I Lesson ADT 72
Task: Bathe entire body in tub.
Prerequisites: ADT 1, ADT 3, ADT 17, ADT 18, ADT 64—ADT 70, SEN 11—SEN 13
Concept: This task is procedurally the same as the lesson of "shower entire body" (ADT 71). Different safety issues are present, however, especially as they relate to safe water temperature and the circumstances that could cause falls. Close supervision re-mains a priority. An additional therapeutic value over showering is the potential for muscle relaxation and possibly more thorough cleaning.
Behavioral Objective: Upon verbal request, the student will perform each task in-volved in the process of bathing his or her entire body to a 90% accuracy level for 20 trials.
Materials: A bathtub, soap, washcloth, shampoo, plastic pitcher, and towels.
Task Analysis:
1. Review and practice with the student each of the prerequisite skills listed above. Faucet use and water temperature regulation should be performed with the bathtub. Some additional training may be needed if the equipment used for faucet training was a sink. In these cases, start by reteaching "use a faucet" (ADT 17) and "regulate water temperature" (ADT 64) using the bathtub.
2. Verify that the student can identify each of the items listed in the materials section. Role-playing the use of each item in a mime-type activity can be helpful. (Note. The pitcher is used for rinsing hair and involves skills similar to the prerequisite of "get a glass or cup of water from a faucet" (ADT 18).
3. Continuing with the mime concept, have the student, while fully clothed, pretend to use each item from the materials list without using water.
4. Using the bathtub, have the student, while fully clothed, demonstrate that he or she can turn on the water, regulate the temperature, and turn off the water well before the tub is overflowing. Placing a crayon mark or sticker on the tub to identify the level at which to turn off the water can be helpful.
5. To ensure privacy, have the student, dressed in a bathing suit, repeat Step 4, step into the tub, and get his or her entire body, including the hair, wet. Pro-vide extra supervision when the student lowers his or her head into the water to wet the hair. Physically assist the student in drying off after this exercise.
6. With the student still wearing a bathing suit, repeat Step 5, adding hair shampooing as an additional step. Have the student fill and use the pitcher to rinse his or her hair. Reduce physical guidance until this task can be per-formed with step-by-step verbal requests.
7. Using the washcloth and soap, repeat Step 6, adding the cleaning of body parts that are naturally exposed by the bathing suit.
8. Continuing with Step 7, reduce the physical prompting on the drying part of the task to step-by-step verbal requests.
9. Using verbal requests, repeat Step 6 without the use of the bathing suit. In many situations, the primary caregiver should be taught and asked to per-form this step so that privacy issues are respected.
10. Fade all prompting to a total-task verbal request: "(Name), please go take a bath.