ADL's and IADL's
-Eating
-dressing
-mobility
-home management
-communication
-community living
Factors to consider in ADL and IADL evaluation and training
-Body structures and functions
-Client's culture and values
-Prognosis
-Discharge environment
-Potential for independence
-Rehabilitative or compensatory approach
Evaluation of Activities of ADLs and IADLs
General procedures
-Feasibility of training determined by team
-Evaluate when and where activity is usually performed
-Basic ADLs are assessed, and then inferences are made
-Observe for causes of performance problems (what is going on and what are the pro
Home Evaluation
-Includes interview with others living with the client
-Observation includes
--Safety factors
--Client's functional limitations
--Use of assistive devices
--Environmental limitations (Home arrangement and dimensions)
--Reasonable modifications as legally
Community Living Skills (Money and Financial Management)
-Adaptive devices
-Caregiver training
-educate them (they can get scammed easily)
Community Living Skills (Community Mobility)
-Physical capabilities: endurance, independence
-Cognitive skills: topographic orientation, problem solving
-Environment: safety, terrain
-Social barriers (ex. they may isolate themselves)
Health Management
-Handling medications
--Strategies
--Adaptive devices
-Calling the physician
-Education regarding caregiver training
Training in ADLs and IADLs
-Goals are established in collaboration with the patient
-Tasks are graded
-Recording progress for inclusion in the medical record
-tasks need to fit their needs
Training:
-Preparation of environment for safety and convenience
-Activity performance
-Metho
Specific Techniques for ADLs
-Limited ROM and strength
-Problems of incoordination
-Hemiplegia or use of only one upper extremity
-W/c-dependent with good to normal arm function (paraplegia)?
-W/c-dependent with upper extremity weakness (quadriplegia)?
Limited ROM and Strength
-what should their exercises be?
-do activity analysis on everything to see what they are missing
-Dressing activities (ex. some men always wear button down shirts)
-Eating activities
-Hygiene and grooming
-Communication and general environment
-Mobility
Problems of Incoordination
-what should their exercises be?
--get them engaged in little thing
-Dressing activities
-Eating activities
-Hygiene and grooming
-Communication and general environment
-Mobility and transfers
-Home management skills
Hemiplegia or Use of Only One Upper Extremity
-addressing the bad side (engage it)
-Dressing activities
--Adaptive clothing
--One-handed dressing techniques
--Including ankle-foot orthosis (AFO)?
-Eating activities
-Hygiene and grooming
-Communication and general environment
-Home management skills
Wheelchair-Dependent with Good to Normal Arm Function (Paraplegia)
-make sure they are doing pressure reduction weight shifts!
-safety w/ w/c breaks
-Dressing activities
-Eating activities
-Hygiene and grooming (never touch a w/c cushion w/ your bare hands)
-Communication and general environment
-Home management skills (
Wheelchair-Dependent with Upper Extremity Weakness (Quadriplegia)?
-Function depends on level of lesion
-may need to train the caregiver to make sure they are efficient in what they are doing
-Dressing activities
-Eating activities
-Hygiene and grooming
-Communication and general environment
-Assistive technology (make s
Parenting with a Disability
-ex. spinal bifida, CP
-Universal design or custom assistive products
-Ongoing as needs change as the child grows
-Resources
--Nurturing assistance
-Ready-made products
--Cribs
--Diapers
--Childproofing
--Holding
--Breastfeeding
Traveling with a Disability
-Rights of travelers with disabilities
-Stowing of the wheelchair
-Providing resources
-Planning ahead:
--Layout of the plane
--Hotel room
Service Animals and Skilled Companions
Advantages
-Independence
-Increased community participation (do not call or touch; they have a job to do)
-Adjustment to disability
Organizations and resources
-Assistance dogs
-Capuchin monkeys