Functional Status

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Patient reported functional status can affect a patient's overall health and well-being. The functional status are reported by the patient with the Functional Status Assessment, which is a component of the Well-Being Assessment. It will be updated regularly via the Well-Being Status. Functional status is typically addressed by assigning Care Goals and interventions and activities in the Care Plan.

Physical Health Status

Hearing

  • Difficulty Hearing in some environments
  • Absence of useful hearing

Walking

  • Some difficulty without devices
  • Some difficulty with devices
  • Requires wheel chair or devices

Sleeping

  • Trouble falling asleep
  • Trouble staying asleep

Communication (by care giver)

  • Some Difficulty expressing needs and ideas
  • Frequent difficulty expressing needs and ideas
  • Very difficult to understand

Vision

  • Large objects and print only
  • Object identification questionable

Standing

  • Need device assistance
  • Unable with device assistance

Grip

  • Limited
  • Absent

Breathing

  • Severe shortness of breath at rest
  • Mild shortness of breath at rest
  • Shortness of breath with minimal exertion
  • Shortness of breath with moderate exertion
  • SOB when climbing stairs
  • Uses ventilator

Mobility Endurance

  • Walk or wheel chair 50 feet
  • Can't do it
  • Only with rest

Sitting Endurance

  • Tolerate sitting for 15 minutes
  • Can't do it
  • Only with support

Primary Mobility Mode

  • Cane/crutch
  • Walker
  • Orthotics/prosthetics
  • Wheelchair/scooter full time
  • Wheelchair/scooter part time
  • No movement from bed

Mental Health Status

Cognitive

Understanding (by patient and or/care giver)

  • Misses part of message
  • Limited understanding
  • Unable to understand

Memory

  • Forgetful
  • Dementia, Delirium

Depression

Anxiety

Compulsive or Hyperactivity

Stress

Activities of Daily Living - Status

  • Bathing and showering
  • Shower/bathe requires transfer
  • Wash face, hands, chest, arms
  • Dressing (Upper body, Lower body, put on/take off socks and shoes)
  • Self-feeding (not including chewing or swallowing)
  • Movement from one place to another to perform activities
  • Personal hygiene and grooming
  • Toilet hygiene
  • Toilet transfer - safely on an off

Mobility

  • Lying to sitting on side of bed
  • Sit to stand
  • Chair/Bed to wheelchair
  • Sit to lying flat on bed
  • Roll left and right
  • Bend and pick up objects

Transportation Mobility

  • Unable to car transfer
  • Wheel chair lift only

Instrumental Activities of Daily Living (IADLS)- Status

  • Telephone (Answer phone, place calls
  • Take medications as prescribed (oral, inhalants/mists, injectable)
  • Make light meal
  • Wipe down surface
  • Light shopping
  • Laundry
  • Use public transportation
  • Mange money and pay bills
  • Use computer
  • Use a smart phone

Instrumental Activities of Daily Living (IADLS)- Other

  • Care of others (Family members)
  • Care of pets
  • Child rearing
  • Maintain social relationships
  • Community Mobility
  • Maintain Financial Management
  • Maintain Health Management
  • Maintain Home Management
  • Meal preparation and cleanup
  • Maintain Religious Observances
  • Maintain safety procedures and emergency responses
  • Shopping

Quality of Life Status

Activities

Purpose

Competence

Connections

Socioeconomic

Environmental