ADL = Activities of Daily Living Activity Definitions Time Estimates Considerations How person moves to and from lying Positioning supports, cognition, Bed Mobility position, turns side to side and positions 5 10 minutes pain, disability level. – body while in bed. Use of slide board, gait belt, swivel How person moves between surfaces – Transfer 5 10 minutes aid, supervision needed, positioning – to/from: bed, chair, wheelchair, standing up to 15 minutes after transfer, position (EXCLUDE to/from bath/toilet). mechanical lift transfer. How person moves between locations in 5 - 15 minutes his/her room and other areas on same Disability level, type of aids used, Locomotion floor. If in wheelchair, self-sufficiency (Document time and number of pain. once in chair. times done during Plan of Care) How person puts on, fastens and takes off Supervision, disability, cognition, Dressing & all items of street clothing, including 20 - 45 minutes pain, type of clothing, type of Undressing donning/removing prosthesis. prosthesis. How person eats and drinks (regardless of 5 minutes Set up, cut food and place utensils. Eating skill) 30 minutes Individual is fed. Supervision of activity due to 30 minutes swallowing, chewing, cognition issues. How person uses the toilet room (or commode, bedpan, urinal); transfers on/off Bowel, bladder program Toilet Use toilet, cleanses, changes pad, manages 5 -15 minutes/use ostomy regimen, catheter regimen. ostomy or catheter and adjusts clothes. How person maintains personal hygiene. Personal Hygiene Disability level, pain, cognition, (EXCLUDE baths and showers) 20 min/day adaptive equipment. Shampoo (only 15 min up to Washing face, perineum, combing if done 3 times/week hair, shaving and brushing teeth separately) Nail Care 20 min/week How person walks for exercise only Document time and number of Disability, pain, mode of Walking How person walks around own room times in Plan of Care, and level ambulation (cane), prosthesis How person walks within home of assistance needed. needed for walking. How person walks outside How person takes full-body bath/shower, If shower used and shampoo done, Bathing sponge bath (EXCLUDE washing of back, 15 - 30 minutes then consider as part of activity. hair), and transfers in/out of tub/shower
ADL = Activities of Daily Living Activity Definitions Time Estimates Considerations Bed Mobility How person moves to and from lying position, turns side to side and positions body while in bed. 5 – 10 minutes Positioning supports, cognition, pain, disability level. Transfer How person moves between surfaces – to/from: bed, chair, wheelchair, standing position (EXCLUDE to/from bath/toilet). 5 – 10 minutes up to 15 minutes Use of slide board, gait belt, swivel aid, supervision needed, positioning after transfer, mechanical lift transfer. Locomotion How person moves between locations in his/her room and other areas on same floor. If in wheelchair, self-sufficiency once in chair. 5 - 15 minutes (Document time and number of times done during Plan of Care) Disability level, type of aids used, pain. Dressing & Undressing How person puts on, fastens and takes off all items of street clothing, including donning/removing prosthesis. 20 - 45 minutes Supervision, disability, cognition, pain, type of clothing, type of prosthesis. Eating How person eats and drinks (regardless of skill) 5 minutes Set up, cut food and place utensils. 30 minutes Individual is fed. 30 minutes Supervision of activity due to swallowing, chewing, cognition issues. Toilet Use How person uses the toilet room (or commode, bedpan, urinal); transfers on/off toilet, cleanses, changes pad, manages ostomy or catheter and adjusts clothes. 5 -15 minutes/use Bowel, bladder program ostomy regimen, catheter regimen. Personal Hygiene How person maintains personal hygiene. (EXCLUDE baths and showers) 20 min/day Disability level, pain, cognition, adaptive equipment. Washing face, perineum, combing hair, shaving and brushing teeth Shampoo (only if done separately) 15 min up to 3 times/week Nail Care 20 min/week Walking How person walks for exercise only How person walks around own room How person walks within home How person walks outside Document time and number of times in Plan of Care, and level of assistance needed. Disability, pain, mode of ambulation (cane), prosthesis needed for walking. Bathing How person takes full-body bath/shower, sponge bath (EXCLUDE washing of back, hair), and transfers in/out of tub/shower 15 - 30 minutes If shower used and shampoo done, then consider as part of activity.
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