Interventions to Support Participation in Basic and Instrumental ADLs With Weakness Flashcards
what is an adaptive method of ADLs?
Dressing affected arm
first
what are examples of adaptive device for ADLs?
sock aid, long handled
reacher
what can Weakness in limbs, trunk, or overall body result in?
- Difficulty in dynamic and static balance,
- Posture,
- Transfers, functional mobility,
- Reaching
- Grasping
what is beed mobility?
ability to:
- Bridge in bed,
- Roll from supine to side-lying,
- Scoot up and down in bed,
- Move from supine to sitting & sitting to supine, &
- Sit at edge of bed
how can weakness affect bathing?
Clients with weakness may have difficulty:
- Transferring into bathtub or shower,
- Standing or sitting in shower,
- Grasping and holding onto items
how can weakness affect toileting and toilet hygiene?
Toileting requires a person to be able to:
* Don and doff clothing,
* Sit on and rise from toilet,
* Reach and grasp toilet tissue, and clean perineal area
* Hand Hygiene after
Clients with weakness may have difficulty:
* Grasping/holding onto clothes and cleaning supplies, and
* Transferring onto and off of toilets
how can weakness impact personal grooming?
Clients with weakness, especially of UE, will have difficulty grasping and
holding onto grooming supplies, such as combs, brushes, makeup, and
shampoo
what might therapy focus on for those with UE weakness affecting their ability to do personal grooming?
using counters for support, organization of frequently used items nearby, and equipment to ease grip demands
how can weakness affect dressing?
Clients with weakness or paralysis may have difficulty:
- Obtaining/accessing clothing,
- Moving extremities into clothing,
- Manipulating buttons or zippers,
- Decreased sitting balance
how can weakness affect feeding?
Feeding concerns for clients with weakness caused by:
- Difficulty grasping utensils,
- Cutting food, and
- Bringing food from plate to mouth
what are some interventions that help with feeding when a client has weakness?
positioning
pre-cutting food
using a variety of adaptations to minimize or substitute for grip
what is important to do/consider when weakness is a concern for individuals with physical challenges?
- Discuss scope of intimacy,
- To shift focus from function to pleasure,
- To consider impact of impairment on body image, and
- Fears about resuming sex
what are some intervention ideas for when weakness is impacting sexual activity?
identification of optimal positions
provision of resources
preplanning
use of equipment for positioning
