ADL/IADL Training Flashcards
First step of ADL/IADL evaluation
interview (with checklist)
Things to be cautious of when interviewing a client regarding ADLs/IADLs
- client may recall perfomance before onset of dysfunction
- client may be confused or have memory loss
- client may over- or underestimate ability
where should a performance eval take place
where client normally completes tasks if possible, otherwise simulate as best as possible
what should be avoided during ADL/IADL eval/training?
doing tasks during abnormal times in artificial environments (contributes to lack of carryover)
what should therapist look for when evaluating ADL/IADL tasks
- methods the client is using/trying to use to accomplish the task
- determine cause of performance problems
sequence recommended for ADL/IADL training (based on normal development of self-care in children)
- feeding
- grooming
- continence
- transfer skills
- toileting
- undressing
- dressing
- bathing
How should ADL/IADL training be graded
few simple tasks, gradually increasing the number and complexity of tasks
ADL/IADL training progresses from
- dependent
- assisted
- superviesd
- independent (with or without use of assistive devices)
approaches to ADL/IADL training
- break down task into small steps
- progress them slowly
- show demonstration in the same plane and the same manner that pt will complete
- verbal instructions during demonstration may or may nor be helpful
- touching body parts involved in the task may be helpful
- gentle manual guidance may also be helpful
- repetition is very helpful
- prepare the space, arrange equipment, materials, and furniture for maximal convenience and safety prior to training
ADL techniques for limited ROM and/or strength
environmental adaptation
assistive devices
ADL techniques for problems in coordination
energy conservation work simplification work pacing safety methods use weighted devices (when strength is not an issue) to stabilize objects
