Activities of Daily Living Checklist

Overview

Published: 08/15/2011

by Senior Care Society

Photos

Activities of Daily Life Checklist (ADL)

Check the level of function for each activity of dialing living listed below.  This will help you determine how much assistance an elder needs.  This information is useful for physicians, home health agencies and nursing home administrators.



Function

Independent

Needs Help

Dependant

Does Not Do

Bathing

 

 

 

 

Dressing

 

 

 

 

Grooming

 

 

 

 

Oral Care

 

 

 

 

Toileting

 

 

 

 

Transferring

 

 

 

 

Walking

 

 

 

 

Climbing Stairs

 

 

 

 

Eating

 

 

 

 

Shopping

 

 

 

 

Cooking

 

 

 

 

Managing Medications

 

 

 

 

Using the Phone

 

 

 

 

Housework

 

 

 

 

Doing Laundry

 

 

 

 

Driving

 

 

 

 

Managing Finances

 

 

 

 



Senior Care Society is a free community website committed to helping caregivers by providing support through articles, user forums, professional services and community events.  We also offer a free caregiver portal that allows families to manage and coordinate care giving activities online. 

Visit us at www.seniorcaresociety.com or follow us on facebook at www.facebook.com/seniorcaresociety.