Katz Index of Independence in Activities of Daily Living

Learn about the Katz Index, a way to measure an individual's ability to perform everyday life tasks independently, and get access to a free PDF template and example.

By Ericka Pingol on Jul 15, 2024.

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Fact Checked by Ericka Pingol.

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What is the Katz Index of Independence in Activities of Daily Living?

Living independently is an important milestone that many people strive to reach.  But for those that are elderly, disabled, or have chronic illnesses, it can be challenging to determine whether they can achieve such a milestone.

The is a tool that assesses the level of independence an individual has when undertaking activities of daily living (ADLs). ADLs are daily activities necessary for self-care, such as bathing, dressing, eating, and walking. Healthcare professionals use this index to evaluate a patient’s ability to perform routine activities and make appropriate recommendations for their care.

This index measures six activities: bathing, dressing, toileting, transferring (moving from one place to another), continence (maintaining control of bladder and bowel movements), and feeding. Each activity is scored from 0 (independent) to 1 (dependent).

It is important to note that the Katz Index is only one of many options for assessing patient independence. Other assessment tools that healthcare professionals can use are the Barthel Index and the Modified Barthel Index.

Factors such as medical history and cognitive status should also be considered when evaluating a person’s ability to do ADLs and live independently.

Katz Index of Independence in Activities of Daily Living Template

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Katz Index of Independence in Activities of Daily Living Example

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How Does the Katz Index Work?

Using this free Katz Index template is quick and easy. Follow these steps to get started:

Step One: Access the template

Download the Katz Index of Independence in Activities of Daily Living using the link on this page. You can also get a copy from the Carepatron app or the resources library.

Step Two: Complete the assessment

Once you have the template, review each of the six sections with your patient. Ask them questions to gauge their ability to perform each activity.

Step Three: Record the results

Write down your patient’s responses on the template. Each response should be scored 0 (independent) or 1 (dependent). Once you’ve completed the assessment, tally up the total score.

Step Four: Secure the form

This Katz Index template contains highly confidential patient information. Make sure to store it in a safe location.

Katz Index Scoring

The Katz Index measures six activities: continence, bathing, dressing, toileting, transferring (from one surface to another), and feeding. Each activity is graded on a scale of 0 (dependence) to 1 (independence). 

A score of 6 indicates complete independence, while a 4 means the patient is moderately functioning. A score from 0 to 2 indicates that the patient is fully dependent. 

The Katz Index score is just one metric used to determine independence. You should also consider your patient’s medical history and cognitive status when making an assessment.

When to use this Katz Scale?

The Katz Index is a valuable tool for healthcare professionals assessing their patient’s ability to perform daily activities. It is particularly helpful when:

Evaluating a patient’s eligibility for home care services

You can use the Katz Index to determine whether a patient can live independently or need ADL assistance. It helps you determine when and how to provide them with the care they need to remain safe and healthy.

Monitoring changes in a patient’s condition over time

Tracking a patient’s progress over time can help you assess their health and develop an appropriate treatment plan. The Katz Index can help you measure changes in a patient’s condition.

Creating an individualized care plan

The Katz Index is an effective tool for designing customized care plans for your patient. It can help identify areas where they need assistance and develop an individualized plan to meet those needs.

Determining if a patient requires additional assistance

You can use this assessment to determine if patients need additional assistance with their daily activities. This can give them the support they need to be comfortable and independent.

Who is this Katz index PDF for?

This Katz Index of Independence in Activities of Daily Living is suitable for various healthcare professionals such as:

  • Physiotherapists
  • Occupational therapists
  • Speech-language pathologists
  • Social workers
  • Case managers
  • Home care providers
  • Nurses
  • Nursing assistants

You can also use this tool in different settings like hospitals, long-term care facilities, rehabilitation centers, and home care services.

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Benefits of free Katz Index Template

This free Katz Index template offers many benefits for healthcare professionals and patients. Some of the advantages are:

It's easy to fill out

The template is simple, with easy-to-understand items. It also contains self-explanatory instructions, so you can quickly fill it out in minutes.

It's highly accurate

The Katz Index is an evidence-based tool that provides accurate and reliable results. You can be confident that its results reflect your patient’s actual level of independence.

It's fully digital

The Katz Index template is accessible in a digital format. This makes it easy to store and share with other healthcare professionals.

It helps provide patients with personalized care

This free template helps you identify areas where your patient needs assistance. It also allows you to develop individualized care plans that meet their needs.

It gives patients a sense of autonomy

This assessment tool helps patients feel more empowered and in control of their own care. It can help them regain independence, a vital part of their daily lives.

Reference

Katz, S. (1983). Assessing self-maintenance: Activities of daily living, mobility, and instrumental activities of daily living. JAGS, 31(12), 721-726.

How to score the Katz Index?
How to score the Katz Index?

Commonly asked questions

How to score the Katz Index?

The Katz Index is scored on a 0-1 scale. A score of 0 indicates total dependence, while a score of 1 indicates independence. Each activity is assessed and assigned a score, with higher scores indicating greater independence. The total score for the Katz Index can range from 0-6.

How to interpret the Katz Index?

The Katz Index is interpreted based on the total score. A score of 0 indicates total dependence in ADLs, while a score of 6 indicates complete independence. Scores in between indicate varying degrees of either dependence or independence.

What does the Katz Index measure?

The Katz Index of Independence in Activities of Daily Living measures a patient's ability to perform six different activities independently. These activities are: bathing, dressing, toileting, transferring, continence, and feeding.

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