Oops!!! sorry but for IADLs I meant to write Instrumental Activities of Daily Living. They are also called AADLs = Advanced Activities of Daily Living, thus my mistake. My sense from what you have written i.e. Domestic ADLs may be likened to IADLs / AADLs.
I have seen the distinction between Basic ADLs and IADLs made fairly commonly by clinicians. My impression of the criteria for the distinction is that BADLs involve personal care, where as IADLs require relatively complex problem solving for example cooking a meal, an individual cannot simply cook a meal. You need the items in suitable quantities for cooking, and other issues are there as well including safety, cooking adequately, not simply going through the motions etc. Similarly going to the bank and using banking services - requires not only going to the bank and doing what you need to do, but also knowing how to get to the bank, crossing the street safely, knowing what to carry to access banking services. This could mean taking the bank card or passbook, remembering one's PIN code to use the ATM if required. As well as being able to interact with bank tellers if required. And counting the money accurately or making a deposit while fulfilling all the banking procedures. In any case Willard and Spackman's (9th Edition) defines IADLs as "activities such as telephone use, shopping, food preparation, housekeeping, medication management, financial management, and getting around one's community". (p. 869) Hope this helps to clarify the distinction. Best, Biraj Sophie Combes wrote: > I'm curious to know who decides what constitutes a 'complex' ADL. Surly what > could be considered complex for one person, may be viewed as basic for > another? > > DADL = Domestic ADL > PADL = Personal ADL > > These definitions are very basic and have their own limitations, but they > are the only ones I've encountered to date. > > Sophie > > >From: Incandescent <[EMAIL PROTECTED]> > >Reply-To: [EMAIL PROTECTED] > >To: [EMAIL PROTECTED] > >Subject: Re: [OTlist] OT Approaches used in treating schizophrenia > >Date: Tue, 29 Jul 2003 05:31:17 -0400 > > > >Advanced ADLs i.e. those which are more complex (like going grocery > >shopping, > >banking) as distinct from Basic ADLs are also known as Independent ADLs or > >IADLs. In the abbreviations you used I am not sure which one is which. > > > >Sophie Combes wrote: > > > > > I'm familiar with PADL and DADL, but what is IADL? Thanks > > > > > > >From: Incandescent <[EMAIL PROTECTED]> > > > >Reply-To: [EMAIL PROTECTED] > > > >To: [EMAIL PROTECTED] > > > >Subject: Re: [OTlist] OT Approaches used in treating schizophrenia > > > >Date: Mon, 28 Jul 2003 08:00:04 -0400 > > > > > > > >Hi Fiona: > > > > > > > >I was in a rush earlier and forgot to add a major part of the OT role > >in > > > >the psychiatric setting. By the way as far as I have seen the majority > > > >of diagnoses in mental health tend to be one of the Schizophrenias, > >with > > > >Schizophrenia - Paranoid Type probably being the most frequent one. > > > > > > > >The aspect of the OT role I referred to above is an aspect of relapse > > > >prevention. While OTs can do more direct forms of relapse prevention > > > >which can include attention training, various group approaches like > > > >social skills training, anger management, Substance Abuse Prevention > >and > > > >Training etc. The OT role also comprises of doing functional > >assessments > > > >to determine what level of independence a client can function and live > > > >at in the community after discharge. In my opinion no other profession > > > >can address this aspect like an OT can, and for this reason I believe > > > >that functional assessments are OTs' bread and butter. The underlying > > > >idea of functional assessments in mental health is that if a client is > > > >mismatched with their living environment in the community then these > > > >psychosocial stressors (arising from the mismatch between abilities and > > > >environmental demands) will result in a relapse. For this reason > > > >functional assessments focusing on ADLs and IADLs is very important. > > > >Based on a functional assessment the OT decides what level of > > > >independence can a client live at in the community i.e. fully > > > >independent (unassisted); a minimal support environment which may mean > > > >the housing situation may require once/weekly meetings with a housing > > > >support worker, medium support housing like a boarding home where all > > > >needs of a client are taken care of e.g. meals, bedmaking, personal > >care > > > >supplies and linen etc. Or a maximal support environment like a > >nursing > > > >home. And arising from functional assessments treatment comprises > > > >training in independent living skills and/or ADL training. Needless to > > > >say such group training does not always follow from a functional > > > >assessment. Because it can be done on an ongoing basis well before > > > >discharge planning begins. And these treatment groups can also be > > > >viewed as one of the activity based approaches. Hope this provides a > > > >more rounded picture of the OT role in treatment. > > > > > > > >Best, > > > > > > > >Biraj > > > > > > > >[EMAIL PROTECTED] wrote: > > > > > > > > > Can anyone let me know in their opinion which approaches are best > >used > > > > > in the treatment of schizophrenia and why? I'm an OT student and > > > > > getting confused with the different frames of references and > > > > > approaches. > > > > > > > > > > Thanks > > > > > > > > > > Fiona > > > > > > _________________________________________________________________ > > > Get Hotmail on your mobile phone http://www.msn.co.uk/msnmobile > > > > > > *****************************��********************************** > > > > > > To remove yourself from the OTnow mail list, send a message to: > > > > > > [EMAIL PROTECTED] > > > > > > In the message's *body*, put the following text: > > > > > > unsubscribe OTlist > > > > > > - > > > > > > List messages are archived at: > > > > > > http://www.mail-archive.com/[EMAIL PROTECTED] > > > > > > *****************************��*********************************** > > > > > > > > > >*****************************��********************************** > > > >To remove yourself from the OTnow mail list, send a message to: > > > >[EMAIL PROTECTED] > > > >In the message's *body*, put the following text: > > > >unsubscribe OTlist > > > >- > > > >List messages are archived at: > > > >http://www.mail-archive.com/[EMAIL PROTECTED] > > > >*****************************��*********************************** > > > > _________________________________________________________________ > Stay in touch with absent friends - get MSN Messenger > http://www.msn.co.uk/messenger > > *****************************��********************************** > > To remove yourself from the OTnow mail list, send a message to: > > [EMAIL PROTECTED] > > In the message's *body*, put the following text: > > unsubscribe OTlist > > - > > List messages are archived at: > > http://www.mail-archive.com/[EMAIL PROTECTED] > > *****************************��*********************************** *****************************��********************************** To remove yourself from the OTnow mail list, send a message to: [EMAIL PROTECTED] In the message's *body*, put the following text: unsubscribe OTlist - List messages are archived at: http://www.mail-archive.com/[EMAIL PROTECTED] *****************************��***********************************
