ADLS and the Physical Context Flashcards
ADL
Self-care, communication and mobility skills required for independence of everyday living
ADL Examples
Transfers, bathing, grooming, dressing, feeding, toileting
IADL
More common skills that are important components for maintaining independent living
IADL Examples
Caring for dependents, maintaining a home, performing household chores, structured play
IADL Domains
Indoor home chores Outdoor homes chores/shopping Work/school Social interaction ICF framework
ICF Framework
Health Conditions -> Body Function/Structures, Activity and Participation -> Environmental/Personal Factors
Activities and Participation Examples (ICF)
Learning and applying knowledge General tasks and demands Communication Movement Self care Domestic life areas Major life areas
Personal Contextual Factors
Gender and sex Age Other health conditions Coping style Social background Education Profession Past experience Character style
Environmental Contextual Factors
Products and technology
Natural environment and human-made changes
Services, systems and policies
Physical Context and Evaluation
Understand obstacles/barrier to participation
Understand supports to participation
Consider individual, groups and populations who use the physical space
Physical Context and Intervention
Reduce activity demands
Ensure adequate supports
Facilitate performance through use of environment
Avoid further functional decline and excess disability caused by environmental factors
Physical Context and Mobility
Consider dynamic interaction between the personal factors and prognosis to respond to intervention
Interaction between the environmental factors and activity level or risk
Lawton’s Ecological Model
There is a zone of maximum comfort followed by a zone of maximum performance
By stimulating too much/pressing too hard you can cause negative affect and maladaptive behavior
Pt must cross adaptation level to have a positive affect and reach zone of maximum performance
