1

( ADL Activity Daily Living)

Function

1.
0 =
1 =

2=
2.
0 =
1 = (
24-48 )

3./ 0 = (
)

1 =

1

2=

3=
4.
0 =
1 = (
)

2= (
,
,
)

Function
5.

0 =
1 =

()
2=

3=
6./
0 =

1 = 50

2= (

)
7.
0 =
1 =
2= (
Walker )
8.
0 =
1 =
9. 0 =
1

1 = (
1 )
2=
10. 0 =
1

1 = (
1 )
2=

ADL
( 20 )
0-4
5-8
9-11
12+

Very low initial score /Total dependence

Low initial score/Severe dependence
Intermediate initial score /Moderately severs dependence
Initial high /Mildly severs dependence; consideration of discharging
home

4.2 (IADL)
Function

2.1. 0 =
1 = (

2 =

)
9 = ()
2.2
0 =

1 = (

)
2 =

2.3. 0 =
1 =
2 =

Function
2.4. /

0 =

1 =
(
)
2 =
()
2.5 0 =

1 =
(

)
2 =
()
2.6
0 = /

1 =
2=

IADL

( 10 )
0-2
3-4
5-6
7+

( 12 )
0-2
Very low initial score /Total dependence
3-5
Low initial score/Severe dependence
6-8
Intermediate initial score /Moderately severs
dependence
9+
Initial high/Mildly severs dependence; consideration of
discharging home