Karnofsky Scale - select one option that best describes patient's condition

Able to carry on normal

    activity; minor signs or

    symptoms of disease
Normal activity with effort;

    some signs or symptoms of

    disease
Cares for self; unable to carry

    on normal activity or to do

    active work

Requires occasional

    assistance; can care for most

    own needs

Requires considerable

    assistance and frequent

    medical attention
Disabled; requires special care

    and assistance

Severely disabled;

    hospitalization would be

    indicated although death is

    not imminent
Hospitalization would be

    necessary; very sick; active

    supportive treatment
Moribund; fatal processes

    progressing rapidly

Modified ADL Scale - evaluate the patient in the following six situations:

1) BATHING

Independent
Uses a Device
Needs Assistance
Completely Dependent

2) DRESSING

Independent
Uses a Device
Needs Assistance
Completely Dependent

3) TOILETING

Independent
Uses a Device
Needs Assistance
Completely Dependent

4) TRANSFER

Independent
Uses a Device
Needs Assistance
Completely Dependent

5) CONTINENCE

Independent
Uses a Device
Needs Assistance
Completely Dependent

6) FEEDING

Independent
Has meals prepared
Fed by another
Completely dependent

 

 

 

 

 

 

          

        

Descriptive Scale - evaluate the patient in the following five areas:

1) ANOREXIA

No Fluids
Some Fluids
Some Soft Foods
Decreased Intake
Normal

2) CACHEXIA

Skin and Bones
Extreme Cachexia
Very Thin
Normal Build
Normal

3) MOBILITY

Unable to Turn Over
Sits up
Bears Weight
Limited Walking
Normal

4) PAIN

Incapacitating
Severe
Moderate
Mild
None

5) DYSPNEA

Incapacitating
Severe
Moderate
Mild
None