Functional ability
Functional Health
Helps identify how health impacts self care ability and helps identify areas that need improvement
Factors
Psychological
Social
Cultural
Economical
Physical
Nursing assessment
Ask questions
relationships/support and potential domestic violence
values/beliefs/spirituality
Self esteem and coping abilities
Impairments
Personal habits (substance abuse)
Environmental and occupational hazards
Mental health
Vision
Hearing
Mobility
Fall history
Continence
Nutrition
Cognition
Affect
Home environment
Social participation
ADLs
Functional ability
Cognitive, social, physical, and emotional ability to carry out the normal activities of life needed to meet basic needs
Fulfill roles in family workplace and community
Maintain health and well being
Major contributing factor to quality of life
Optimal Functional Ability
Cognitive abilities
Memory, attention, problem solving etc
Physical ability
Strength, endurance, mobility, etc
Emotional ability
Self regulation, coping mechanisms, resilience
Social ability
Communication, interpersonal skills, role fulfillment
Environmental factors
Accessibility, resource availability, support systems
Absence of impairments or disabilities that could limit functional capacity
Maintaining these attributes through healthy lifestyle practices, rehabilitation, assistive devices when needed and supportive environments can help individuals achieve their highest level of functional independence across the lifespan.
Theory: Roper-Logan-Tierney model of nursing
Focus on health rather than illness and promotes care directed toward health promotion and wellness
12 ADLs essential to life
Maintaining safe environment
Communication
Breathing
Eating and drinking
Elimination
Washing and dressing
Controlling temperature
Mobilization
Working and playing
Sexuality
Sleeping
death
Asses upon admittance and then throughout stay for dependent and independent status
Changes in this status can show whether the patient is improving or not
Notice factors that impact functional ability
Developmental and biological factors
Current state of health
Psychological
Social cultural
environmental factors
Socioeconomic
Situations that increase risk for functional impairment
Developmental abnormalities
Trauma (physical or psychological)
Disease (acute or chronic)
Social and cultural factors
Advanced age
Cognitive function
Mental health issues (depression)
Comorbidities and socioeconomic factors
Recognize when functional impairment exists
Difficulties with ADLs
Cognitive issues
Sensory deficits
Need for assistance/ assistive technology
Behavior or mood changes
Basic activities of Daily Living (BADLs)
Personal care and mobility
Instrumental activities of daily living (IADLs)
More complex skills essential to living in a community
Be familiar with the following functional assessment tools
24hFAQ (24 hour Functional Activities Questionnaire)
Outpatient Post-op patients
Assesses functional ability
MMSE (Folstein Mini-Mental Status Examination)
Older adults assessment
Assess for cognitive function
FAQ (Functional Activities Questionnaire)
Older adult assessment
Assess for IADLs
FSS (Functional Status Scale)
Hospitalized children
MDS(Long Term Care Minimum Data Set)
Nursing home residents
EFAT (The vEdmonton Functional Assessment Tool)
Cancer patients
Functional performance
Assess a client’s risk for falls (BMAT / MORSE fall risk assessment)
Risk factors
Previous falls
Gait or balance issues
Cognitive impairment
Vision problems
Medication side effects
Age related conditions and changes
Environmental hazards
Patients should be evaluated frequently for fall risks
Fall risk assessments
MORSE Fall Scale
Evaluates history of falls, secondary diagnosis, ambulatory aids, IV lines, gait, and mental status.
Hendrich II Fall Risk Model
Assesses risk factors like confusion, dizziness, male gender, and certain medications.
STRATIFY Scale
Considers risk factors like transfer and mobility issues, vision impairment, and high-risk medications.
Berg Balance Scale
Measures balance abilities through functional tasks in older adults.
Interventions to optimize functional abilities
Physical therapy
Occupational therapy
Cognitive rehabilitation
Assistive technology
Environmental modifications
Changes to home to make more accessible
Caregiver training
Lifestyle changes
Diet
Exercise
Stress management
Medication management
Social support
Considerations for Care
For patient education make sure to cater to the patient's functional ability