Activities of Daily Living

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Activities of Daily Living

• Skills for the Job of Living

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Basic ADLs (BADL)

• Self-Care
• Mobility
• Communication

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Self-Care

• Feeding
• Grooming
• Dressing
• Bathing
• Toileting

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Mobility

• Bed Mobility
• Wheelchair Mobility
• Transfers
• Ambulation

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Communication

• Writing
• Using a telephone
• Using communication devices

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Instrumental ADLs (I-ADL)

• Home Management
• Community Living Skills
• Health Management
• Safety Management

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Self-Care Activities

• Skills for Restoring
• Function
• Independence
• Dignity

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Feeding

• Set-up
• Handling utensils and cups
• Chewing and swallowing

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Grooming Hygiene

• Oral Care
• Brushing the hair
• Washing the face
• Washing the hands
• (Shaving, makeup)

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Dressing

• Retrieving Clothing
• Dressing/Undressing
• Prosthesis or Orthosis
• TLSO
• Abdominal binder
• TEDS

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Bathing

• Washing Drying
• Excludes neck, back
• Transfer not included
• Adding up the parts

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Toileting

• Perineal hygiene
• Managing Clothing
• Transfer not included

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Role of Occupational Therapy

• Assess Performance
• Equipment Needs
• Intervention
• Patient and Family Training
• Recommendations

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Assessing Performance

• Functional Independence Measure (FIM)
• Universal Standard
• Multidisciplinary
• Severity of Disability
• Track Changes
• Analyze Outcomes

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FIM Scores

• 7 Independent
• 6 Modified Independent
• 5 Supervision/Set-up
• 4 Minimal Assistance
• 3 Moderate Assistance
• 2 Maximal Assistance
• 1 Total Assistance

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No Helper Required

• Independent
• Normal method, performance
• Modified Independent
• Equipment
• Extended time
• Saftey risk

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Helper Required

• No physical contact required
• Supervision
• Set-up
• Cuing
• Orthosis

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Helper Required

• Physical Contact Required
• Patient does
• 75-100 Minimal Assistance
• 50-74 Moderate Assistance
• 25-49 Maximal Assistance
• 0-24 Total Assistance

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FIM Scoring Example

• Bathing

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Role of Occupational Therapy

• Assess Performance
• Equipment Needs
• Intervention
• Patient and Family Training
• Recommendations

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Equipment Needs

• Durable Medical Equipment
• Adaptive Equipment
• Orthotics

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Durable Medical Equipment

• Tub Transfer Bench
• Shower Chair
• Bedside Commode

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Adaptive Equipment

• Long-Handled Sponge
• Reacher
• Sock Aid
• Built-Up Handles
• Inspection Mirror

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Orthotics

• Radial Nerve Palsy Splint
• Wrist-Hand Orthosis
• Universal Cuff

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Role of Occupational Therapy

• Assess Performance
• Equipment Needs
• Intervention
• Patient and Family Training
• Recommendations

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Role of OT

• Intervention
• Hemi Dressing Techniques
• Patient/Family Training
• Assistance
• Recommendations
• Equipment
• 24hr Care
• Outpatient

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Occupational Therapy

• Charity Hospital W504
• 903-2388
• Inpatient Rehab
• Outpatient Neuro
• Outpatient Ortho