The National Surgical Quality Improvement Program (NSQIP) has a definition for functional health status prior to surgery.
Functional health status is based on the patient's ability to perform activities of daily living (ADL) prior to surgery.
Activities of daily living:
(1) bathing
(2) feeding
(3) dressing
(4) toileting
(5) mobility
Functional health status is recorded for prior to current illness and for the 30 days prior to surgery.
Performance of ADL
Functional Level
independent in all
independent
requires some assistance
partially dependent
requires total assistance for all
totally dependent
unable to assess
unknown
Total dependency is considered poor functional status.
Functional status is independent of the use of prosthesis, device or equipment since it is based on the need for assistance from another.
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Specialty: Anesthesiology, Surgery, general
