Functional Status

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.

Functional Status Assessment

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

Understanding (by care giver)

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

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