Activities of Daily Living Skills for the Job of Living

Basic ADL’s (BADL) Self-Care Mobility Communication

Self-Care Feeding Grooming Dressing Bathing Toileting

Mobility Bed Mobility Wheelchair Mobility Transfers Ambulation

Communication Writing Using a telephone Using communication devices

Instrumental ADL’s (I-ADL) Home Management Community Living Skills Health Management Safety Management

Self-Care Activities Skills for Restoring: Function Independence Dignity

Feeding Set-up Handling utensils and cups Chewing and swallowing

Grooming & Hygiene Oral Care Brushing the hair Washing the face Washing the hands (Shaving, makeup)

Dressing Retrieving Clothing Dressing/Undressing Prosthesis or Orthosis TLSO Abdominal binder TEDS

Bathing Washing & Drying Excludes neck, back Transfer not included Adding up the parts

Toileting Perineal hygiene Managing Clothing Transfer not included

Role of Occupational Therapy Assess Performance Equipment Needs Intervention Patient and Family Training Recommendations

Assessing Performance Functional Independence Measure (FIM) Universal Standard Multidisciplinary Severity of Disability Track Changes Analyze Outcomes

FIM Scores 7 Independent 6 Modified Independent 5 Supervision/Set-up 4 Minimal Assistance 3 Moderate Assistance 2 Maximal Assistance 1 Total Assistance

No Helper Required Independent Normal method, performance Modified Independent Equipment Extended time Saftey risk

Helper Required No physical contact required Supervision Set-up Cuing Orthosis

Helper Required Physical Contact Required Patient does: %Minimal Assistance 50-74%Moderate Assistance 25-49%Maximal Assistance 0-24%Total Assistance

FIM Scoring Example Bathing

Role of Occupational Therapy Assess Performance Equipment Needs Intervention Patient and Family Training Recommendations

Equipment Needs Durable Medical Equipment Adaptive Equipment Orthotics

Durable Medical Equipment Tub Transfer Bench Shower Chair Bedside Commode

Adaptive Equipment Long-Handled Sponge Reacher Sock Aid Built-Up Handles Inspection Mirror

Orthotics Radial Nerve Palsy Splint Wrist-Hand Orthosis Universal Cuff

Role of Occupational Therapy Assess Performance Equipment Needs Intervention Patient and Family Training Recommendations

Role of OT Intervention Hemi Dressing Techniques Patient/Family Training Assistance Recommendations Equipment 24hr Care Outpatient

Occupational Therapy Charity Hospital W Inpatient Rehab Outpatient Neuro Outpatient Ortho