HLTB01 Chapter 8 10/21/2012 9:45:00 PM
Functional health refers to the ability to take care of personal needs such as bathing,
toileting, and dressing, as well as tending to other tasks of everyday life and navigating
the physical and social environment.
Two of the most common ways to measure daily living skills
Activities of daily living (ADLs):
o 6 basic function
bathing, dressing, toileting, transferring from a bed to a chair,
continence, and eating.
o How to measured?
Ability to perform the task independently
Ability to perform the task with some assistance
Inability to complete a task, even with assistance
o Older adults haveADLlimitations increase with age especially women.
o Bathing is the most needed and ability to feed oneself is the least one.
Instrumental activities of daily living (IADLs)
o Using the physical and mental abilities to perform a task. Ex: using the
phone, shopping, food preparation, housekeeping, laundry, independent
travel, taking medications and being able to handle finances.
o Why unable to perform a task?
Physical limitations, environmental barriers, social constraints, and
cognitive impairment or mental illness..
o Also increases with age and women has more impairment. Because men
are more likely to have mortal illnesses and women to have chronic ones,
such as osteoporosis.
o Most series is ability to shopping and least is using the phone.
o More likely to have IADLs thanADLs.
Decrease in the rate of impairment in these two in the past 20 yrs.
o Better health care, a more user-friendly environment for people with
handicaps, and a decrease in number and a slowing of the progression of
some chronic degenerative disease.
o Change in diet and health behavior habits, like avoiding smoking.
o Educational level and socioeconomic status also influence.
Another ways to measure functional ability
Balance and gait: assess strength, flexibility, and balance.
Cognitive ability: ability to care for oneself. Memory, functional limitations,
judgment and social appropriateness.
o Short portable mental status questionnaire: measure both recent and
remote memory. o Direct assessment of functional status (DAFS) scale, especially for