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Activities of Daily Living ADLs and Hodges' model [1]

Posted Nov 30 2009 10:01pm
The Hodges' model matrix below lists various types of Activities of Daily Living. The intention is to read the table as per the numbers. In 1. the sciences domain are listed some basic ADLs representing my classification in terms of Hodges' model followed by a qualification in the intra-interpersonal domain 2.:

2. While basic ADLs are typically designated as 'functional' that is related to physical abilities they are of course also very dependent upon mental health status including: mood, motivation, memory, orientation, confusion. Many of these ADLs are closely associated with diseases and illness, which affects people's independence.
1. personal hygiene
dressing - undressing
eating and drinking
toilet: (urinary and faecal)
elimination (often taken for granted)
transfers: e.g. bed to chair and back
degree of mobility
(sitting - standing balance)

4. We can appreciate the impact of the carer's burden by arriving here finally. The sciences, interpersonal and political domains weigh heaviest here. The carer assuming responsbility for the care of another, themselves and often other dependents.

3. Assessment of ADLs covers aspects of safety and risk to SELF, OTHERS and risk of SELF-NEGLECT.

Increasingly, however the emphasis is on self-care, independent living and strengths in the above ADL skills.


In further blog posts I will present a similar treatment of other ADLs with references.

Link:
"Activities of Daily Living Evaluation." Encyclopedia of Nursing & Allied Health. Ed. Kristine Krapp. Gale Cengage, 2002. eNotes.com. 2006. 30 Nov, 2009 http://www.enotes.com/nursing-encyclopedia/activities-daily-living-evaluation
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