Activities of Daily Living

Skills for the Job of Living

Basic ADL’s (BADL)
 Self-Care
 Mobility
 Communication
Self-Care
 Feeding
 Grooming
 Dressing
 Bathing
 Toileting
Mobility
 Bed Mobility
 Wheelchair Mobility
 Transfers
 Ambulation
Communication
 Writing
 Using a telephone
 Using communication devices
 Instrumental ADL’s (I-ADL)
Instrumental ADLs are not necessary for
fundamentals, but enable the individual
to live independently within a ommunity:
 Home Management
 Community Living Skills
 Health Management
 Safety Management
 Light housework
 Preparing meals
 Taking medications
 Shopping for groceries or clothes
 Using the telephone
 Managing money
 Care of others
 Care of pets
 Child rearing
 Communication device use
 Community mobility
 Financial management
 Health management and maintenance
 Meal preparation and cleanup
 Safety procedures and emergency responses
 Shopping
Self-Care Activities
Skills for Restoring:
Function
Independence
Dignity
Feeding
 Set-up
 Handling utensils and cups
 Chewing and swallowing
Grooming & Hygiene
 Oral Care
 Brushing the hair
 Washing the face
 Washing the hands
 (Shaving, makeup)
Dressing
 Retrieving Clothing
 Dressing/Undressing
 Prosthesis or Orthosis
 TLSO
 Abdominal binder
Bathing
 Washing & Drying
 Excludes neck, back
 Transfer not included
 Adding up the parts
Toileting
 Perineal hygiene
 Managing Clothing
 Transfer not included
Role of Occupational
Therapy
 Assess Performance
 Equipment Needs
 Intervention
 Patient and Family Training
 Recommendations
Assessing Performance
Functional Independence Measure
(FIM)
 Universal Standard
 Multidisciplinary
 Severity of Disability
 Analyze Outcomes
FIM Scores
7 Independent
6 Modified Independent
5 Supervision/Set-up
4 Minimal Assistance
3 Moderate Assistance
2 Maximal Assistance
1 Total Assistance
No Helper Required
Independent
 Normal method, performance

Modified Independent
 Equipment
 Extended time
 Saftey risk
Helper Required
 No physical contact required

 Supervision
Set-up
Cuing
Orthosis
Helper Required
 Physical Contact Required

 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
 Equipment Needs
 Intervention
 Patient and Family Training
 Recommendations
Equipment Needs
 Durable Medical Equipment
 Adaptive Equipment
 Orthotics
Durable Medical Equipment
 Tub Transfer Bench
 Shower Chair
 Bedside Commode
Adaptive Equipment
 Long-Handled Sponge
 Reacher
 Sock Aid
 Built-Up Handles
 Inspection Mirror
Orthotics
 Radial Nerve Palsy Splint
 Wrist-Hand Orthosis
 Universal Cuff
Role of Occupational
Therapy
 Assess Performance
 Equipment Needs
 Intervention
 Patient and Family Training
 Recommendations
Role of OT
 Intervention
Hemi Dressing Techniques
 Patient/Family Training
Assistance
 Recommendations
Equipment
24hr Care
Outpatient
Occupational Therapy
Charity Hospital W504
903-2388

Inpatient Rehab
Outpatient Neuro
Outpatient Ortho