ACTIVITIES (ADL, IADL)
RECOMMENDATIONS
1. Recommend all patients receive ADL training. [A]
2. Recommend all patients receive IADL training in areas of need. [C]
3. Recommend those individuals with stroke who exhibit ADL/IADL deficits should be given a training program that is tailored to the individual needs and anticipated discharge setting. [I]
Table 5-1: Activities in ADL and IADL
ADL
IADL
Mobility
• Bed mobility
• Wheelchair mobility
• Transfers
• Ambulation
• Stair climbing
Home Management
• Shopping
• Meal planning
• Meal preparation
• Cleaning
• Laundry
• Child care
Self-Care
• Dressing
• Self-feeding
• Toileting
• Bathing
• Grooming
Community Living Skills
• Money/financial management
• Use of public transportation
• Driving
• Shopping
• Access to recreation activities
Communication
• Writing
• Typing/computer use
• Telephoning
• Using special communication devices
Health Management
• Handling medication
• Knowing health risks
• Making medical appointments
Environmental Hardware
• Keys
• Faucets
• Light switches
• Windows/doors
Safety Management
• Fire safety awareness
• Ability to call 911
• Response to smoke detector
• Identification of dangerous situations
Modified from: Pedretti LW. Occupational Therapy: Practice Skills for Physical Dysfunction. 4th ed. St. Louis: Mosby