Biraj
diana zmijak wrote:
I thnk you described that quite nicely Biraj! ( IADL's)
Diana
>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 09:12:14 -0400
>
>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
> > > >
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