title: Functional status outcome measures in home health care patients with heart failure.
abstract: Elderly, chronically ill patients' ability to stay at home is dependent on their capacity to perform activities of daily living (ADLs). The Outcome and Assessment Information Set (OASIS) defines ADLs and can be evaluated in various ways. The purpose of this research was to evaluate these approaches and make recommendations for use in research. Several different approaches to the evaluation of functional status were done using ADLs (ambulation, bathing, dressing lower body, dressing upper body, feeding, grooming, toileting, and transferring) scored individually and as indices. Each approach has advantages and disadvantages depending on the research question being asked. The ADL change index score provided the most comprehensive analysis of functional status change although the categorical scores are useful for simple approaches.
authors.affiliation: Case Western Reserve University, Frances Payne Bolton School of Nursing, Cleveland, Ohio 441065-4904, USA. tanya.scharpf@case.edu
authors.forename: Tanya Pollack
authors.initials: TP
authors.lastname: Scharpf
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Madigan
mesh_terms: D000203:Activities of Daily Living / Q000145:classification*; D000368:Aged; D000369:Aged, 80 and over; D014487:Centers for Medicare and Medicaid Services, U.S.; D003625:Data Collection / Q000379:methods; D006233:Persons with Disabilities; D005260:Female; D006333:Heart Failure / Q000534:rehabilitation*; D006699:Home Care Services / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D006278:Medicare; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D012648:Self Care / Q000706:statistics & numerical data*; D020377:Self Efficacy; D012720:Severity of Illness Index; D014481:United States