Week 2 Flashcards
Context of ADLs
- Physical
- Cultural
- Social
- Personal
- Temporal
- Instituational
- Socioeconomic
- Virtual
Example of a physical ADL
Accessibility to bathroom
Example of a cultural ADL
Cultural beliefs for bathing routine
Example of a social ADL
Expectations of a spouse to assist with ADLs
Example of a personal ADL
Feeling safe
Example of a temporal ADL
Time of day when client prefers to do ADL
Example of a socioeconomic ADL
Ability to change the physical environment
Example of an institutional ADL
Enforced routines of aged care facility
IADL examples
- Home management
- Meal prep
- Financial management
Value of leisure activities
- Leisure occupations contribute to sense of control and personal identity
- Disability often results in less participation in leisure
- Physical leisure improves health
9 dimensions of activities and participation
- Learning and applying knowledge
- General tasks and demands
- Communication
- Mobility
- Self-care
Impact of disability on participation
- People with disability are 5x more likely to express dissatisfaction with life due to social isolation
- 64% of adults with a disability are not able to get around town, attend cultural and sporting events or spend time with friends
How to evaluate occupational performance
- Safety: identify potential for injury
- Quality: identity difficulties and ineffective performance
- Independence: ability to complete activities unassisted
- Participation
- Well being - whether performance maintains health and contentment with self and life
Source of information
- Self-report
- Proxy
- Observation
Source of information: self-report
- Client rates themselves
- Quick, simple and cost effective
- May overestimate/underestimate difficulties
Source of information: proxy
- Family member or carer
- Useful for people with cognitive impairment
- Information can be biased
Source of information: observation
- Specific performance issues - time taken and prompting required
- Diagnostic tools can guide intervention plan
- Performance may not be consistent across different contexts
How to understand and evaluate occupational performance
- Interview
- Skilled or structured observations
- Assessment
- Interview
- Can be formal or informal
- Informal: semi-structured, looks at the client, their abilities
- Formal: is very structured
- Skilled observations
- Observations of activity performance and task breakdown
- Analysis of hazards and risks
- Comments about quality of performance and outcome
Parameters for analysing performance
- Value
- Independence
- Safety
- Adequacy
What to look for when analysing independence
- Sequencing of task
- Practical requirements
- Location of tasks
Safety/risk factors to consider
- Frequency: how often is the person exposed to the hazard
- Probability: of an adverse even occurring
- Consequences: likely consequence of an adverse event
- History: previous experience of an adverse event
