Table 3.

Description of ADL Instruments in SNF

Instruments	MDS 3.0 ADL self-performance items	MDS 2.0 MDS ADL-Long Form	(FIM-FRG) Motor sub scale of FIM
Number of items	10 items	7 items	13 items
ADL categories/domains	Bed mobility Transfer Walk in room Walk in corridor Locomotion on unit Locomotion off unit Dressing Eating Toilet use Personal hygiene	Bed mobility Transfer Locomotion Dressing Eating Toilet use Personal hygiene	Self care:	Eating Grooming Bathing Dressing upper Dressing lower Toileting
			Sphincter control:	Bladder management
				Bowel management
			Transfers:	Bed/chair/wheelchair mobility/transfer Toilet mobility/transfer Tub or shower
			Locomotion:	Mobility/transfer Walking or wheelchair Ascending/descending stair
Response	Frequency of activity needed for each activity at least 3 times in 7 days	Frequency of activity needed for each activity	7 point ordinal scale
Method of Assessment	Minimum of 3 observations for each activity within the past 7 days required	Observation proxy respondent Self-reported	Observation Caregiver/nurse interview Self-reported
ADL Independence	No help or staff oversight at any time	No help or oversight or help/oversight provided 1 to 2 times during last 7 days	All task which compose the activity are performed safely, within a reasonable time, and without modification, assistive devices or help from another person
ADL dependence	Staff oversight, supervision, encouragement, cueing, staff assistance in non-weight bearing or weight bearing activity over a 7 day period	Staff oversight, supervision, encouragement, cueing, staff assistance in non-weight bearing or weight bearing activity over a 7 day period or/full staff performance of activity	Patient requires assistive device or activity takes more than reasonable tome to perform or there are safety considerations