Activities of Daily Living Risk Factors Protective Factors Unable to communicate Ability to dress/undress Difficulty understanding directions Ability to get in/out of bed Level of functioning limited by unknown Ability to self-administer medications impairments Ability to use phone Disoriented to time/place or person Able to communicate Difficulty managing/handling money Access transportation Difficulty accessing alternative transportation Ambulatory Difficulty using phone Appropriately clothed Difficulty with independent mobility Climbs stairs Difficulty getting in/out of bed Dietary needs are met Difficulty in cooking Does laundry Difficulty doing laundry Is able to shop Difficulty with shopping Level of functioning intact Difficulty in doing light housekeeping Maintains housekeeping Difficulty in climbing stairs Maintains personal hygiene Difficulty in writing Maintains self-sufficiency or independent Difficulty with personal hygiene living Difficulty dressing/undressing Manages money/finances Difficulty choosing appropriate clothing Oriented time/place or person Nourishment/hydration problems Prepare meals Difficulty with self-administered medications Understands directions Incontinence problems Activities of Daily Living Notes: Need for Skill Development
Activities of Daily Living Risk Factors Protective Factors Ability to dress/undress Ability to get in/out of bed Ability to self-administer medications Ability to use phone Able to communicate Access transportation Ambulatory Appropriately clothed Climbs stairs Dietary needs are met Does laundry Is able to shop Level of functioning intact Maintains housekeeping Maintains personal hygiene Maintains self-sufficiency or independent living Manages money/finances Oriented time/place or person Prepare meals Understands directions Unable to communicate Difficulty understanding directions Level of functioning limited by unknown impairments Disoriented to time/place or person Difficulty managing/handling money Difficulty accessing alternative transportation Difficulty using phone Difficulty with independent mobility Difficulty getting in/out of bed Difficulty in cooking Difficulty doing laundry Difficulty with shopping Difficulty in doing light housekeeping Difficulty in climbing stairs Difficulty in writing Difficulty with personal hygiene Difficulty dressing/undressing Difficulty choosing appropriate clothing Nourishment/hydration problems Difficulty with self-administered medications Incontinence problems Activities of Daily Living Notes: Need for Skill Development
ADT%20Alternate%20Care%20Assessment.docx