Katz Index of Independence in Activities of Daily Living (ADL) Calculator

Katz Index of Independence in Activities of Daily Living (ADL) Calculator
Summary: This calculates the Katz Index of Independence in Activities of Daily Living.
Bathing --> [select name="Q1" value="Bathes self completely or needs help in bathing only a single part of the body, such as the back, genital area, or disabled extremity (1 point).  =1|Needs help with bathing more than one part of the body, getting in or out of the bathtub or shower; requires total bathing (0 points).  =0"]
Dressing --> [select name="Q2" value="Gets clothes from closets and drawers, and puts on clothes and outer garments complete with fasteners; may need help tying shoes (1 point).  =1|Needs help with dressing self or needs to be completely dressed (0 points).  =0"]
Toileting --> [select name="Q3" value="Goes to toilet, gets on and off, arranges clothes, cleans genital area without help (1 point).  =1|Needs help transferring to the toilet and cleaning self, or uses bedpan or commode (0 points).  =0"]
Transferring --> [select name="Q4" value="Moves in and out of bed or chair unassisted; mechanical transfer aids are acceptable (1 point).  =1|Needs help in moving from bed to chair or requires a complete transfer (0 points).  =0"]
Fecal and urinary continence --> [select name="Q5" value="Exercises complete self-control over urination and defecation (1 point).  =1|Is partially or totally incontinent of bowel or bladder (0 points).  =0"]
Feeding --> [select name="Q6" value="Gets food from plate into mouth without help; preparation of food may be done by another person (1 point).  =1|Needs partial or total help with feeding or requires parenteral feeding (0 points).  =0"]
Score --> [calc value="score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)" memo="score"] out of 6 points.  Interpretation --> [calc value="score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6);score>5?'High Independence':score>0?'Intermediate Independence':'Low Independence'" memo="interpretation"]
[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"]
references:  
[link memo="#1" url="http://www.ncbi.nlm.nih.gov/pubmed/5420677"] Katz (1970) Gerontology 10: 20-30.
[link memo="#2" url="http://www.aafp.org/afp/2011/0101/p48.html"] Elsawy (2011) Am Fam Phys 83: 48-56.[/conditional]
Katz Index of Independence in Activities of Daily Living (ADL) Calculator
Summary: This calculates the Katz Index of Independence in Activities of Daily Living.
Bathing -->
Dressing -->
Toileting -->
Transferring -->
Fecal and urinary continence -->
Feeding -->
Score --> scorescore=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6) out of 6 points. Interpretation --> interpretationscore=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6);score>5?'High Independence':score>0?'Intermediate Independence':'Low Independence'
display/hide references

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 1, 12 form elements, 54 boilerplate words, 1 checkboxes, 6 drop downs, 2 links, 2 calculations, 1 conditionals, 7 total clicks
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