ADL Retraining for person with Limited ROM or strength Flashcards
Lower extremity dressing-pedretti page 198
Use dressing stick or reacher for pushing and pulling garments off feet and legs
Sock aid for socks
Elastic shoelaces or Velcro shoe closures
Use reacher for picking up items such as shoes off floor, hangers in closet
UE Dressing
Determine if front open or pullover is easier
Dressing stick or reacher to obtain clothing
Large buttons or zippers with pull tabs
Can use button hook or replace with velcro
Feeding
Use built up handles for lack of grasp
Elongated or curved spoon or fork handles or swivel if unable to supinate
Long straws if unable to perform hand to mouth or grasp cup
Universal cuffs and/or plate guards
Personal hygiene and grooming
Hand held flexible shower Long handled bath sponge or scrubber Wash mitt Long handled brush or shampoo aid Wall mounted hair dryer Long handles and/or built up handles on brushes, combs, toothbrush, lipstick Spray deodorant Electric razor Electric toothbrush Toileting aids Reacher or dressing stick for managing clothing Grab bars installed properly in bathroom Transfer tub bench or shower chair Pump dispensers for soap, shampoo
Personal hygiene and grooming
Hand held flexible shower Long handled bath sponge or scrubber Wash mitt Long handled brush or shampoo aid Wall mounted hair dryer Long handles and/or built up handles on brushes, combs, toothbrush, lipstick Spray deodorant Electric razor Electric toothbrush Toileting aids- (butt buddy) Reacher or dressing stick for managing clothing Grab bars installed properly in bathroom Transfer tub bench or shower chair Pump dispensers for soap, shampoo
Communication and Environmental Adaptations
Lever Handles on faucets and doorknobs Cordless phones/cellphones with voice dialing if needed Built up pens/ pencils Voice dictation software life alert systems
Functional Mobility
Assistive devices with enlarged grip surface Raised toilet seat Bar height chairs Bags or basket for walker Bag for wheelchair
Parkinson’s disease, MS, CP, TBI, Hereditary tremors
Energy conservation and work simplification are a must
Stabilization of extremity by leaning /propping or adding weight
Parkinson’s disease, MS, CP, TBI, Hereditary tremors-Dressing
Perform while seating
Look at pullover vs. front opening with loose fitting clothing
Large buttons, velcro or zippers with pull tabs
Elastic shoe laces or velcro if not slip on shoes
Elastic waist pull on pants
Bras with front closure or sports bra
Clip on neck ties
Parkinson’s disease, MS, CP, TBI, Hereditary tremors- Feeding
Plate stabilization using dice, non skid surface, or suction cups
Use plate guard or scoop dish
Use weighted or swivel utensils -can uses weighted cuffs or gloves with weights
Long plastic straws
Cups with tops
Mobile arm support
Parkinson’s disease, MS, CP, TBI, Hereditary tremors- Personal hygiene
Electric toothbrush and razor Wall mounted hair dryer Soap on a Rope Bath mtt Pump soap, shampoo Suction brushes for nails , dentures
Parkinson’s disease, MS, CP, TBI, Hereditary tremors- Communication and environmental adaptations
Lever handles Large button phones or voice dialing weighted writing utensils Voice recognition software Built up door keys using splint material touch lamps
Parkinson’s disease, MS, CP, TBI, Hereditary tremors-Functional mobility
Assistive devices
Utility carts
Ramps
