Activities of Daily Living Skills for the Job
Activities of Daily Living Skills for the Job of Living
Basic ADL’s (BADL) n Self-Care n Mobility n Communication
Self-Care Feeding n Grooming n Dressing n Bathing n Toileting n
Mobility Bed Mobility n Wheelchair Mobility n Transfers n Ambulation n
Communication Writing n Using a telephone n Using communication devices n
Instrumental ADL’s (I-ADL) Home Management n Community Living Skills n Health Management n Safety Management n
Self-Care Activities Skills for Restoring: Function Independence Dignity
Feeding Set-up n Handling utensils and cups n Chewing and swallowing n
Grooming & Hygiene Oral Care n Brushing the hair n Washing the face n Washing the hands n (Shaving, makeup) n
Dressing Retrieving Clothing n Dressing/Undressing n Prosthesis or Orthosis n TLSO n Abdominal binder n TEDS n
Bathing Washing & Drying n Excludes neck, back n Transfer not included n Adding up the parts n
Toileting Perineal hygiene n Managing Clothing n Transfer not included n
Role of Occupational Therapy Assess Performance n Equipment Needs n Intervention n Patient and Family Training n Recommendations n
Assessing Performance Functional Independence Measure (FIM) n Universal Standard n Multidisciplinary n Severity of Disability n Track Changes n Analyze Outcomes
FIM Scores 7 6 5 4 3 2 1 Independent Modified Independent Supervision/Set-up Minimal Assistance Moderate Assistance Maximal Assistance Total Assistance
No Helper Required Independent n Normal method, performance Modified Independent n Equipment n Extended time n Saftey risk
Helper Required n No physical contact required n Supervision Set-up Cuing Orthosis
Helper Required n Physical Contact Required n Patient does: 75 -100% Minimal Assistance 50 -74% Moderate Assistance 25 -49% Maximal Assistance 0 -24% Total Assistance
FIM Scoring Example Bathing
Role of Occupational Therapy Assess Performance n Equipment Needs n Intervention n Patient and Family Training n Recommendations n
Equipment Needs Durable Medical Equipment n Adaptive Equipment n Orthotics n
Durable Medical Equipment Tub Transfer Bench n Shower Chair n Bedside Commode n
Adaptive Equipment Long-Handled Sponge n Reacher n Sock Aid n Built-Up Handles n Inspection Mirror n
Orthotics Radial Nerve Palsy Splint n Wrist-Hand Orthosis n Universal Cuff n
Role of Occupational Therapy Assess Performance n Equipment Needs n Intervention n Patient and Family Training n Recommendations n
Role of OT n n n Intervention Hemi Dressing Techniques Patient/Family Training Assistance Recommendations Equipment 24 hr Care Outpatient
Occupational Therapy Charity Hospital W 504 903 -2388 Inpatient Rehab Outpatient Neuro Outpatient Ortho
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