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geriatrics general-medicine

Katz Index of Independence in Activities of Daily Living

6-item index of basic ADL independence (Katz 1963). Each: 1 (independent) or 0 (dependent). Total 0–6.

Score interpretation

Full function — independent 6

→ Promote continued independence. Reassess at clinical change.

Moderate impairment 4–5

→ Identify supportable domains; OT review, equipment provision, carer training. CGA indicated.

Severe functional impairment 0–3

→ Care package essential — domiciliary or residential care. Capacity assessment, advance care planning, carer support. Address reversible contributors (pain, polypharmacy, sensory loss, depression).

Interpretation bands for the Katz ADL. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.