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Chapter 13 Self Care Skills
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Self Care Skills Toileting Dressing Grooming Personal Hygiene
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Why Every day Time Energy Social Acceptance Sensorimotor Cognition
Independence Accomplishment Pride
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Creating a Program Meet with family and therapists
Select specific skills and goals Instructional method Socially valid Age appropriate Meaningful assessments Task analysis
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Keep in mind Partial Participation Caregivers Appropriate environment
Uncomplicated methods Adapting materials Sequences of activities Physical assistance (as needed) Related Skills
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Toileting Skills Difficult to teach Self awareness
Sequences of related skills May not be able to complete independently
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Assessing Physiological readiness Current elimination patterns
Age Awareness Pattern Current elimination patterns Chart Ability to preform related tasks Separate goals May not be able to complete all goals independently Starting point
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Methods Habit training Massed Practice Stage 1 Habit Training
Stage 2 Self Initiated Stage 3 Toileting Independence High intensity Multiple opportunities Increased Fluid Dry Pants inspection Accident treatments Self initiating training Moisture signaling
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Difficulties Fear Reactions Unfamiliar Size Noise Temperature Public
Materials Distractions
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Dressing
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Dressing Select skill Frequency Age Vocational Requirements
Connection to other skills Setting Modeling
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Deciding Strategies Current level Minimal assistance
Undressing before dressing Techniques Modified clothing Where and when
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Position Comfortable Best for maximizing ability Aware of disability
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Clothing Fabric Design Durability Fasteners Specialized Clothes Latex
Comfort Care Design Cut Durability Fasteners Size Type Specialized Clothes Special Clothes Inc. Latex Aids
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Personal Hygiene
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Key Reasons Clean Well Groomed Prevent illness and infection
Social acceptance Well Groomed pride Prevent illness and infection
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Strategies Adapted Items Assisted devices Routines Skills
Personal Care Partial independence
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