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