Description

Stineman et al reported a scale for describing the functional needs of a patient. The authors are from the University of Pennsylvania and University of New York Buffalo.


Items:

(1) bathing (ADL)

(2) climbing stairs (mobility)

(3) dressing the lower body (ADL)

(4) dressing the upper body (ADL)

(5) eating (ADL)

(6) grooming (ADL)

(7) managing bladder (sphincter)

(8) managing bowel (sphincter)

(9) transferring from bed to chair (mobility)

(10) transferring into a tub (mobility)

(11) transferring to toilet (mobility)

(12) using a wheelchair or walking (mobility)

(13) using the toilet (ADL)

 

Status levels for each item:

(1) totally independent, and able to complete in a safe and timely manner

(2) supervision

(3) minimal assistance

(4) moderate assistance

(5) maximal assistance

(6) total assistance

 

Grade

Status

7

completely independent in all 13 items

6

no more than supervision: 1, 2

5

no more than supervision: 4, 6, 9, 11

minimal assistance: 1, 3, 10, 12

total assistance: 2

4

no more than supervision: 5, 6, 7, 8

minimal assistance: 4, 9, 11

moderate assistance: 1, 3, 13, 10

maximal assistance: 12

total assistance: 2

3

minimal assistance: 5, 6, 7, 8

moderate assistance: 4, 9, 11

maximal assistance: 1, 3, 13

total assistance: 2, 12, 10

2

moderate assistance: 5, 6, 8, 9, 11

maximal assistance: 4

total assistance: 1, 2,  3, 7, 10, 12, 13

1

total assistance in most or all items

 

 

Grade

Term

7

complete independence

6

modified independence

5

supervision

4

minimal assistance

3

moderate assistance

2

maximal assistance

1

total assistance

 


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