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
6
5
4
3
2
1
Independent
Modified Independent
Supervision/Set-up
Minimal Assistance
Moderate Assistance
Maximal Assistance
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:
75-100% 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 W504
903-2388
Inpatient Rehab
Outpatient Neuro
Outpatient Ortho