Registered Nurses' Association of Ontario

Nursing Best Practice Guidelines

Activites of Daily Living

8.0 Nurses in all practice settings should assess stroke clients’ ability to perform the activities of daily living (ADL). This assessment, using a validated tool (such as, the Barthel Index, Functional Independence Measure™ or Alpha FIM®) may be conducted collaboratively with other therapists, or independently with training when therapists are not available. In situations where impairments are identified, clients should be referred to a trained healthcare professional for further assessment and management.