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Specific elements to consider in activities of daily living training
Feeding:
• Utensil, cup, plate management, and napkin use
• Tidiness/organization
• Awareness of swallowing, chewing, or pocketing problems
• Ability to handle different food consistencies, e.g., finger foods versus soups
• Mouth care after eating
Bathing:
• Assembling of items and appropriate equipment
• Management of caps, lids, sprays, etc.
• Facial cleansers and cosmetic application
• Shaving foam or soap application versus electric razor
• Shaving face, underarms, and/or legs
• Hair care
• Deodorant application
• Tooth/denture care
• Nail care
• Replacement of care items
• Location of bath facilities in hospital and home
• Transfer ability to bathtub or shower
Dressing:
• Selection of clothing
• Assembling of clothing
• Application of underwear
• Management of fasteners
• Application of trousers/slacks, belt, or suspenders
• Management of pullover tops
• Application of shirt, jacket, dress (front opening), or tie
• Management of buttons
• Application of socks or stockings
• Application of shoes and tying laces
• Location of dressing activities: bed, sitting or standing
• Ability to care for and apply glasses, contact lenses, or hearing aid
Toileting and elimination management:
• Transfer ability
• Clothing management
• Cognitive function
• Bowel and bladder control
• External devices: assembly, application, removal, and care of equipment
• Suppository insertion (include preparation of suppository and cleaning of insertion device if used)
• Post-toileting hygiene
• Timing of bowel program (morning or evening)
• Employment/school/home/environment considerations
• Colostomy or ileal conduit care
• Performance of bladder management programs
• Accident management
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Excerpted from Mosby's Medical Encyclopedia
Copyright (c) 1994-5, 1996, 1997 The Learning Company Inc. All Rights Reserved