Assessment Tool for Elderly Patients
Score each item: 0 = Unable, 1 = Minimal, 2 = Maximal/Full
Ability to move from lying position to sitting position
Ability to move from sitting position to lying position
Ability to move from sitting position to standing position
Ability to stand unsupported for 60 seconds
Ability to walk with or without assistance
Time taken to walk 6 metres at comfortable pace
Ability to reach forward while standing
Patient: N/A
Age: N/A
Assessment Date: N/A