Activities of Daily Living Chart
This chart relates to activities a patient might do during a typical day; for each activity, place a check in the most appropriate box.
| ||Patient can manage without help.||Patient needs someone around to watch or guide them.||Patient needs some help but can do most of it alone.||Patient needs a lot of help.|
|Bathe or shower (includes getting in and out of the bath, cleaning and drying body)|| || || || |
|Dress themselves includes lower and upper body clothing, buttons, etc.|| || || || |
|Walk around their home (on the level)|| || || || |
|Get into bed from a chair and out of bed into a chair|| || || || |
The Conservative Kidney Management (CKM) pathway is a resource for patients and care providers to help in the management of chronic kidney disease with a focus on quality of life, symptom management, and living well without dialysis. www.CKMcare.com
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