Resident Evaluation Form Personal Care

Transcription

1 Resident Name Date Evaluator Directions: Use this information to supplement your existing assessment. Exercise examples designed to improve skill areas are included with this resource. Skill needed Corresponding Activity resident Flexibility Bends to wash legs and feet Bends to put on socks and shoes Brushes hair Fine motor control Picks up a comb or brush Removes the cap from a tube of toothpaste Dispenses shaving cream Grip Strength Uses the grab bars in the tub or shower Holds toilet paper Operates the faucet Hand eye coordination Puts on make-up Shaves him/herself Brushes teeth, flosses, or uses a personal oral cleaning system

2 Skill needed Corresponding Activity resident Range of motion Washes and style hair Brushes teeth Shaves Applies make-up Steadiness Upper body strength Endurance Lower body strength Keeps hand/arm steady to allow for placement of toothpaste on toothbrush Holds hair dryer overhead to complete task Completes a grooming activity without tiring Gets in and out of the tub or shower Able to rise from commode Able to lift legs to put on pants or slacks Balance Shifts weight and remains steady when dressing and undressing Shifts weight and remains steady when stepping in and out of bathtub Smell Is aware of body odors

3 Skill needed Corresponding Activity resident Vision Is able to locate soap and shampoo Applies make-up appropriately Shaves completely Touch sensitivity Hearing Cognitive ability Is able to judge water temperature Knows when a shaver, toothbrush, hair dryer or other appliance is operating Remembers to perform grooming activities Is willing to bathe or shower Health issues Shortness of breath Pain Weakness GI disturbance Dizziness Other health issues

4 Exercise Suggestions to Improve Specific Skills Just doing Activities of Daily Living (ADLs) is good exercise whether the resident does them independently or with some assistance. The activities suggested here can supplement the exercise obtained by doing ADLs but does not replace it. A resident should not engage in a new exercise program without approval of primary medical doctor. Use exercise videotapes appropriate for the specific audience. Resident Name Date Evaluator needed Skills to Improve Suggested activities completed Shoulder and elbow flexibility Waist flexibility Fine motor control Hand eye coordination Range of motion in shoulders Steadiness Grip strength Swimming; water aerobics; stretching exercises Stretching exercises Put together puzzles, sort coins, play checkers, paint or draw, knitting, crocheting, crafts; play dominos; send cards to friends Playing cards, knitting, crocheting, crafts Raising arms over head; putting hands behind back; yoga postures that involve those actions See lower body strength exercises; See also, endurance exercises Squeezing a tennis ball; squeezing putty

5 needed Skills to Improve Suggested activities completed Range of motion Upper body strength Lower body strength Endurance Balance Perineal muscles Vision Hearing Smell and taste Touch sensitivity in fingers, skin, mouth Cognitive ability Swimming; water aerobics; gardening Weights lifting, swimming, catching a ball, playing pool Walking, biking, ride stationary bike; Toe raises; See also, balance activities Walking, biking, sitting upright in a chair Walking, biking, line dancing, standing on one foot, gardening Practice the Kegel exercise daily Wear corrective lenses; use magnifying tools Wear corrective hearing aids; use head sets; turn on subtitles on television and films Evaluate medication side effects; report loss of smell and taste to the resident s medical doctor; report loss to dentist. Have the resident s doctor evaluate the cause of a loss of sensitivity; protect hands and feet if sensation is decreased; be aware of temperature (extreme cold or heat) and use gloves; use canes and other assistive devices Play board games, do crossword puzzles, read; play dominos Other