ADL’s
Functional
Level
Mood and
Personality
Behavior
Orientation
Judgment
Cognitive Tests
Memory
Cognition
Medication
Administration
Mild
•Needs occasional cueing (<50% of the
time)
•Changes in driving skills
•More difficulty with routine tasks at
work and at home
Moderate
•Needs significant cueing (>50%) of the time),
may need physical assistance with one ADL and
set up assistance with other ADLs
•Decrease ability to maintain home
•Unable to perform or understand complex and
multiple step tasks
•May dress inappropriately for the weather
•Refuses bathing/grooming
Severe
•Cannot physically perform the function
•Needs Hands on Assist
•Unable to perform activities of daily
living with out help
•Frequent falls/difficulty walking
•Inability to control bowel and bladder
•Irritation or anger in response to
increasing memory lapses
•Person seems “not himself” and shows
uncharacteristic behaviors
•May become apathetic or withdrawn
•Shorter attention span
•Experiences mood changes and hallucinations
•Expresses paranoid or delusional beliefs
•Disturbed sleep patterns
•Flat affect
•Becomes increasingly suspicious
•Have little to no impulse control
•Inappropriate outbursts
•Approaching total incapacity
•Obsessive repetitive activity
•Violent
•Disoriented in unfamiliar or new places •Frequent disorientation time and or place,
•AOx3
oriented to self
•Usually can be redirected
•Disoriented to time, place and person
•May not be able to be redirected
•Loss of ability to reason
•Lapses in judgment
•May have difficulty handling finances
•Wanders
•Continual supervision to prevent
dangerous activities that threaten safety
of self and others
•Requires 24-hour care and/or
supervision
•Gets lost in familiar places
•Periodically (<24 hours) requires supervision
to prevent minor injuries or accidents
•May start wandering
Reference Comparison of Cognitive Tests Document
•Difficulty finding the right word: “Tip •Little to no short term memory
•Short term memory lost completely
of the tongue” syndrome
•Lapses in long term memory
•Some long term memory loss
•Conscious compensation for memory
•Spends more time sleeping
•Learning new tasks and memorizing new
loss
•Does not recognize family members and
information very difficult
•C/O of memory loss
forgets their names
•Fails to recognize self in mirror but may
•May have started on medications that
•Sketchy memory past life
recognize older pictures of self
treat Alzheimer's
•Difficulty distinguish familiar face
•Decreased knowledge world events
•Enjoys reminiscing, dancing and singing
•Can physically take own meds
•Can physically take own meds if pre poured
•Cannot remember when to take
•Can be responsible for taking
•Incapable of dispensing own medication
medications or which types to take
medications
•Uses pill box
•May have difficulty swallowing
•Cannot physically take meds
•Needs prompting to take meds that are
handed to them