Final_Evaluating & Restoring Activities of Daily Living Flashcards
What are the 9 components of occupations?
- Activities of Daily Living (ADL)
-Work
-Instrumental activities of daily living (IADL)
-Play
-Rest & sleep
-Leisure
-Education
-Social Participation
-Health Management
What are the 8 categories of ADLs?
- Maintain a client-centered approach
- Chart review
- Evaluation starts the moment you walk in the door!
- Ask the client if family/friend is ok to stay
- Take into account possible cultural components
- Occupational profile
- Occupational analysis or Activity analysis
- Standard assessments
What levels of independence require no physical contact?
- Independent
- Modified Independence
- Supervision (standby assistance)
What levels of independence require physical contact?
- Contact guard
- Minimal assistance
- Moderate assistance
- Maximal assistance
- Total assistance/Dependent
Clients can perform the activity independently; without modification of technique, assistive devices, or aids; and within a reasonable time frame.
Independent
Clients either require an assistive device to complete the activity, the activity takes more than a reasonable time, or safety considerations exist.
Modified independence
Clients require a therapist to stand by for safety in case of balance loss. Therapists may provide verbal cues for safety.
Supervision (standby assistance)
Therapists place one or two hands on the client’s body to maintain balance, dynamic stability, or safety; however, they do not assist in task performance.
Contact guard
Therapists provide up to 25% of assistance (physical or verbal), and clients are able to perform 75% or more of the activity.
Minimal assistance
Therapists provide up to 50% of assistance (physical or verbal), and clients are able to perform 50% to 74% of the activity.
Moderate assistance
Therapists provide up to 99% of assistance (physical or verbal), and clients are able to perform 1% to 25% of the activity.
Maximal assistance
Therapist provides 100% assistance (physical or verbal), and clients are unable to assist with the activity.
Total assistance/Dependent
Moving from one position or place to another (during performance of everyday activities), such as in-bed mobility, wheel- chair mobility, and transfers (e.g., wheelchair, bed, car, shower, tub, toilet, chair, floor); includes functional ambulation and transportation of objects.
Functional mobility
Start with HOB flat
Mechanical Bed
Can the client manipulate bed settings themselves?
Bedrails
Leg lifters
Bed mobility
-Walk in vs tub shower
-Grab bars
-Adjustable shower head
-Shower chair or bench
-Shower wheelchair
Shower setup