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Activities of Daily Living

Activities of Daily Living. Skills for the Job of Living. Basic ADL’s (BADL). Self-Care Mobility Communication. Self-Care. Feeding Grooming Dressing Bathing Toileting. Mobility. Bed Mobility Wheelchair Mobility Transfers Ambulation. Communication. Writing Using a telephone

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Activities of Daily Living

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  1. Activities of Daily Living Skills for the Job of Living

  2. Basic ADL’s (BADL) • Self-Care • Mobility • Communication

  3. Self-Care • Feeding • Grooming • Dressing • Bathing • Toileting

  4. Mobility • Bed Mobility • Wheelchair Mobility • Transfers • Ambulation

  5. Communication • Writing • Using a telephone • Using communication devices

  6. Instrumental ADL’s (I-ADL) • Home Management • Community Living Skills • Health Management • Safety Management

  7. Self-Care Activities Skills for Restoring: Function Independence Dignity

  8. Feeding • Set-up • Handling utensils and cups • Chewing and swallowing

  9. Grooming & Hygiene • Oral Care • Brushing the hair • Washing the face • Washing the hands • (Shaving, makeup)

  10. Dressing • Retrieving Clothing • Dressing/Undressing • Prosthesis or Orthosis • TLSO • Abdominal binder • TEDS

  11. Bathing • Washing & Drying • Excludes neck, back • Transfer not included • Adding up the parts

  12. Toileting • Perineal hygiene • Managing Clothing • Transfer not included

  13. Role of Occupational Therapy • Assess Performance • Equipment Needs • Intervention • Patient and Family Training • Recommendations

  14. Assessing Performance Functional Independence Measure (FIM) • Universal Standard • Multidisciplinary • Severity of Disability • Track Changes • Analyze Outcomes

  15. FIM Scores 7 Independent 6 Modified Independent 5 Supervision/Set-up 4 Minimal Assistance 3 Moderate Assistance 2 Maximal Assistance 1 Total Assistance

  16. No Helper Required Independent • Normal method, performance Modified Independent • Equipment • Extended time • Saftey risk

  17. Helper Required • No physical contact required • Supervision Set-up Cuing Orthosis

  18. Helper Required • Physical Contact Required • Patient does: 75-100% Minimal Assistance 50-74% Moderate Assistance 25-49% Maximal Assistance 0-24% Total Assistance

  19. FIM Scoring Example Bathing

  20. Role of Occupational Therapy • Assess Performance • Equipment Needs • Intervention • Patient and Family Training • Recommendations

  21. Equipment Needs • Durable Medical Equipment • Adaptive Equipment • Orthotics

  22. Durable Medical Equipment • Tub Transfer Bench • Shower Chair • Bedside Commode

  23. Adaptive Equipment • Long-Handled Sponge • Reacher • Sock Aid • Built-Up Handles • Inspection Mirror

  24. Orthotics • Radial Nerve Palsy Splint • Wrist-Hand Orthosis • Universal Cuff

  25. Role of Occupational Therapy • Assess Performance • Equipment Needs • Intervention • Patient and Family Training • Recommendations

  26. Role of OT • Intervention Hemi Dressing Techniques • Patient/Family Training Assistance • Recommendations Equipment 24hr Care Outpatient

  27. Occupational Therapy Charity Hospital W504 903-2388 Inpatient Rehab Outpatient Neuro Outpatient Ortho

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