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:

1. 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.

2. 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.

3. Incontinent Care:

   • Step-by-Step Approach: Provide incontinent care as needed.
   • Rationale: Prevents skin breakdown and maintains hygiene.

4. 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.

5. 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.

6. Repositioning:

   • Step-by-Step Approach: Turn and reposition the patient per house protocol with their assistance.
   • Rationale: Prevents pressure ulcers and promotes circulation.

7. Oral Care:

   • Step-by-Step Approach: Provide oral care daily and as needed.
   • Rationale: Maintains oral hygiene, prevents infections, and ensures comfort.

8. Incontinent Products:

   • Step-by-Step Approach: Use incontinent absorbent products as needed.
   • Rationale: Maintains patient comfort and hygiene, and prevents skin irritation.

9. Meal Assistance:

   • Step-by-Step Approach: Assist the patient during meals.
   • Rationale: Ensures adequate nutrition and hydration, and reduces the risk of aspiration.

10. Mobility Assistance:

    • Step-by-Step Approach: Assist the patient with mobility using appropriate aids.
    • Rationale: Enhances mobility, prevents falls, and promotes independence.

11. Transfer Assistance:

    • Step-by-Step Approach: Assist the patient during transfers.
    • Rationale: Ensures safety and prevents falls or injuries.

12. Passive ROM Exercises:

    • Step-by-Step Approach: Perform passive range of motion (ROM) exercises as needed.
    • Rationale: Maintains joint flexibility and prevents contractures.

Actions:

1. Total Assistance with ADLs:

   • Staff will provide total assistance with bathing, grooming, and dressing.

2. Accessibility:

   • Staff will ensure the call light is within reach and check if the patient is unable to use the call light.

3. Incontinent Care:

   • Staff will provide incontinent care as needed.

4. PT/OT Evaluation:

   • Staff will offer PT/OT evaluation and treatment as needed.

5. Skin Integrity Monitoring:

   • Staff will monitor the patient’s skin integrity every shift during care.

6. Repositioning:

   • Staff will turn and reposition the patient per house protocol with their assistance.

7. Oral Care:

   • Staff will provide oral care daily and as needed.

8. Incontinent Products:

   • Staff will use incontinent absorbent products as needed.

9. Meal Assistance:

   • Staff will assist the patient during meals.

10. Mobility Assistance:

    • Staff will assist the patient with mobility using appropriate aids.

11. Transfer Assistance:

    • Staff will assist the patient during transfers.

12. Passive ROM Exercises:

    • Staff will perform passive range of motion (ROM) exercises as needed.