During nursing school, students are thoroughly educated in general triage and assessment. They are introduced to different testing and tools to score and assess the well-being and ailments of their patients. Some tools focus on a specific illness, while other can help in detecting elderly patients' living ability, or the mental state of a patient. The tests commonly used in overall health include index scoring and questionnaire tools.
The Katz Index of Independence in Activities of Daily Living
As patients age, their functional status often declines. This lack of daily functioning may lead to an increase in risk of other health problems. The Katz Index of Independence in Activities of Daily Living (Katz ADL) measures the ability of a patient to complete daily activities required for healthy survival. These functions include bathing, dressing, toileting, transferring to chairs or bed, continence and feeding. The scoring is based on a scale of one to six, with six equalling fully functional abilities.
The Barthel Index
The Barthel Index is a tool for measuring the return of functional ability through physiotherapy. Although useful in most instances, the Barthel Index is not used in stroke rehabilitation. The Barthel Index scores 10 variables including fecal incontinence, urinary incontinence, grooming, toileting, feeding, transferring to a chair or bed, walking, dressing, climbing stairs and bathing.
The Clifton Assessment Procedures for the Elderly
The Clifton Assessment Procedures for the Elderly (CAPE) score the functional impairment of mental and behavioural aspects. CAPE consists of two tests, the Cognitive Assessment Scale (CAS) and the Behavioral Rating Scale (BRS), which are useful in evaluating psychiatric elderly patients. Tests included in the CAPE are information, orientation, mental ability, psychomotor performance, physical disability, communication difficulties and social disturbance tests.
The General Health Questionnaire
Used in clinical, employment and psychiatric fields, the General Health Questionnaire (GHQ) is an assessment consisting of questions to determine the overall psychological well-being of a patient. The GHQ is a screening used to determine the risk of developing psychiatric disorders and mental health problems, as well as current states of health. It comes in versions with 12, 28, 30, or 60 items, with 28 items (GHQ28) being the most common.
- "Fundamentals of Nursing: Concepts, Process, and Practice"; Barbara Kozier; 2008
- Annals of Long Term Care: Katz Index of Independence in Activities of Daily Living (ADL)
- Stroke centre: The Barthel Scale
- BioPsychoSocial Assessment Tools for the Elderly - Assessment Summary Sheet
- Occupational Medicine: The General Health Questionnaire