Name | Value |
---|---|
INSTRUMENT | KATZ-ADL-18PT |
LAST UPDATE | 2022-04-08 08:14:52 |
ENTRY CHECKSUM | 2958334196 |
ENTRY SPECIFICATION | {"name": "KATZ-ADL-18PT", {"id": "q5132", "type": "ChoiceQuestion", "required": false, "inline": false, "text": "1. Bathing: either sponge bath, tub bath or shower.", "intro": "For each area of functioning listed below, check description that applies. (The word \u0022assistance\u0022 means supervision, direction of personal assistance.)", "columns": 1, "choices":[ {"id": "c2886", "text": "1. Receives no assistance (gets in and out of tub by self, if tub is usual means of bathing).", "quickKey": 1}, {"id": "c2516", "text": "2. Receives assistance in bathing only one part of body (such as back or leg).", "quickKey": 2}, "restartDays": 2, {"id": "c2517", "text": "3. Receives assistance in bathing more than one part of the body (or not bathed).", "quickKey": 3} ]}, {"id": "q5133", "type": "ChoiceQuestion", "required": false, "inline": false, "text": "2. Dressing: gets clothes from closets and drawers, including under-clothes, outer garments and using fasteners (including braces if worn).", "intro": "For each area of functioning listed below, check description that applies. (The word \u0022assistance\u0022 means supervision, direction of personal assistance.)", "columns": 1, "choices":[ "printTitle": "Katz Index of Independence in Activities of Daily Living", {"id": "c2518", "text": "1. Gets clothes and dresses self without assistance.", "quickKey": 1}, {"id": "c2519", "text": "2. Gets clothes and dresses self without assistance except for tying shoes.", "quickKey": 2}, {"id": "c2887", "text": "3. Receives assistance in getting clothes, or dressing, or stays partly or completely undressed.", "quickKey": 3} ]}, {"id": "q5134", "type": "ChoiceQuestion", "required": false, "inline": false, "text": "3. Toileting: going to the \u0022toilet room\u0022 for bowel and urine elimination; cleaning self after elimination and arranging clothes. (May use cane, walker, or wheelchair, and manage bedpan or commode, emptying same next morning).", "content":[ "intro": "For each area of functioning listed below, check description that applies. (The word \u0022assistance\u0022 means supervision, direction of personal assistance.)", "columns": 1, "choices":[ {"id": "c2900", "text": "1. No assistance needed.", "quickKey": 1}, {"id": "c2901", "text": "2. Receives assistance with at least one procedure above.", "quickKey": 2}, {"id": "c2890", "text": "3. Does not go to \u0022toilet room\u0022 for elimination procedure.", "quickKey": 3} ]}, {"id": "q5135", "type": "ChoiceQuestion", "required": false, "inline": false, {"id": "i1040", "type": "IntroText", "text": "4. Transfer:", "intro": "For each area of functioning listed below, check description that applies. (The word \u0022assistance\u0022 means supervision, direction of personal assistance.)", "columns": 1, "choices":[ {"id": "c2891", "text": "1. Moves in and out of bed, or chair, without assistance (may use support object like cane or walker).", "quickKey": 1}, {"id": "c2892", "text": "2. Moves in and out of bed with assistance.", "quickKey": 2}, {"id": "c2526", "text": "3. Does not get out of bed.", "quickKey": 3} "text": "For each area of functioning listed below, check description that applies. (The ]}, {"id": "q5136", "type": "ChoiceQuestion", "required": false, "inline": false, "text": "5. Continence:", "intro": "For each area of functioning listed below, check description that applies. (The word \u0022assistance\u0022 means supervision, direction of personal assistance.)", "columns": 1, "choices":[ {"id": "c2527", "text": "1. Controls urination and bowel movement completely by self.", "quickKey": 1}, {"id": "c2893", "text": "2. Has occasional \u0022accidents\u0022 of urination or bowels.", "quickKey": 2}, word \u0022assistance\u0022 means supervision, direction of personal {"id": "c2529", "text": "3. Supervision helps keep urine or bowel control: catheter is used or is incontinent.", "quickKey": 3} ]}, {"id": "q5137", "type": "ChoiceQuestion", "required": false, "inline": false, "text": "6. Feeding:", "intro": "For each area of functioning listed below, check description that applies. (The word \u0022assistance\u0022 means supervision, direction of personal assistance.)", "columns": 1, "choices":[ assistance.)" {"id": "c2530", "text": "1. Feeds self without assistance.", "quickKey": 1}, {"id": "c2894", "text": "2. Feed self except for geting assistance in cutting meat or buttering bread.", "quickKey": 2}, {"id": "c2895", "text": "3. Receives assistance in feeding, or, is fed partly or completely by tubes or intravenous.", "quickKey": 3} ]}] } }, |