ADLs and IADLs from OTPF

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Sleep Preparation

(1) Engaging in routines that prepare the self for a comfortable rest, such as grooming and undressing, reading or listening to music to fall asleep, saying goodnight to others, and engaging in meditation or prayers; determine the time of day and length of time desired for sleeping and the time needed to wake; and establishing sleep patterns that support growth and health (patterns are often personally and culturally determined). (2) Preparing the physical environment for periods of unconsciousness, such as making the bed or space on which to sleep; ensuring warmth or coolness and protection; setting an alarm clock; securing the home, such as locking foods or closing windows or curtains; and turning off electronics or lights

Sexual Activity

ADL; engaging in activities that result in sexual satisfaction and/or meet relational or reproductive needs

Education

Activities needed for learning and participation in the educational environment; IADL

Activities of Daily Living

Activities oriented toward taking care of one's own body. Also are referred to as Basic Activities of Daily Living (BADLs) and personal activities of daily living (PADLs). These activities are "fundamental to living in a social world; they enable basic survival and well-being"

Rest and Sleep

Activities related to obtaining restorative rest and sleep to support healthy, active engagement in other occupations; IADL

Instrumental Activities of Daily Living (IADLs)

Activities to support daily living within the home and community that often require more complex interactions than those used in ADLs

Employment Seeking and Acquisition

Advocating for oneself; completing, submitting, and reviewing appropriate application materials; preparing for interviews; participating in interviews and following up afterward; discussing job benefits and finalizing negotiations

Play

Any spontaneous or organized activity that provides enjoyment, entertainment, amusement, or diversion; IADL

Care of Others (including selecting and supervising caregivers)

Arranging, supervising, or providing care for others; IADL

Care of Pets

Arranging, supervising, or providing care for pets and service animals; IADL

Community

Engaging in activities that result in successful interaction at the community level (e.g. neighborhood, organization, workplace, school, religious or spiritual group)

Rest

Engaging in quiet and effortless actions the interrupt physical and mental activity, resulting in a relaxed state; included are identifying the need to relax; reducing involvement in taxing physical, mental, or social activities; and engaging in relaxation or other endeavors that restore energy and calm and renew interest in occupation; IADL

Retirement Preparation and Adjustment

Determining aptitudes, developing interests and skills, selecting appropriate avocational pursuits, and adjusting lifestyle in the absence of the worker role

Volunteer Exploration

Determining community causes, organizations, or opportunities for unpaid work in relationship to personal skills, interest, location, and time available

Health Management and Maintenance

Developing, managing, and maintaining routines for health and wellness promotion, such as physical fitness, nutrition, decreased health risk behaviors, and medication routines; IADL

Peer, Friend

Engaging in activities at different levels of interaction and intimacy, including engaging in desire sexual activity

Family

Engaging in activities that result in "successful interaction in specific required and/or desired familial roles"

Employment Interests and Pursuits

Identifying and selecting work opportunities based on assets, limitations, likes, and dislikes relative to work

Play Exploration

Identifying appropriate play activities, including exploration play, practice play, pretend play, games with rules, constructive play, and symbolic play.

Leisure Exploration

Identifying interests, skills, opportunities, and appropriate leisure activities

Informal Personal Educational needs or interests exploration (beyond formal education)

Identifying topics and methods for obtaining topic-related skills or information

Swallowing/Eating

Keeping and manipulating food or fluid in the mouth and swallowing it; swallowing is moving food from the mouth to the throat: ADL

Safety and Emergency Maintenance

Knowing and performing preventative procedures to maintain a safe environment; recognizing sudden, unexpected hazardous situations; and initiating emergency action to reduce the threat to health and safety; examples include ensuring safety when entering and exiting the home, identifying emergency contact numbers, and replacing items such as batteries in smoke alarms and light bulbs; IADL

Work

Labor or exertion; to make, construct, manufacture, form, fashion, or shape objects; to organize, plan, or evaluate services that provide instruction of living of governing; committed occupations that are performed with or without financial reward"; IADL

Bathing, Showering

Obtaining and using supplies; soaping, rinsing, and drying of body parts; maintaining bathing position; and transferring to and from positions; ADL

Financial Management

Using fiscal resources, including alternate methods of financial transaction, and planning and using finances with long-term and short-term goals; IADL

Functional Mobility

Moving from one position or place to another (during performance of everyday activities) such as in-bed mobility, wheelchair mobility, and transfers (e.g. wheelchair, bed, car, shower, tub, toilet, chair, floor). Includes functional ambulation and transportation of objects; ADL

Leisure

Nonobligatory activity that is intrinsically motivated and engaged in during discretionary time, that is, time not committed to obligatory occupations, such as work, self-care, or sleep; IADL

Home Establishment and Management

Obtaining and maintaing personal and household possessions and environment (e.g. home, yard, garden, appliances, vehicles), including maintaing and repairing personal possessions (e.g. clothing, household items) and knowing how to seek help or whom to contact; IADL

Personal hygiene and grooming

Obtaining and using supplies; removing body hair (i.e. using razor, tweezers, lotion); applying and removing cosmetics; washing, drying, combing, styling, brushing, and trimming hair; caring for nails (hands, and feet); caring for skin, ears, eyes, and nose; applying deodorant; cleaning mouth; brushing and flossing teeth; and removing, cleaning, and reinserting dental orthotics and prosthetics; ADL

Toileting and Toilet Hygiene

Obtaining and using toileting supplies, managing clothing, maintaing toileting position, transferring to and from toileting position, cleaning body, and caring for menstraul and continence needs (including catheter, colostomy, and suppository management), as well as completing intentional control of bowel movements and urination and, if necessary, using equipment or agents for bladder control; ADL

Formal Educational Participation

Participating in academic (e.g. math, reading, degree coursework), nonacademic (e.g. recess, lunchroom, hallway), extracurricular (e.g. sports, band, cheerleading, dances), and vocational (prevocational and vocational) educational activities

Informal Personal Education Participation

Participating in informal classes, program, and activities that provide instruction or training in identified areas of interest

Play Participation

Participating in play; maintaining a balance of play with other occupations; and obtaining, using, and maintaing toys, equipment, and supplies appropriately

Religious and Spiritual activities and expression

Participating in religion, "an organized system of beliefs, practice, or rituals, and symbols designed to facilitate closeness to the sacred or transcendent", and engaging in activities that allow a sense of connectedness to something larger than oneself or that are especially meaningful, such as taking time out to play with a child, engaging in activities in nature, and helping others in need; IADL

Job Performance

Performing the requirements of a job, including work skills and patterns; time management; relationships with coworkers, managers, and customers; leadership and supervision; creation, production, and distribution of products and services; imitation, sustainment, and completion of work; and compliance with work norms and procedures

Volunteer Participation

Performing unpaid work activities for the benefit of selected causes, organizations, or facilities

Driving and Community Mobility

Planning and moving around the community and using public or private transportation such as driving, walking, bicycling, or accessing and riding in buses, taxi cabs, or other transportation systems; IADL

Leisure Participation

Planning and participating in appropriate leisure activities; maintaining a balance of leisure activities with other occupations; and obtaining, using, and maintaining equipment and supplies as appropriate

Meal Preparation and Cleanup

Planning, preparing, and serving well-balanced, nutritious meals and cleaning up food and utensils after meals; IADL

Shopping

Preparing shopping lists (grocery and other); selecting, purchasing, and transporting items; selecting method of payment; and completing money transactions; included are internet shopping and related use of electronic devices such as computers, cell phones, and tablets; IADL

Child Rearing

Providing care and supervision to support the developmental needs of a child; IADL

Dressing

Selecting clothing and accessories appropriate to time of day, weather, and occasion; obtaining clothing from storage area; dressing and undressing in a sequential fashion; fastening and adjusting clothing and shoes; and applying and removing personal devices, prosthetic devices, or splints; ADL

Communication Management

Sending, receiving, and interpreting information using a variety of systems and equipment including writing tools, telephones (cell phones or smartphones), keyboards, audiovisual recorders, computers or tablets, communication boards, call lights, emergency systems, Braille writers, telecommunication devices for deaf people, augmentative communication systems, and personal digital assistants; IADL

Feeding

Setting up, arranging, and bringing food [or fluid] from the plate or cup to the mouth; sometime called self-feeding; ADL

Sleep Participation

Taking care of personal needs for sleep, such as ceasing activities to ensure onset of sleep, napping, and dreaming; sustaining a sleep state without disruption; and performing nighttime care of toileting need and hydration; also includes negotiating the needs and requirements of and interacting with others within the social environment such as children or partners, including providing nighttime caregiving such as breastfeeding and monitoring the comfort and safety of others who are sleeping

Social Participation

The interweaving of occupations to support desired engagement in community and family activities as well as those involving peers and friends; involvement in a subset of activities that involve social situations with others; and that support social interdependence. Social participation can occur in person or through remote technologies such as telephone calls, computer interaction, and video conferencing.

Personal Device Care

Using, cleaning, and maintaining personal care items, such as hearing aids, contact lenses, glasses, orthotics, prosthetics, adaptive equipment, glucometers, and contraceptive and sexual devices; ADL


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