Models of Activity Pool Activity Levels The Four

The Four Activity Levels �This checklist enables carers to recognise the ability of a

The Four Activity Levels �A variation of abilities and disabilities should be taken into

The Four Activity Levels �It is usual that an individual will reveal a variation

The Four Activity Levels �Many factors affect an individual’s ability to engage in an

The Four Activity Levels �The Pool Activity Level (PAL) is organised into four activity

Planned Activity Level �At this level the person can work towards completing activities but

Planned Activity Level �Carers should avoid complex sentences. �Carers will need to be ready

Exploratory Activity Level �At this level the person carry out very familiar activities in

Exploratory Activity Level �If an activity involves more than two or three activities, a

Sensory Activity Level �At this level the person may not have many thoughts or

Sensory Activity Level �Complex activities can only be carried out when they are directed

Reflex Activity Level �A person at this level may not be aware of the

Reflex Activity Level �Using direct stimulation can raise the person’s selfawareness. �People at this

Reflex Activity Level �Activities at this level should focus on introducing a single sensation

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Models of Activity Pool Activity Levels

The Four Activity Levels �This checklist enables carers to recognise the ability of a person with cognitive impairment. �Anyone who knows the person well can complete it. �Observations should be made in several situations over a period of two weeks. �If the person lives in a group setting then the observations may need to be a compilation from all.

The Four Activity Levels �A variation of abilities and disabilities should be taken into account and an Occupational Profile can be made. �The Occupational Profile gives an overview of the way in which a person best engages in activities and how to create a facilitation environment.

The Four Activity Levels �It is usual that an individual will reveal a variation in his level of ability in different activities �The PAL instrument acknowledges how important this is and allows for a Individual Action Plan to be made that allows for a varying degree of support in some of the personal activities of daily living.

The Four Activity Levels �Many factors affect an individual’s ability to engage in an activity�Cognitive integrity �The meaningfulness of the activity �The familiarity of the environment �The support of others

The Four Activity Levels �The Pool Activity Level (PAL) is organised into four activity levels 1. 2. 3. 4. Planned activity level Exploratory activity level Sensory activity level Reflex activity level

Planned Activity Level �At this level the person can work towards completing activities but may not be able to solve any problems that arise in the process �The person will be able to look in obvious places for equipment needed but may not be able to search beyond the usual places �Carers assisting someone at this level will need to keep sentences short.

Planned Activity Level �Carers should avoid complex sentences. �Carers will need to be ready to help solve problems �People functioning at a planned activity level are able to carry out activities that achieve a tangible result.

Exploratory Activity Level �At this level the person carry out very familiar activities in familiar surroundings. �At this level people are more concerned with the effect of carrying out the activity than the consequence and may not have an end result in mind. �Carers should have a creative and spontaneous approach to the activities.

Exploratory Activity Level �If an activity involves more than two or three activities, a person at this level will need help in breaking the activity into small chunks. �Instructions need to be simple. �Memory aids can be very useful. For example, activities lists, calendars and labelling of frequently used items.

Sensory Activity Level �At this level the person may not have many thoughts or ideas about carrying out an activity. �The person is mainly concerned with sensation and with moving his or her body in response to stimulations. �People at this level can be guided to carry out singlestep activities.

Sensory Activity Level �Complex activities can only be carried out when they are directed just one step at a time. �Carers need to ensure people at this level have the opportunity to experience a wide variety of sensations and to carry out one step activities. �Directions have to be simple and reinforced with actions.

Reflex Activity Level �A person at this level may not be aware of the surrounding environment or even of his or own body. �The person is living in a subliminal or subconscious state where their movement is a reflex response to a stimulus �Carers need to enter into the person’s consciousness by using direct sensory stimulation.

Reflex Activity Level �Using direct stimulation can raise the person’s selfawareness. �People at this level may have difficulty in organising more than one sensation experience at the same time. �Multiple stimuli can cause distress, so crowds and loud noise should be avoided

Reflex Activity Level �Activities at this level should focus on introducing a single sensation to the person. �Carers need to use excellent communication skills to enter into the world of a person at this level. �Language plays only a minor role with the use of facial expression and a warm and reassuring tone and appropriate volume being vital in establishing a communication channel.