ADL Dependency
Care Plan for ADL Dependency
Category / Primary Body System:
Mobility and Activities of Daily Living (ADLs)
Problem:
Patient is dependent on staff for all ADLs due to limited mobility and/or cognitive impairment.
Goal:
Patient will accept care as evidenced by being out of bed (OOB) and well-groomed daily for 90 days.
Plan/Approach:
-
Total Assistance with ADLs:
- Step-by-Step Approach: Provide total assistance with bathing, grooming, and dressing.
- Rationale: Ensures the patient maintains personal hygiene and grooming, promoting comfort and dignity.
-
Accessibility:
- Step-by-Step Approach: Ensure call light is within reach and check on the patient if they are unable to use the call light.
- Rationale: Provides a sense of security and ensures patient needs can be promptly addressed.
-
Incontinent Care:
- Step-by-Step Approach: Provide incontinent care as needed.
- Rationale: Prevents skin breakdown and maintains hygiene.
-
PT/OT Evaluation:
- Step-by-Step Approach: Conduct PT/OT evaluation and treatment as needed.
- Rationale: Supports mobility and functional ability, and helps in setting realistic goals for the patient's independence.
-
Skin Integrity Monitoring:
- Step-by-Step Approach: Monitor the patient’s skin integrity every shift during care.
- Rationale: Early detection of skin issues prevents complications such as pressure ulcers.
-
Repositioning:
- Step-by-Step Approach: Turn and reposition the patient per house protocol with their assistance.
- Rationale: Prevents pressure ulcers and promotes circulation.
-
Oral Care:
- Step-by-Step Approach: Provide oral care daily and as needed.
- Rationale: Maintains oral hygiene, prevents infections, and ensures comfort.
-
Incontinent Products:
- Step-by-Step Approach: Use incontinent absorbent products as needed.
- Rationale: Maintains patient comfort and hygiene, and prevents skin irritation.
-
Meal Assistance:
- Step-by-Step Approach: Assist the patient during meals.
- Rationale: Ensures adequate nutrition and hydration, and reduces the risk of aspiration.
-
Mobility Assistance:
- Step-by-Step Approach: Assist the patient with mobility using appropriate aids.
- Rationale: Enhances mobility, prevents falls, and promotes independence.
-
Transfer Assistance:
- Step-by-Step Approach: Assist the patient during transfers.
- Rationale: Ensures safety and prevents falls or injuries.
-
Passive ROM Exercises:
- Step-by-Step Approach: Perform passive range of motion (ROM) exercises as needed.
- Rationale: Maintains joint flexibility and prevents contractures.
Actions:
-
Total Assistance with ADLs:
- Staff will provide total assistance with bathing, grooming, and dressing.
-
Accessibility:
- Staff will ensure the call light is within reach and check if the patient is unable to use the call light.
-
Incontinent Care:
- Staff will provide incontinent care as needed.
-
PT/OT Evaluation:
- Staff will offer PT/OT evaluation and treatment as needed.
-
Skin Integrity Monitoring:
- Staff will monitor the patient’s skin integrity every shift during care.
-
Repositioning:
- Staff will turn and reposition the patient per house protocol with their assistance.
-
Oral Care:
- Staff will provide oral care daily and as needed.
-
Incontinent Products:
- Staff will use incontinent absorbent products as needed.
-
Meal Assistance:
- Staff will assist the patient during meals.
-
Mobility Assistance:
- Staff will assist the patient with mobility using appropriate aids.
-
Transfer Assistance:
- Staff will assist the patient during transfers.
-
Passive ROM Exercises:
- Staff will perform passive range of motion (ROM) exercises as needed.
Feedback Form
