Clinical Basis

Functional capacity is impacted by changes in three patient domains:

• Domiciles
• Physical
• Psycho-social

One of the earliest indicators of functional decline is the inability to perform activities of daily living (ADL).

Clinical Guidelines

• Be sure to ask patients/caregivers about the patients’ ability to perform ADL.
• Utilize physician extender to conduct ADL/IADL assessment (can be done over the phone).
• As appropriate, refer to case management, physical therapist home safety evaluation and durable medical equipment (DME).
• Include assessment as part of annual wellness visit.