Katz Index of Independence in Activities of Daily Living
ACTVITIES Points INDEPENDENCE: DEPENDENCE:
( 1 or 0 ) ( 1 POINT ) ( 0 POINTS )
NO supervision, WITH supervision,
direction or personal direction, personal assistance assistance or total care
BATHING (1 POINT) Bathes self (0 POINTS) Needs
completely or needs help with bathing help in bathing only a more than one part of Points: single part of the body the body, getting in or such as the back, out of the tub or genital area or shower. Requires total disabled extremity. bathing.
DRESSING (1 POINT) Gets (0 POINTS) Needs
clothes from closets help with dressing self and drawers and puts or needs to be on clothes and outer completely dressed. garments complete with fasteners. May Points: have help tying shoes.
TOILETING (1 POINT) Goes to (0 POINTS) Needs
toilet, gets on and off, help transferring to arranges clothes, the toilet, cleaning Points: cleans genital area self or uses bedpan or without help. commode.
TRANSFERRING (1 POINT) Moves in (0 POINTS) Needs
and out of bed or help in moving from chair unassisted. bed to chair or Points: Mechanical requires a complete transferring aides are transfer. acceptable.
CONTINENCE (1 POINT) Exercises (0 POINTS) Is
complete self control partially or totally over urination and incontinent of bowel Points: defecation. or bladder.
FEEDING (1 POINT) Gets food (0 POINTS) Needs
from plate into mouth partial or total help without help. with feeding or Points: Preparation of food requires parenteral may be done by feeding. another person.
TOTAL POINTS =_______
6= High (patient independent) 0 = Low (patient very dependent)
Slightly adapted. Permission from Gerontological Society of America. Katz S., Down, TD, Cash,HR et al. (1970) Progress in the development of the index of ADL. Gerontologist 10:20-30.