Care Plan for ADL Assistance
Care Plan for ADL Assistance
Category / Primary Body System
- General Care
Problem
- Resident requires assistance performing activities of daily living (ADLs) including bathing, dressing, grooming, transfers, ambulation, and mobility.
Goal
- Resident will wash their face, hands, and arms daily for the next 90 days.
Plan/Approach
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Bathing and Hygiene
- Provide a shower or bath weekly or as needed to ensure overall hygiene.
- Set up clothes, linen, and basin as needed to facilitate daily washing and dressing.
- Assist or supervise oral care daily to maintain oral hygiene.
- Assist or supervise with hair brushing every day, shampooing at least once per week.
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Skin Integrity Monitoring
- Monitor skin integrity daily and notify the physician immediately if there is any loss of skin integrity.
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Dressing and Grooming
- Assist with dressing according to the resident’s tolerance to maintain dignity and comfort.
- Keep care instructions simple, clear, and direct to ensure the resident understands and can participate as much as possible.
- Provide assistance for areas the resident is unable to complete independently.
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Task Segmentation and Support
- Provide task segmentation to preserve the resident’s independent function, breaking tasks into manageable steps.
- Encourage rest periods if needed to complete self-care without causing fatigue.
- Monitor for acute illness or weakness and provide additional assistance as needed.
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Meal Assistance
- Assist the resident with meal setup as indicated to ensure they can eat comfortably and safely.
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Occupational Therapy (OT)
- Implement OT interventions as per the therapist’s plan to improve the resident’s ability to perform ADLs independently.
Rationale
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Bathing and Hygiene
- Regular bathing and daily hygiene practices help maintain the resident’s cleanliness, reduce the risk of infections, and promote overall well-being.
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Skin Integrity Monitoring
- Monitoring skin integrity is crucial for early detection of pressure ulcers or other skin issues, allowing for prompt intervention.
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Dressing and Grooming
- Assisting with dressing and grooming enhances the resident’s comfort, dignity, and self-esteem.
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Task Segmentation and Support
- Breaking tasks into smaller steps and providing rest periods help maintain the resident’s energy levels and independence.
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Meal Assistance
- Assisting with meal setup ensures the resident receives adequate nutrition, which is essential for overall health and strength.
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Occupational Therapy (OT)
- OT interventions help improve the resident’s functional abilities and promote independence in performing ADLs.
Actions
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Bathing and Hygiene
- Provide a weekly shower or bath, adjusting the frequency as needed.
- Set up necessary items (clothes, linen, basin) for daily washing.
- Assist or supervise oral care daily, ensuring thorough cleaning.
- Assist with hair brushing daily and shampooing at least once per week.
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Skin Integrity Monitoring
- Check the resident’s skin daily for any signs of breakdown or issues, documenting findings and notifying the physician if necessary.
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Dressing and Grooming
- Help the resident dress according to their tolerance, ensuring comfort and dignity.
- Use simple, clear instructions during care to facilitate understanding.
- Provide necessary assistance with grooming tasks the resident cannot complete independently.
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Task Segmentation and Support
- Break down tasks into manageable steps to promote independence.
- Encourage and provide rest periods during ADLs to prevent fatigue.
- Monitor for signs of illness or weakness, adjusting assistance as needed.
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Meal Assistance
- Assist with meal setup, ensuring the resident can eat safely and comfortably.
-
Occupational Therapy (OT)
- Follow the OT therapist’s plan to implement interventions that support the resident’s ability to perform ADLs.
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