1. Assistive Devices for IADL 張志仲 副教授 Jyh-Jong Chang Email: jjchang@kmu.edu.twjjchang@kmu.edu.tw Office: CS505 Tel: 2644 Webpage: http://app.rm.kmu.edu.tw/chang/http://app.rm.kmu.edu.tw/chang/

2. What is IADL  IADL: Instrumental Activities of Daily Living Ability to use telephone Shopping Food Preparation Housekeeping Laundry Mode of Transportation Responsibility for own medications Ability to Handle Finances

3. Characteristics of Activities in IADL  Interactions with the environment and persons and social  Home-base and community activities

4. Ability to use telephone  Operates telephone on own initiative; looks up and dials numbers, etc.  Dials a few well-known numbers  Answers telephone but does not dial  Does not use telephone at all

5. Shopping  Takes care of all shopping needs independently  Shops independently for small purchases  Needs to be accompanied on any shopping trip.  Completely unable to shop.

6. Food Preparation  Plans, prepares and serves adequate meals independently  Prepares adequate meals if supplied with ingredients  Heats, serves and prepares meals or prepares meals but does not maintain adequate diet.  Needs to have meals prepared and served.

7. Housekeeping  Maintains house alone or with occasional assistance (e.g. “ heavy work domestic help ” )  Performs light daily tasks such as dishwashing, bed making  Performs light daily tasks but cannot maintain acceptable level of cleanliness.  Needs help with all home maintenance tasks.  Does not participate in any housekeeping tasks.

8. Laundry  Does personal laundry completely  Launders small items; rinses stockings, etc.  All laundry must be done by others.

9. Mode of Transportation  Travels independently on public transportation or drives own car.  Arranges own travel via taxi, but does not otherwise use public transportation.  Travels on public transportation when accompanied by another.  Travel limited to taxi or automobile with assistance of another.  Does not travel at all.

10. Responsibility for own medications  Is responsible for taking medication in correct dosages at correct time.  Takes responsibility if medication is prepared in advance in separate dosage.  Is not capable of dispensing own medication.

11. Ability to Handle Finances  Manages financial matters independently (budgets, writes checks, pays rent, bills goes to bank), collects and keeps track of income.  Manages day-to-day purchases, but needs help with banking, major purchases, etc.  Incapable if handling money.

12. Impairments V.S. IADL  Cognitive impairments  Motor impairments  Endurance impairments  Communication impairments  Visual and hearing impairments

13. Relative webpages for IADL devices  http://www.rehabmart.com/category/ Kitchen_Gadgets.htm http://www.rehabmart.com/category/ Kitchen_Gadgets.htm  http://app.rm.kmu.edu.tw/orthosis/ http://app.rm.kmu.edu.tw/orthosis/ Housework and IADL Device, and Elimination of Architectural Barriers options

14. Wheelchair user kitchen If a kitchen is designed to serve the needs of a wheelchair user and an ambulatory spouse, the countertop height should be carefully considered. A standard kitchen countertop height is 36". Countertop heights for wheelchair users are typically between 29" and 34", depending on the nature of the tasks that will be performed.

15. The three basic kitchen arrangements

16. Kitchen Counters  The usual height at the top of a wheelchair armrest is approximately 29". This measurement is important so you can customize countertop height.  The recommended countertop height is a minimum of 28" and should be no higher than 34" (32" is preferred).

17. Kitchen Sinks  A wheelchair accessible sink should be shallow, only 5" to 6 1/2" deep. which allows the cook to sit or stand while working. The faucet should be a loop or single lever for easy operation.

18. Kitchen Wall Cabinets  Lowering the wall cabinets from the standard 18 inches above the counter to 15 inches will make the second shelf accessible for everyday use for most people.

19. Kitchen Aisle Width  A width of 42" instead of 36" allows several people to work in the kitchen at the same time; it also allows someone to get around a person in a wheelchair

20. Appliances  For a wheelchair user, you want to lower or install the wall oven and microwave so they are approximately 31" from the floor.

23. Appliance Lift 1. Simply mounted in the base of a kitchen floor cabinet or wall cabinet 2. Lifts heavy kitchen appliances quietly and quickly 3. Can stop at any height

25. Summary and conclusion  IADL and definition  Assistive technology for IADL including Kitchen