description: Being able to bathe independently is part of self-care. Limitations in this ability indicate a reduced ability to cope for oneself. \r\nThis activity and activities such as those including eating, drinking, and dressing are also known as activities of daily living (ADL). These are the activities people go through in daily life. The extent to which a person is able to do all these activities by themselves is a measure for their total ability to do things independently.\r\n\r\n#### Purpose\r\nInformation on limitations in a patient’s ability to bathe themselves is important in determining the nature and intensity of the care the patient needs. In a transfer situation, it gives the receiving organization the ability to anticipate the intensity of the care to be given to the patient, enabling continuity in healthcare for the patient. \r\nIf policy has been implemented to improve a patient’s ability to do things independently, the entered extent of independence helps to determine the efficiency of the treatment.\r\n\r\n#### Evidence Base\r\nIn addition to this information model, there are other tools to record independence, such as the KATZ-ADL and the BarthelIndex. The KATZ-ADL is mainly used for vulnerable seniors and the BarthelIndex is mainly used for patients who have had a stroke. \r\nThis information model evaluates the ability to bathe on a three-point scale. In the KATZ-ADL and in the BarthelIndex, this falls under the aspect of Grooming. In these two tools, the ability is scored on a scale with fewer points.
package_name: healthdata.be.r4.cbb
derivation: specialization
name: HdBeAbilityToWashOneself
abstract: true
type: https://fhir.healthdata.be/StructureDefinition/LogicalModel/AbilityToWashOneself
elements:
  BathingOneself:
    short: BathingOneself
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-BE}
        - url: content
          valueMarkdown: "Het wassen en afdrogen van het gehele lichaam, of lichaamsdelen, waaronder baden, douchen, wassen van handen en voeten, gezicht en haar.\r\nIn het concept TeWassenLichaamsdeel kan nader aangegeven worden voor welk lichaamsdeel de beperking geldt."
    type: CodeableConcept
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-BE}
        - {url: content, valueMarkdown: ZichWassen}
    binding: {strength: required, valueSet: 'https://fhir.healthdata.be/ValueSet/BathingOneself'}
    index: 0
  BodyPartToBeBathed:
    short: BodyPartToBeBathed
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-BE}
        - {url: content, valueMarkdown: Het lichaamsdeel of de lichaamsdelen waarvoor ondersteuning bij wassen gewenst/noodzakelijk is.}
    type: CodeableConcept
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-BE}
        - {url: content, valueMarkdown: TeWassenLichaamsdeel}
    array: true
    binding: {strength: required, valueSet: 'https://fhir.healthdata.be/ValueSet/BodyPartToBeBathed'}
    index: 1
package_version: 0.15.0-beta
class: logical
kind: logical
url: https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-AbilityToWashOneself
base: http://hl7.org/fhir/StructureDefinition/Element
version: null
required: [BathingOneself]