Ac#vi#es of Daily Living (ADLs)
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Background
ADLs refer to the general self-‐care tasks that an individual performs each day, such as toile#ng and dressing. ADLs are essen#al for independent living and are o@en used as a tool by health professionals to assess the current and future abili#es of a pa#ent. ADLs become more difficult with age, and while they may be impaired at other points of the lifespan by an injury, they are most frequently studied among older adults.
Assessment
In a tradi#onal assessment of ADLs, the pa#ents level of self-‐independence is evaluated by observing them in a clinical seGng. Another common method is the magnitude es#ma#on technique, which creates a measure that is comparable to the means for func#onal dependencies to help determine where the pa#ent falls in regards to others their age. Social rhythm metric, robo#c gloves, and other complex instruments have also been used to examine ADLs.
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The figure above visually shows the most common types of ADLs that individuals in assisted living communi#es required help with.
References
1. Caffrey, C. (2012). Residents living in residen-al care facili-es: United States, 2010. U.S. Dept. of Health and Human Services, Centers for Disease Control and Preven#on, Na#onal Center for Health Sta#s#cs. 2. Dogan, M., Kocak, M., Kilinc, O., & Ayvat, F. (2019). Func#onal range of mo#on in the upper extremity and trunk joints: Nine func#onal everyday tasks with iner#al sensors. Gait & Posture,70, 141-‐147. 3. Finch, M., Kane, R., & Phillip, I. (1995). Developing a New Metric for ADLs. Journal of the American Geriatrics Society, 43(8), 877-‐884. 4. Kim, H., Yoo, E., Jung, M., Kim, J., Park, J., & Kang, D. (2018). The effects of mental prac#ce combined with modified constraint-‐induced therapy on cor#cospinal excitability, movement quality, func#on, and ac#vi#es of daily living in persons with stroke. Disability & Rehabilita-on,40(20), 2449-‐2457. 5. Poncet, F., Swaine, B., Du#l, E., Chevignard, M., & Pradat-‐Diehl, P. (2017). How do assessments of ac#vi#es of daily living address execu#ve func#ons: A scoping review. Neuropsychological Rehabilita-on, 27(5), 618-‐666.
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Current Research
For adults in the U.S, the most common tasks that pa#ents require help with are bathing, dressing, toile#ng, transferring, and ea#ng. Nearly 4 in 10 adults living in a residen#al care community in the U.S require help with at least 3 or more ADLs each day. The most common condi#ons in the U.S that require assistance with ADLs are hypertension, demen#as, heart disease, depression, arthri#s, and osteoporosis, respec#vely.
Relevance to the Field
ADLs are one of the most important tools u#lized in health care because they help determine a pa#ents living status and whether or not they are suited to be living independently. Exercises related to ADLs can greatly improve a pa#ents mobility and range of mo#on. Older adults who par#cipate in ADLs exercises of sufficient intensity and repe##on have shown to have a reduc#on in the risk of func#onal limita#ons by almost 50%, which helps promote independency and overall quality of life.