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Activities of Daily Living Skills for the Job of Living.

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Presentation on theme: "Activities of Daily Living Skills for the Job of Living."— Presentation transcript:

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: %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 W Inpatient Rehab Outpatient Neuro Outpatient Ortho


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