Assistive Devices for IADL

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Assistive Devices for IADL

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• Jyh-Jong Chang
• Email jjchang_at_kmu.edu.tw
• Office CS505
• Tel 2644
• Webpage http//app.rm.kmu.edu.tw/chang/

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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

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Characteristics of Activities in IADL

• Interactions with the environment and persons and
  social
• Home-base and community activities

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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

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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.

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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.

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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.

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Laundry

• Does personal laundry completely
• Launders small items rinses stockings, etc.
• All laundry must be done by others.

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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.

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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.

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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.

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Impairments V.S. IADL

• Cognitive impairments
• Motor impairments
• Endurance impairments
• Communication impairments
• Visual and hearing impairments

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Relative webpages for IADL devices

• http//www.rehabmart.com/category/Kitchen_Gadgets.
  htm
• http//app.rm.kmu.edu.tw/orthosis/
• Housework and IADL Device, and Elimination of
  Architectural Barriers options

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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.
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The three basic kitchen arrangements
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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).

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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.

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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.

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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

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Appliances

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

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Appliance Lift
1. Simply mounted in the base of a kitchen floor
cabinet or wall cabinet2. Lifts heavy kitchen
appliances quietly and quickly3. Can stop at any
height
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Summary and conclusion

• IADL and definition
• Assistive technology for IADL including Kitchen