Instrument Name | Scoring Criteria | |
---|---|---|
Activities of Daily Living (ADL) Screen | 18 patient independent 6 patient very independent | |
Functional Independence Measure (FIM) | 7-complete independence; 6-modified independence; 5-Supervision or step-up; 4-Minimal Contact Assistance; | 3-Moderate Assistance; 2-Maximal Assistance; 1-Total Assistance |
Katz index ADL | Score of 6 = High, Patient is independent. Score of 0 = Low, patient is very dependent. | |
Barthel index | ADL: 70–100 = Independent; Less than 70 = Needs significant physical/supervisory assistance. | |
Instrumental activities of daily living (IADL) | 2 = without assistance, 1 = with assistance, 0 = unable | |
Instrumental activities of daily living (IADL) scale (Lawton) / IADL Screen | The total score may range from 0 to 8. A lower score indicates a higher level of dependence. | |
Functional Activity Questionnaire (FAQ) | Score of 5 or more indicates significant impairment in instrumental activities of daily living. | |
Morse fall scale / Annual Fall Scale / MRT | > = 45: high fall risk 25–44: moderate risk 0–24: low risk | |
Tinetti assessment measures | Maximum possible balance score: 16 points. Maximum possible gait score: 12 points. Maximum total score: 28 points. -Scores below 19 indicate high risk for falls. Scores in the 19–24 range indicate some risk for falls. | |
Braden scale | Pressure Ulcer Risk: total score < =9 very high risk total score 10–12 high risk | total score 13–14 moderate risk total score 15–18 mild risk total score 19–23 no risk |