Function ADL IADL

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1. Purpose and clinical relevance

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General Section

SKILLED DOCUMENTATION GUIDELINES — EXPANDED

DiraChart · Clinical Reference · Read-only baseline inherited by all agencies

Core Assessment Domain · 2.7

Function (ADL / IADL)

Activities of daily living and instrumental activities, mobility and transfers, functional decline, and the assistance and equipment that support safety and independence — the functional core of the plan of care and homebound status.

Module code

DOM-FUNCTION

Version

1.0 · Population: Adult · Authoring level: DiraChart

Used alongside

Safety · Musculoskeletal · Neurological · Cognitive / Mental Status · General / Constitutional · Foundations apply to every visit.

How to use this module

This module supplies functional assessment and the skilled language that proves it required a licensed nurse — activities of daily living and instrumental activities, transfers and mobility, the level of assistance, durable medical equipment, and the link to homebound status. Fall risk and home hazards are assessed in Safety, strength and joint findings in Musculoskeletal, and cognitive contributions in Cognitive / Mental Status. Functional findings align with the OASIS-E2 self-care and mobility items. Each narrative is a structured example to be edited to the actual visit.

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