANSFERRING the ability of the clien to on
clien to on her/his self control control over urination and her/his self control over
over urination and defecation
defecation urination and defecation

Assessment is moderately Assessment is

CONTINENCE Assessment is minimally focused on the feeding comprehensively focused on
focused on the feeding ability ability of the client ( geting the feeding ability of the client
of the client ( geting food from food from plate to mouth ( geting food from plate to
plate to mouth without help) without help) mouth without help)

Asssesment is moderately Asssesment is

FEEDING Asssesment is minimally focused on the person's comprehensively focused on
focused on the person's sleep, sleep, rest and relaxation the person's sleep, rest and
rest and relaxation practices. practices. relaxation practices.
Interpet the result with Comprehensively interpreted
INTERPRETATION OF RESULT Failed to Interpret the result
minimal justication the result.
 RUBRIC
KATZ INDEX OF INDEPENDENCE OF ACTIVITIES IN DAILY LIVING

ADL 1 2

Assessed with minimal Assessed with moderate

ABILITY TO USE TELEPHONE
justification justification

Assessed with minimal Assessed with moderate

SHOPPING
justification justification

Assessed with minimal Assessed with moderate

FOOD PREPARATION
justification justification

Assessed with minimal Assessed with moderate

HOUSE KEEPING
justification justification

Assessed with minimal Assessed with moderate

LAUNDRY
justification justification

MODE OF TRANSPORTATION Assessed with minimal Assessed with moderate

justification justification

RESPONSIBILITY FOR OWN Assessed with minimal Assessed with moderate

MEDICATION justification justification
DAILY LIVING

Assessed with comprehensive

justification.

Assessed with comprehensive

justification.

Assessed with comprehensive

justification.

Assessed with comprehensive

justification.

Assessed with comprehensive

justification.

Assessed with comprehensive

justification.

Assessed with comprehensive

justification.