ADL Assessment “Back to Basics” - content.ccrn.com

1 07/17/08Dr. Jose Rafols_Clinical Instructor1 ADL Assessment Back to Basics Use of Activities of Daily Living as an evaluation, as a treatmeUse of Activities of Daily Living as an evaluation, as a treatment nt modality, or bothmodality, or both LetLet s get to Back to Basicss get to Back to Basics07/17/08Dr. Jose Rafols_Clinical Instructor2To comply with professional boards/associations standards, I declare that I do not have any financial relationship in any amount, occurring in the last 12 months with a commercial interest whose products or services are discussed in my of Activities of Daily Living: As an evaluation, As a treatment modality or bothJose R.

2 Rafols, OTD, MHSA, OTR/L, CEAS Clinical InstructorCross Country Education Leading the Way in Professional Development. Jose Rafols_Clinical Instructor3 Assessment of Performance ADL sLearning Objectives1. Weave ADL interventions into your daily therapeutic milieu or rehab Become familiar with the various performance areas of ADL s, BADL s, IADL s, Occupational Based Activities, Play and Leisure Become familiar with interventional strategies that assist the patient in regaining lost function in the clinic, home or at Fully understand why ADL s are such an important component of the patent's daily Jose Rafols_Clinical Instructor4 Assessment of Performance ADL sDefinition of ADL [?]

3 ] Activities of Daily LivingActivities of Daily occupation based tasks that include personal care, functional mobility, communication, home management, and work & community reintegration. ADLADL that require advanced planning and more complex skill-sets are called IADL (instrumental activities of daily living).07/17/08Dr. Jose Rafols_Clinical Instructor5 Use of Activities of Daily Living as an evaluation, as a Use of Activities of Daily Living as an evaluation, as a treatment modality, or bothtreatment modality, or both s?

4 S?ADL s is ..that carries us over, under & around obstacles we encounter everyday throughout our internal & external s and its ..is what makes up the very fabric of our everyday s are the most basic component of rehab and is what helps the pts are the most basic component of rehab and is what helps the pt. establish homeostasis. establish homeostasisthroughout their functional livesthroughout their functional Jose Rafols_Clinical Instructor6A Comprehensive ReviewA Comprehensive Review ADLADL ssOccupational Performance Model (OPM)Occupational Performance Model (OPM)07/17/08Dr.

5 Jose Rafols_Clinical Instructor7A Comprehensive ReviewA Comprehensive Review ADLADL ss (Occupational Performance Model)(Occupational Performance Model)Occupational Performance Model: Occupational Performancedescribes the content of the OT process ..its the domain of concernwithin OT practice ..across all specialty areas (Ped s, Adults, Geriatrics). Work, play and self-carehave always been at the core of OT assessments & treatments. ADL is a important is known as the performance area within the occupational performance model.

6 07/17/08Dr. Jose Rafols_Clinical Instructor8A Comprehensive ReviewA Comprehensive Review ADLADL ss (Occupational Performance Model)(Occupational Performance Model)Performance areas & components:The three (3) areas germane to the Occupational Performance Model are: Activities of daily living Work & productive activities Play & Leisure activities07/17/08Dr. Jose Rafols_Clinical Instructor9A Comprehensive ReviewA Comprehensive Review ADLADL ss (Occupational Performance Model)(Occupational Performance Model)Activities of Daily Living are considered to be the self- maintenance tasks/skills everyone does: Feeding, bathing, dressing, hygiene are tasks are performed every day.

7 These maintenance tasks are whatmaintain one s health and prevent physicaland mental degradation. These tasks vary according to each patient; however, the act of performing themis what makes thema standardized process. 07/17/08Dr. Jose Rafols_Clinical Instructor10A Comprehensive ReviewA Comprehensive Review ADLADL ss (Occupational Performance Model)(Occupational Performance Model)Work and Productive Activities [Occupational Based Activities]: Most societies engage in work or work-like chores; some of these chores are based on subsistence chores, some are voluntaryin nature and some perform traditional work tasksfor financial motives.

8 (a) Subsistence ( securing shelter, collecting firewood, herding-grazing cattle or retrieving water ).(b) Voluntary ( candy striping; volunteer fire-fighter or community watch groups-or-services).(c) Traditional ( any occupation that is performed for financial reasons or for reimbursement of their services). 07/17/08Dr. Jose Rafols_Clinical Instructor11A Comprehensive ReviewA Comprehensive Review ADLADL ss (Occupational Performance Model)(Occupational Performance Model)Play and Leisure Activities Most, if not, all societies engage in leisure activities are performed individually or in organized groups.

9 Play and leisure activities are fundamental in helping children develop skills needed in future growth. Play and leisure activity are precursors for developing the skills needed for organized work or occupational tasks. 07/17/08Dr. Jose Rafols_Clinical Instructor12A Comprehensive ReviewA Comprehensive Review ADLADL ss The (7) areas of Occupational Performanceare the ADL categories that have been discussed in detail earlier (*where the rubber meets the road):1. Bathing-showering2. Bowel-bladder management & toileting3.

10 Dressing4. Eating5. Feeding6. Functional mobility7. Personal hygiene 07/17/08Dr. Jose Rafols_Clinical Instructor13A Comprehensive ReviewA Comprehensive Review ADLADL ssPerformance areas of ADL sKnow your ADL s07/17/08Dr. Jose Rafols_Clinical Instructor14 Performance areas of ADL s Know your ADL sThe various components of ADL s When selecting ADL activities, choose simple tasks, then work towards more complex ones. Don t forget to assess ADL s and IADL s;both are important. ADL assessmentsshould not be completed in one this approach may fatigue the patient.