Serving the Underserved: Caring for People Who Are Both Old and Mentally Retarded: A Handbook for Caregivers

By Mary C. Howell; Deirdre G. Gavin et al. | Go to book overview

Type of residence and employment, family, friend and staff contact, and community resources are all taken into account.

This assessment is accomplished in one hour. Skill assessment and direct observation of the client in individual or group activities would be helpful, but are rarely possible in a project such as ours because of time constraints. There is an almost total reliance on caregivers as reporters of the client's present and past leisure interests and abilities. Despite these liabilities, the leisure assessment process has helped individual clients, caregivers, and other Interdisciplinary Team members to realize the value and benefits of leisure for clients. The ability to experience leisure is a fundamental right of all our clients.


21
ASSESSMENT BY REHABILITATION MEDICINE

Keith M. Robinson

Rehabilitation medicine is a philosophy of care as well as a specialty of medical practice. It is an approach that induces, facilitates, and maintains the control that an individual has in everyday life. Quality of life can be defined as such control.

This control is achieved by striving for optimal performance of a hierarchy of survival skills in three broad areas: activities of daily living (ADLs), mobility, and communication. Activities of daily living are categorized as basic or higher level; basic mobility being bathing, feeding, dressing, and toileting, and higher level mobility being shopping, preparing meals, choosing clothing, doing laundry, cleaning house, and managing finances. Mobility can also be basic or higher level; basic mobility is getting out of bed, transferring from bed to chair or from wheelchair to toilet, wheelchair ambulation, and walking with

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