If you spend time in a healthcare facility, you may hear the term "ADL" used by staff. ADL is medical shorthand for "Activities of Daily Living." Learning this shorthand and what it entails can help you advocate that your basic needs are addressed in a medical situation.
By definition, ADLs are the essential tasks that each person needs to perform, on a regular basis, to sustain basic survival and well-being. The term helps healthcare professionals quickly communicate the level of assistance an individual might need or how their health is impacting their day-to-day life.
One standard for defining the areas of Activities of Daily Living is the Occupational Therapy Practice Framework, which defines ADLs as "activities that are oriented toward taking care of your own body." The activities are broken down into nine areas.
Some administrators narrow the essential living needs into six broader categories referred to as basic Activities for Daily Living (bADL):
You may look at the list about and think that even if you could safely do those nine items, there are still quite a few things that contribute to your quality of life. Don't worry, there is an extension to the list.
Instrumental Activities of Daily Living (IADLS) refer to activities that support daily life and are oriented toward interacting with your environment. IADLs are typically more complex than ADLs. They are important components of home and community life but can be easily delegated to another person.
There is also an extension to the extension. The Occupational Therapy Practice Framework also refers to the below areas of activity, which are sometimes included in ADL and IADLS lists.
ADLs are the basic things you need to do to survive and be well. IADLs are the things you can do to enhance your personal interactions and/or environment.
Occupational therapists assist their clients in engaging in meaningful and purposeful daily tasks. For many occupational therapists, helping their clients perform ADLs are the "bread and butter" of their services.
ADLs can be an important factor in medical decision-making. Here are some examples:
An occupational therapist will often take the lead in assessing your ability to perform ADLs and work with you and your healthcare team to ensure that these basic needs are met.
An assessment of ADLs and IADLs are used to determine if it is safe for a person to live independently and what, if any, supports should be provided. They are also used to assess if more intervention is needed for chronic pain or other medical conditions. An improvement in ADLs and IADLs can suggest a treatment is working.
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By Sarah Lyon, OTR/L
Sarah Lyon, OTR/L, is a board-certified occupational therapist and founder of OT Potential.
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