ADLs & IADLs
This type of occupation includes basic self-care tasks like dressing and bathing.
What are ADLs?
What is modified independence?
Patient completes task independently but requires extra time or device.
Safe movement from one surface to another is called this
Transfer
Leisure participation improves this major outcome.
Quality of life
Walking while performing a functional task is called this.
Functional mobility
These require higher-level cognitive and problem-solving skills like medication management and meal prep.
What are IADLs?
What is minimal assistance?
Client performs 75% of the task.
Before a transfer, what must ALWAYS be locked?
Wheelchair/bed brakes
Name ONE psychosocial benefit of leisure.
Self-worth, coping, socialization, etc.
Canes are held on this side.
Contralateral side
In OT evaluation, this is developed to understand the client’s history, roles, and what is meaningful
What is the occupational profile?
GG Code 04 represents this level of assistance.
Supervision or touching assistance
Name ONE factor that determines transfer type selection.
Patient ability, physician order, goals, safety
This OT process involves identifying interests and opportunities.
Leisure exploration
OT position during ambulation training
Behind and to the side
Name TWO client factors assessed during ADL evaluation.
ROM, strength, sensation, cognition, vision
Helper does MORE than half the work.
Maximal assistance (or GG 02)
Best caregiver position during transfer:
In front or slightly to the side
Name ONE barrier to leisure participation.
Cost, transportation, motivation, access
A wide BOS and slower cadence are typical in this population.
Older adults
You are in acute care. Why might you NOT fully assess IADLs?
Limited environment; may need simulation vs real performance
Patient requires steadying during transfer but no lifting—what level?
CGA / SBA (or GG 04)
Why is transferring downhill easier than uphill?
Uses gravity to assist movement
Why is leisure important in rehab beyond “fun”?
Impacts cognition, mood, function, and ADL/IADL carryover
Patient lifts leg excessively to clear foot—what gait pattern?
Steppage gait