| ENTRY SPECIFICATION |
{"name": "KATZ-ADL-6PT",
{"id": "q7059", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "1. BATHING",
"intro": "Score activities on level of independence: <br /><br />INDEPENDENCE: NO
supervision, direction or personal assistance (1 POINT) <br />DEPENDENCE: WITH
supervision, direction, personal assistance or total care (0 POINTS)",
"columns": 1,
"choices":[
{"id": "c3358", "text": "1. Bathes self completely or needs help in bathing only a single part of the body
such as the back, genital area or disabled extremity. (1 pt)", "quickKey": 1},
{"id": "c3359", "text": "2. Needs help with bathing more than one part of the body, getting in or out of
"restartDays": 2,
the tub or shower. Requires total bathing. (0 pt)", "quickKey": 2}
]},
{"id": "q7060", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "2. DRESSING",
"columns": 1,
"choices":[
{"id": "c3363", "text": "1. Gets clothes from closets and drawers and puts on clothes and outer garments
complete with fasteners. May have help tying shoes. (1 pt)", "quickKey": 1},
{"id": "c3362", "text": "2. Needs help with dressing self or needs to be completely dressed. (0 pt)", "quickKey": 2}
]},
"printTitle": "Modified Katz Index of ADLs",
{"id": "q7061", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "3. TOILETING",
"columns": 1,
"choices":[
{"id": "c3376", "text": "1. Goes to toilet, gets on and off, arranges clothes, cleans genital area without
help. (1 pt)", "quickKey": 1},
{"id": "c3377", "text": "2. Needs help transferring to the toilet, cleaning self or uses bedpan or
commode. (0 pt)", "quickKey": 2}
]},
{"id": "q7062", "type": "ChoiceQuestion", "required": false, "inline": false,
"content":[
"text": "4. TRANSFER",
"columns": 1,
"choices":[
{"id": "c3367", "text": "1. Moves in and out of bed or chair unassisted. Mechanical transferring aides are
acceptable. (1 pt)", "quickKey": 1},
{"id": "c3368", "text": "2. Needs help in moving from bed to chair or requires a complete transfer. (0 pt)", "quickKey": 2}
]},
{"id": "q7063", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "5. CONTINENCE",
"columns": 1,
{"id": "i2346", "type": "IntroText",
"choices":[
{"id": "c3372", "text": "1. Exercises complete self control over urination and defecation. (1 pt)", "quickKey": 1},
{"id": "c3379", "text": "2. Is partially or totally incontinent of bowel or bladder. (0 pt)", "quickKey": 2}
]},
{"id": "q7064", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "6. FEEDING",
"columns": 1,
"choices":[
{"id": "c3375", "text": "1. Gets food from plate into mouth without help. Preparation of food may be done
by another person. (1 pt)", "quickKey": 1},
"text": "Score activities on level of independence: <br /><br />INDEPENDENCE: NO
{"id": "c3373", "text": "2. Needs partial or total help with feeding or requires parenteral feeding. (0
pt)", "quickKey": 2}
]}]
}
supervision, direction or personal assistance (1 POINT) <br />DEPENDENCE: WITH
supervision, direction, personal assistance or total care (0 POINTS)"
},
|
