NU470 Unit 2 functional assessment write-up example

Reviewed by Elspeth Marlowe, MSN, RN Regenerative and Restorative Care Spheres - A Wellness and Prevention Focus Purdue University Global Free custom sample in 24 to 48h

This page holds a complete NU470 Unit 2 functional assessment write-up example in true form. Before a six-day pneumonia admission, a composite 83-year-old retired railroad signalman walked half a mile to the post office each morning; ten days after discharge he crosses his kitchen holding the counter, and the write-up measures that loss with four instruments, scoring him now and, through his daughter's account, two weeks before he fell ill. Most sections set this unit as a functional assessment write-up.

What this page holds

Katz, Lawton, Timed Up and Go and the 30-second chair stand, scored against a reported pre-illness baseline, document hospital-associated decline in a finished NU470 Unit 2 functional assessment. Searches like "nu 470 unit 2 assignment example", "nu470 unit 2 sample" and "nu470 unit 2 example" land here.

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Half a Mile to the Post Office, Then Holding the Counter: A Functional Assessment After a Pneumonia Admission

[Student Name]

Purdue University Global

NU470: Regenerative and Restorative Care Spheres - A Wellness and Prevention Focus

Unit 2 Assignment

[Instructor Name]

[Date]

Composite patient written as a model document. Baseline scores come from his daughter's account.

What this part is doingThe title sets the before and after in one line. A reader knows from it that the assessment measures a loss, not only a state.
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Scores: Baseline, Today, Difference

Katz index of basic self-care, scored 0 to 6 (Katz et al., 1963): baseline 6; today 4; bathing and transferring now need help.

Lawton instrumental activities of daily living, 0 to 8 (Lawton & Brody, 1969): baseline 7; today 3; shopping, meals, laundry and transportation have passed to his daughter.

Timed Up and Go: today 19 seconds; STEADI treats 12 seconds or more as a sign of elevated fall risk (Centers for Disease Control and Prevention, n.d.). No baseline test.

30-second chair stand: today 6 rises; below the average for men his age (Jones et al., 1999). No baseline test.

How He Performed

He rose from the chair by pushing off both armrests and paused before walking. On the chair stand he used his arms for the first two rises. He needed the counter for balance crossing the kitchen but not in the hallway, where he walked with a steadier gait. He rates himself as able to walk around the block; the chair stand and his hand on the counter disagree.

Where the Baseline Came From

His daughter, who visits daily, described what he did two weeks before admission. A relative's recollection is the honest limit of the method: it is the best available baseline, but it may be rosier or harsher than the truth. Without it, a Katz score of 4 describes a frail man; beside a reported 6, it describes a loss that may be recoverable.

What this part is doingMeasurement comes before interpretation, and the baseline column changes what the scores mean.
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Interpretation

The losses group by likely cause. Deconditioning after six days mostly in bed explains the weakness in the chair stand and the slow Timed Up and Go. Fear of falling explains his reliance on the counter. Fatigue after pneumonia explains the lost errands. Functional decline after hospitalization is common among older adults and often begins with the hospital stay itself (Covinsky et al., 2011).

Restorative Goals

Within four weeks: independent bathing with a shower chair and grab bar.

Within six weeks: Timed Up and Go under 14 seconds; chair stand of 9 or more.

Within eight weeks: the walk to the post office with his daughter, then alone.

A physical therapy referral and a home safety check support each goal. The four instruments will be repeated at six weeks, so the goals can be judged against the same measures that set them.

What this part is doingGoals turn the scores into dated targets and commit to repeating the same instruments, which is how recovery will be shown.
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References

Centers for Disease Control and Prevention. (n.d.). STEADI: Stopping elderly accidents, deaths and injuries. Centers for Disease Control and Prevention.

Covinsky, K. E., Pierluissi, E., & Johnston, C. B. (2011). Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure." JAMA, 306(16), 1782-1793. https://doi.org/10.1001/jama.2011.1556

Jones, C. J., Rikli, R. E., & Beam, W. C. (1999). A 30-s chair-stand test as a measure of lower body strength in community-residing older adults. Research Quarterly for Exercise and Sport, 70(2), 113-119. https://doi.org/10.1080/02701367.1999.10608028

Katz, S., Ford, A. B., Moskowitz, R. W., Jackson, B. A., & Jaffe, M. W. (1963). Studies of illness in the aged. The index of ADL: A standardized measure of biological and psychosocial function. JAMA, 185(12), 914-919. https://doi.org/10.1001/jama.1963.03060120024016

Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9(3, Part 1), 179-186. https://doi.org/10.1093/geront/9.3_Part_1.179

How this NU470 Unit 2 example is structured

Measurement comes before interpretation in every row, so the scores can be checked independently of the argument built on them. The baseline column is the write-up's distinctive move: without it, a Katz score of 4 describes a frail man, while beside a reported 6 it describes a loss that may be recoverable. The narrative states where each baseline figure came from and how reliable a relative's recollection is, which is the honest limit of the method. Performance tests follow the self-report scales because they correct them; he rates himself able to walk the block, and the chair stand disagrees. Interpretation then groups the losses by likely cause, deconditioning, fear of falling and fatigue, before the final paragraph turns the scores into restorative goals. Every score appears with its instrument name, range and source citation.

Get an NU470 Unit 2 example written to your instructions

Instrument lists differ between sections, and some prompts name the tools while others ask for a choice to be justified. Send your Unit 2 prompt and rubric, mention which instruments your clinical setting uses, and a model write-up scored on those tools reaches you within 24-48h, free the first time. The paper above is an original model document written by our desk, not a submitted student paper and not an official Purdue University Global document.

NU470 Unit 2 questions, answered

Can I use a family member's report as a baseline?

Yes, if it is labeled as reported and its limits are stated. Pre-illness function is rarely measured, so relatives' accounts are a common and accepted source, and the change they reveal is often the most useful finding. The write-up should say who reported it and for what time point, and should not present a recollection as a measured score.

What is the difference between the Katz and Lawton scales?

The Katz index covers basic self-care: bathing, dressing, toileting, transferring, continence and feeding. The Lawton scale covers instrumental activities needed to live independently, such as shopping, cooking, managing medications, finances, transportation and using the telephone. Instrumental abilities usually fail first, so using both shows a fuller picture, and many rubrics expect them together.

Are the scores in the sample from a real patient?

No. The man, his daughter and each score were assembled for illustration, showing how a finished write-up presents and interprets findings. In your own write-up the scores must come from the assessment you performed, in your clinical setting, recorded under your program's rules; the sample only models the structure around them.