ADL Retraining

Question 1

ADL Evaluation

Answer 1

Interview- screening tool
ADL checklist
Standardized ADL Assessments
Observation

Question 2

ADL Assessments

Answer 2

Barthel Index
Modified Barthel Index
Katz Index of ADL
Klein Bell Activities of Daily living
Arnadottir OT-ADL Neurobehaviroal Evaluation (A-one)
Assessment of Motor and Process skills (AMPS)
Functional independence Measures

Question 3

Barthel Index

Answer 3

Free tool
Performance based- observation and report
ADL functional status change ; max score of 20

Question 4

Modified Barthel Index

Answer 4

Performance based; observation and report

ADL functional status; max score of 100

Question 5

Katz Index of ADL

Answer 5

Interview & observation
Level & type of assistance
Useful screening
Population: older adult & chronically ill
Six areas; rating 0-6
Reliability good; face, construct & concurrent validity reported

Question 6

Klein Bell Activities of Daily living

Answer 6

Behavioral rating scale
Ages 6mos to adulthood
Six area with 170 ADL and IADL items
Reliable and valid; used in research

Question 7

Arnadottir OT-ADL Neurobehaviroal Evaluation (A-one)

Answer 7

Performance based rating/checklist; two parts
Idneurobehavioral deficits, interference with ADLs and relationship[ to cortical lesion locale
Training and certification for reliability
Valid
Must be purchased

Question 8

Assessment of Motor and Process skills (AMPS)

Answer 8

Assessment of Motor and Process Skills (AMPS)
Observation based rating scale; computer
Measure quality of performance in ADLs & IADLs; effort, efficiency, safety & independence 16 motor & 20 process skill items; 20-40 minute administration
Population: 3 years old+
Excellent validity & reliability

Question 9

Functional independence Measures

Answer 9

Functional Independence Measure
Uniform Data Set (UDS) for Medical Rehabilitation
SUNY Buffalo
Inpatient functional assessment tool
Outcomes
FIM Certification Program
Must be certified in order to be reliable

Question 10

Why do we teach ADL?

Answer 10

Relearn skills
Develop alternative or compensatory strategies
Learn new skills to support role performance
Provide therapeutic challenges to improve skills to support participation in occupations
Instruct caregivers to enhance clients performance

Question 11

Principles of ADL retraining

Answer 11

• Identify meaningful activity
• Choose instructional mode - visual/ auditory/ hands on
• Organize environment -
• Provide reinforcement
• Structure feedback and practice
• Develop self-awareness and self monitoring

Question 12

ADL retraining - Feeding

Answer 12

Rocker knife, plate guard, shelf liner

Question 13

ADL retraining- Grooming

Answer 13

Electric razor, shower seat, wash mitt, long handled, sponge, suction cup holders for nail brush or soap, wall mounted hair drye

Question 14

ADL techniques- UE dressing

Answer 14

• Limited ROM and/ or muscle strength in the upper body
• Devices: reacher or dressing stick, zipper loop or tab, velcro shirt closures, button hook
• Complete at a seated level

Question 15

ADL techniques - LE dressing

Answer 15

• Limited joint ROM/ or decreased muscle strength in the trunk and or lower body
• Devices: dressing stick, reacher, sock aid, elastic shoe laces, velcro shoe closures
• Complete at a seated level, use a stool

Question 16

ADL techniques- Hygiène

Answer 16

• Limitations in joint ROM, muscle strength, balance, and/or endurance
• Devices: handheld flexible shower head, long handled sponge, wash mitt, soap on a rope, long handled comb/brush, toilet aid, built up handles, grab bars, transfer tub bench, shower chair, raised toilet seat, grab bar, versa frame
• Completed at a seated level

Question 17

Level of assistance

Answer 17

Independent-no assistance; safe
Modified Independent-requires assistive devices or extended time
Supervision-verbal cue for safety-no touching; feels comfortable being an greater than an arm’s length away at all tines
Contact guard/Stand by assist-hands on guarding
Minimal-25% of task with physical or verbal assist (client performs 75% or more)
Moderate-50% (client performs 50%-74%)
Maximal-75% (client performs 25%-49%)
Total or dependent- client requires more than 75% (client performs less than 25%)