Activities of Daily Living Skills for the Job of Living Basic ADL’s (BADL) Self-Care Mobility Communication.
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Transcript Activities of Daily Living Skills for the Job of Living Basic ADL’s (BADL) Self-Care Mobility Communication.
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)
Home Management
Community Living Skills
Health Management
Safety Management
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
TEDS
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
Track Changes
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
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