activities of daily living skills for the job of living
TRANSCRIPT
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Activities of Daily Living
Skills for the Job of Living
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Basic ADL’s (BADL)
Self-CareMobilityCommunication
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Self-Care Feeding Grooming Dressing Bathing Toileting
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Mobility Bed Mobility Wheelchair Mobility Transfers Ambulation
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Communication Writing Using a telephone Using communication devices
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Instrumental ADL’s (I-ADL) Home Management Community Living Skills Health Management Safety Management
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Self-Care Activities
Skills for Restoring: Function Independence Dignity
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Feeding Set-up Handling utensils and cups Chewing and swallowing
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Grooming & Hygiene Oral Care Brushing the hair Washing the face Washing the hands (Shaving, makeup)
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Dressing Retrieving Clothing Dressing/Undressing Prosthesis or Orthosis
TLSO Abdominal binder TEDS
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Bathing Washing & Drying Excludes neck, back Transfer not included Adding up the parts
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Toileting Perineal hygiene Managing Clothing Transfer not included
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Role of Occupational Therapy Assess Performance Equipment Needs Intervention Patient and Family Training Recommendations
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Assessing Performance
Functional Independence Measure (FIM)
Universal Standard Multidisciplinary Severity of Disability Track Changes Analyze Outcomes
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FIM Scores
7 Independent6 Modified Independent5 Supervision/Set-up4 Minimal Assistance3 Moderate Assistance2 Maximal Assistance1 Total Assistance
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No Helper Required
Independent Normal method, performance
Modified Independent Equipment Extended time Saftey risk
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Helper Required No physical contact required
SupervisionSet-upCuingOrthosis
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Helper Required Physical Contact Required
Patient does:75-100% Minimal Assistance50-74% Moderate Assistance25-49% Maximal Assistance0-24% Total Assistance
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FIM Scoring Example
Bathing
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Role of Occupational Therapy Assess Performance Equipment Needs Intervention Patient and Family Training Recommendations
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Equipment Needs Durable Medical Equipment Adaptive Equipment Orthotics
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Durable Medical Equipment Tub Transfer Bench Shower Chair Bedside Commode
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Adaptive Equipment Long-Handled Sponge Reacher Sock Aid Built-Up Handles Inspection Mirror
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Orthotics Radial Nerve Palsy Splint Wrist-Hand Orthosis Universal Cuff
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Role of Occupational Therapy Assess Performance Equipment Needs Intervention Patient and Family Training Recommendations
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Role of OT Intervention
Hemi Dressing Techniques Patient/Family Training
Assistance Recommendations
Equipment24hr CareOutpatient
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Occupational Therapy
Charity Hospital W504903-2388
Inpatient RehabOutpatient NeuroOutpatient Ortho