Activities of Daily Living

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Activities of daily living (ADLs or ADL) is a term used in healthcare to refer to people's daily self care activities. Sidney Katz et al first came up with the term in the 1950s and the term has been revised since. Physiotherapists and other health professionals often use a person's ability or inability to perform ADLs as a measurement of their functional status, particularly in regard to people post injury, with disabilities and the elderly.[1]

A 2016 National Health Interview Survey in the USA found that 20.7% of adults 85 or older, 7% of those aged 75 to 84 and 3.4% of those aged 65 to 74 needed help with ADLs. Overall, 6.4% of adults aged more than 65 years needed help with personal care in 2016.[2]

A clear trend is emerging of increased caregivering due to rapid growth in the number of older adults and because the faster growing cohort of older adults are those age 80 and older. More than half of 85- to 89-year-olds (59 percent) need caregiving because of health or functioning reasons. From age 90 on, only a minority of individuals (24 percent) do not need help from others. Dementia is a reason often for a family caregiver. In 2011 in the USA, 3.5 million of the 4.9 million older adults who received help for health or functioning reasons were classified as having probable dementia.[3] https://www.ncbi.nlm.nih.gov/books/NBK396397/

Basic and Instrumental ADLs[edit | edit source]

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  1. Wikipedia. Activities of daily living. Available from: https://en.wikipedia.org/wiki/Activities_of_daily_living (last accessed 6.5.2019)
  2. McKnights Senior Living. Dec. 20 2017. CDC: More than 20% of 85+ adults need ADL assistance Available from: https://www.mcknightsseniorliving.com/home/news/cdc-more-than-20-of-85-adults-need-adl-assistance/ (last accessed 6.5.2019)
  3. Committee on Family Caregiving for Older Adults; Board on Health Care Services; Health and Medicine Division; National Academies of Sciences, Engineering, and Medicine; Schulz R, Eden J, editors. Families Caring for an Aging America. Washington (DC): National Academies Press (US); 2016 Nov 8. 2, Older Adults Who Need Caregiving and the Family Caregivers Who Help Them. Available from: https://www.ncbi.nlm.nih.gov/books/NBK396397/ (last accessed 6.5.2019)