Functional ability is the ____, ____, ____, and ____ ability to carry out the normal activities in life
cognitive, social, physical, emotional
What is functional performance?
The ADLs performed by an individual
What is functional disability?
The degree to which an individual can perform ADLs without assistance
What is functional impairment?
Difficulty performing or requiring assistance to perform 1+ ADL(s)
What are the 4 attributes of functional ability to consider?
- Circumstance needed to perform action
- Amount of assistance needed
- Duration of action
- Degree of effort required
What are the 2 categories of functional activities
- Basic activities of daily living (BADLs)
2. Instrumental activities of daily living (IADLs)
What are 6 examples of BADLs?
- Dressing
- Eating (feeding self)
- Walking
- Transferring
- Toilet (wipe self)
- Hygiene (bathe self)
What are 5 examples of IADLs?
- Shopping
- Housekeep
- Accounting
- Food preparation
- Telephone/transportation
It is common for older adults to need assistance with _ADLs before _ADLs
I, B
The Roper-Logan-Tierney (RLT) Model states that there are __ ADLs central to human life
12
The RLT Model focuses on ____ rather than illness
health
The RLT Model promotes health ____ and ____
promotion, wellness
What are the 12 activities of the RLT model?
- Maintaining safe environment
- Breathing
- Communication
- Mobilizing
- Eating + drinking
- Eliminating
- Personal cleansing + dressing
- Maintaining body temp.
- Working + playing
- Sleeping
- Expressing sexuality
- Dying
What are the 2 types of alterations in functional ability?
- Primary problem
2. Secondary problem
What is a primary problem?
The ability to perform a function never developed
What is a secondary problem?
A loss of functional ability
What are some risk factors for impaired functional ability?
- Developmental abnormalities
- Physical or psychological trauma
- Beliefs
- Physical environment
What are some examples of assessments of functional ability?
- Vision
- Hearing
- Mobility
- Fall history
- Cognition
- Affect
- Home environment
- Social participation
- Continence
- Nutrition
- BADLs
- IADLs
What are the 3 tools for assessing functional ability?
- Barthel Index
- Functional Activities Questionnaire (FAQ)
- Palliative Performance Score
What are the 3 levels of dependency?
- No assistance
- Partial assistance
- Total assistance
What are some examples of collab. interventions to manage functional disability?
- Assistance with ADL + IADLs
- Falls preventation
- Physiotherapy + exercise plan
- Safe use of assistive devices
What are some strategies of health promotion that is important to educate patient and families about?
- Well-balanced nutrition
- Regular physical activity
- Routine health checkups
- Stress management
- Regular participation in meaningful activity
- Fall prevention measures
- Avoidance of addictive substances
What are 2 things to evaluate during the evaluation phase of the nursing process?
- Extent of independence performing ADLs
- Effectiveness of nursing interventions
