ACTIVITIES OF PERFORMANCE
- PERSONAL CARE ACTIVITIES
- Cleanliness, Hyg. & Appear. – Bathes, performs toilet and oral hygiene activities, and dresses as needed.
- Bathing – Obtains and uses supplies; doffs clothing; achieves bathing position; maintains bathing position; soaps, rinses, dries all body parts; leaves bathing position.
- 1) Obtains supplies – Obtains supplies (shampoo, soap, adaptive equipment).
- 2) Doffs clothing – Removes (doffs) clothing.
- aa. Upper body – Removes clothing from upper body.
- bb. Lower body – Removes clothing from lower body.
- 3) Regulates water – Turns on water and adjusts the temperature.
- aa. Turns faucets on/off – Reaches and turns faucets on and off.
- bb. Regulates temperature – Sets appropriate temperature.
- 4) Gets in position – Gets in bathing position (transfers to shower, tub, or bathing seat).
- Bathing – Obtains and uses supplies; doffs clothing; achieves bathing position; maintains bathing position; soaps, rinses, dries all body parts; leaves bathing position.
- Cleanliness, Hyg. & Appear. – Bathes, performs toilet and oral hygiene activities, and dresses as needed.
> 4) Gets in position – Gets in bathing position (transfers to shower, tub, or bathing seat).
> 5) Cleans self – Cleans entire body (lathers and rinses body).
aa. Uses supplies – Uses washcloth, sponge, or mitt with appropriate amount of soap; able to handle soap.
bb. Face and neck – Lathers and rinses face and neck.
cc. Front torso – Lathers and rinses front half of trunk.
dd. Back torso – Lathers and rinses back.
ee. Front perineal area – Lathers and rinses front perineal area.
ff. Back perineal area – Lathers and rinses back perineal area, including buttocks.
gg. Left arm – Lathers and rinses left arm, including underarm.
hh. Right arm – Lathers and rinses right arm, including underarm.
ii. Left leg – Lathers and rinses left leg.
jj. Right leg – Lathers and rinses right leg.
> 6) Shampoos hair – Uses appropriate amount of shampoo to wash hair; rinses hair; (conditions if appropriate).
aa. Uses shampoo – Uses appropriate amount of shampoo or conditioner.
bb. Washes – Lathers hair and scrubs scalp.
cc. Rinses – Rinses soap/conditioner from hair
> 7) Dries self – Dries body, including hair.
aa. Face and neck – Dries face and neck.
bb. Front torso – Dries front half of trunk.
cc. Back torso – Dries back.
dd. Left arm – Dries left arm, including underarm.
ee. Right arm – Dries right arm, including underarm.
ff. Left leg – Dries right leg.
gg. Right leg – Dries left leg.
hh. Hair – Dries hair.
> 8) Leaves position – Leaves bathing position.
> b. Toilet Hygiene – Obtains and uses supplies; achieves toileting or elimination position; maintains
position; cleans; leaves toileting or elimination position.
> 1) Obtains supplies – Obtains and uses supplies (toilet paper, other supplies and devices).
> 2) Gets in position – Achieves toileting position (transfers to toilet, commode, or moves into position).
> 3) Eliminates – Produces/withholds eliminating contents as appropriate.
> 4) Cleans self – Cleans self (reaches and wipes anal and or genital areas sufficiently).
> 5) Leaves position – Leaves elimination position
(resumes ambulation position, replaces clothing correctly).
> 6) Flushes toilet – Flushes toilet.
> 7) Menstrual needs – Manages menstrual needs; applies, removes device.
> c. Hand Washing – Obtains and uses supplies; regulates water; soaps, scrubs and rinses, shuts water off; dries hands.
> 1) Obtains supplies – Obtains supplies.
> 2) Turns on water – Turns on water and adjusts the temperature.
aa. Turns faucets on – Reaches and turns faucets on.
bb. Regulates temperature – Sets appropriate temperature.
> 3) Cleans hands – Uses appropriate amount of soap; lathers; washes; rinses.
> 4) Turns off water – Turns water off.
> 5) Dries hands – Dries hands with towel, electric dryer.
> d. Oral Hygiene – Obtains and uses supplies; cleans mouth and teeth; rinses pertinent to natural teeth or dentures.
> 1) Obtains supplies – Obtains supplies (toothbrush, paste, dental floss, mouthwash).
> 2) Brushes – Brushes teeth (applies paste, brushes, rinses).
aa. Applies paste – Manages toothpaste container; applies appropriate amount.
bb. Brushes – Brushes all teeth.
cc. Rinses – Rinses toothpaste from mouth.
> 3) Mouthwash – Uses mouthwash (pours mouthwash into glass, rinses for appropriate amount of time, discards wash).
> 4) Flosses – Flosses teeth (obtains appropriate length of floss, flosses teeth, discards floss).
> 5) Stores dentures – Stores dentures in an hygienic and safe location.
> e. Grooming – Obtains and uses supplies; shaves; applies and removes cosmetics; combs and brushes hair.
> 1) Cares for hair – Obtains needed tools and supplies; combs/brushes; styles hair.
aa. Obtains supplies – Obtains equipment/supplies.
bb. Cares for hair – Combs/brushes and styles hair.
> 2) Fingernails – Obtains needed tools and supplies; cares for fingernails.
aa. Obtains supplies – Obtains equipment/supplies.
bb. Cares for fingernails – Cares for fingernails.
> 3) Toenails – Obtains needed tools and supplies; cares for toenails.
aa. Obtains supplies – Obtains equipment/supplies.
bb. Cares for toenails – Cares for toenails.
> 4) Shaves – Obtains supplies; shaves face, legs, axilla as needed.
aa. Obtains supplies – Obtains equipment/supplies.
bb. Shaves – Shaves face, legs, axilla as needed.
> 5) Cosmetics – Applies and removes cosmetics (obtains materials, applies appropriate amount in an acceptable fashion).
aa. Obtains supplies – Obtains equipment/supplies.
bb. Applies – Applies appropriate amount in an acceptable fashion.
> 6) Deodorant – Obtains and applies deodorant.
aa. Obtains supplies – Obtains supplies.
bb. Applies – Applies appropriate amount in an acceptable fashion.
> f. Dressing – Selects appropriate clothing; obtains clothing from storage area; sequentially dons and doffs all items including appliances (e.g. glasses, prostheses, orthoses), underwear, shoes, outerwear, and accessories; adjusts clothing; and fastens and unfastens.
> 1) Selects clothing – Selects appropriate clothing for the weather and the occasion.
> 2) Obtains clothing – Obtains and puts away clothing.
aa. opens storage – Opens closet doors and drawers.
bb. reaches and obtains clothes – Reaches, obtains and places clothing.
cc. closes storage – Closes closet doors and drawers.
> 3) Unfastens – Opens fasteners for all clothing and accessories (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, watchbands, ties, etc.)
aa. Upper body – Opens fasteners for all upper body clothing (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)
aa1. Pullover – Opens fasteners for pullover clothing (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)
aa2. Front opening – Opens fasteners for front opening clothing (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)
aa3. Bra – Opens fasteners for bras (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)
bb. Lower body – Opens fasteners for all lower body clothing (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)
bb1. Pants/Underpants – Opens fasteners for pants/underpants (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)
bb2. Shoes – Opens fasteners for shoes (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)
bb3. Socks – Opens fasteners for socks (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)
cc. Accessories – Opens fasteners for all accessories (fasteners include buttons, clasps, snaps, zippers, hook and loop,watchbands, ties, etc.)
dd. Assistive device(s) – Opens fasteners for all assistive devices (fasteners include eyeglass bands, hook and loop for splints, harnessing buckles for prosthetics, etc.)
> 4) Fastens – Closes fasteners for all clothing and accessories (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces,watchbands, ties, etc.)
aa. Upper body – Closes fasteners for all upper body clothing (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)
aa1. Pullover – Closes fasteners for pullover clothing (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)
aa2. Front opening – Closes fasteners for front opening clothing (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)
aa3. Bra – Closes fasteners for bras (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)
bb. Lower body – Closes fasteners for all lower body clothing (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)
bb1. Pants/Underpants – Closes fasteners for pants/underpants (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)
bb2. Shoes – Closes fasteners for shoes (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)
bb3. Socks – Closes fasteners for socks (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)
cc. Accessories – Closes fasteners for all accessories (fasteners include buttons, clasps, snaps, zippers, hook and loop,watchbands, ties, etc.)
dd. Assistive device(s) – Closes fasteners for all assistive devices (fasteners include eyeglass bands, hook and loop for splints, harnessing buckles for prosthetics, etc.)
> 5) Upper Body – Dons and doffs upper body clothing (underwear and outerwear) excluding fastenings.
> aa. Doffs upper clothing – Removes upper body clothing (outerwear, underwear, shoes)
aa1. Pullover – Takes off garments that pull over the head (undershirt, sweater, full slip, etc.)
aa1a. Grasps – Grasps garment to remove.
aa1b. Pulls up – Pulls the garment up to chest height.
aa1c. Pulls over – Pulls garment over shoulders.
aa1d. Pulls off – Pulls the garment off of arms and away from body.
aa2. Front opening – Takes off garments that have front openings (shirt, button sweater, jacket, etc.); excluding fastenings.
aa2a. 1st arm – Removes first arm from sleeve of garment.
aa2b. Around back – Pulls the garment around the back of the body.
aa2c. 2nd arm – Removes second arm from sleeve.
aa3. Bra – Excluding fastening; removes bra
aa3a. Straps – Slips arms out of straps.
aa3b. Removes – Pulls bra away from body.
> bb. Dons upper clothing – Dons upper body clothing (underwear, outerwear, shoes).
bb1. Pullover – Puts on pullover garment (undershirt, sweater, full slip, etc.); arranges.
bb1a. Grasps – Picks garment up and positions it properly.
bb1b. 1st arm – Puts first arm through the armhole.
bb1c. Up 1st arm – Moves the garment all the way up the first arm.
bb1d. 2nd arm – Puts the second arm in the other armhole.
bb1e. Up 2nd arm – Moves the garment all the way up the second arm.
bb1f. Head & neck – Puts head through the neck opening.
bb1g. Down to sides – Pulls the garment down, attending to all sides of the body.
bb1h. Adjusts – Straightens the garment.
bb2. Front opening – Puts on garments that open in front, have front fastenings (jacket, shirt, button sweater, etc.); adjusts; excluding fastenings.
bb2a. Grasps – Picks the garment up and positions it correctly.
bb2b. 1st arm – Inserts one arm in the appropriate armhole.
bb2c. Around back – Brings the garment around the back of the body.
bb2d. 2nd arm – Inserts the second arm into the remaining armhole.
bb2e. Onto shoulders – Pulls the garment up onto the shoulders.
bb2f. Arranges – Straightens the garment.
bb3. Bra – Puts on bra, excluding fastening.
bb3a. 1st strap – Puts first arm through strap.
bb3b. 2nd strap – Puts second arm through strap
bb3c. Straightens – Assures straight material.
bb3d. Ends together – Brings two ends together.
> 6) Lower Body – Dons and doffs lower body clothing (underwear, outerwear, and footwear); excluding fasteners.
> aa. Doffs lower clothing – Removes lower body clothing (outerwear, underwear, shoes)
aa1. Pants/Underpants – Takes off pants; excluding fastening; takes off underpants.
aa1a. Waist to hips – Lowers garment from waist to hips.
aa1b. One foot – Removes first foot from garment.
aa1c. Second foot – Removes second foot from garment.
aa2. Shoes/boots – Excluding fastening (laces, Velcro, etc.); removes shoes from both feet.
aa2a. Off heel – Takes shoe off of heel (both feet).
aa2b. Off of foot – Takes shoe off rest of foot (both feet).
aa3. Socks – Takes socks off of both feet
aa3a. Ankle – Pushes/pulls sock to top of ankle (both feet).
aa3b. Over heel – Pushes/pulls sock off of heel (both feet).
aa3c. Off feet – Pushes/pulls sock until it is completely off of foot (both feet).
> bb. Dons lower clothing – Dons lower body clothing (underwear, outerwear, shoes).
bb1. Pants/Underpants – Puts on pants and/or underpants; arranges clothing; excluding fastening.
bb1a. Picks up – Picks up garment and positions properly.
bb1b. Holds open – Holds the garment open.
bb1c. 1st foot – Inserts the first foot.
bb1d. 2nd foot – Inserts the second foot.
bb1e. Over feet – Pulls the garment over both feet.
bb1f. Over knees – Pulls the garment up above both knees.
bb1g. Pulls to waist – Pulls the garment to the waist.
bb1h. Adjusts – Adjusts clothing.
bb2. Shoes/boots – Puts shoes onto both feet; excluding fastenings.
bb2a. Proper foot – Brings appropriate shoe to correct foot.
bb2b. Positions – Positions shoe to put it on (both feet).
bb2c. Toes – Slides toes into shoe (both feet).
bb2d. 1st half – Puts half of foot into shoe (both feet).
bb2e. Over heel – Puts the rest of the foot into shoe (both feet).
bb3. Socks – Puts socks or onto both feet; adjusts (fabric)
bb3a. Picks up – Picks up sock and locates the topboth feet).
bb3b. Holds open – Holds sock open in preparation to insert foot (both feet).
bb3c. On toes – Puts sock on toes (both feet).
bb3d. Over heel – Pulls sock up over heel (both feet).
bb3e. Up from ankle – Pulls sock up from ankle (both feet).
bb3f. Adjusts – Adjusts fabric on foot (both feet).
> 7) Clothing accessories – Puts on and takes off clothing accessories such as hats, scarves, mittens,
jewelry, watches, neckties, etc.; stores properly; excluding fastenings.
aa. Dons – Puts on clothing accessories.
bb. Doffs – Takes clothing accessories off.
cc. Stores – Places clothing accessories in appropriate location.
> 8) Specialty clothing – Puts on and takes off specialty clothing such as tights, swimsuits, specialty dresses, costumes, etc.; stores properly; excluding fastenings.
aa. Dons – Puts on specialty clothing.
bb. Doffs – Takes specialty clothing off.
cc. Stores – Places specialty clothing in appropriate location.
> 9) Assistive Device(s) – Puts on and takes off assistive device(s) which are worn (prosthesis, orthosis, glasses, splints, hearing aids, etc.); stores properly, excluding fastenings.
aa. Dons – Puts on assistive device(s).
bb. Doffs – Takes assistive device(s) off.
cc. Stores – Places assistive device(s) in appropriate location.
> g. Nose Blowing – Grasps tissue or handkerchief; blows and wipes nose.
1) Grasps – Grasps tissue or handkerchief.
2) Wipes nose – Blows and wipes nose.