P.K.C.
DAMAYANTHI
DEPUTY CHIEF MATRON
LANKA HOSPITALS
BASIC DEFINITION OF CAREGIVER
A caregiver is an unpaid or paid member who helps a
old age or disable person with his/her activities of daily
living.
Typical duties of a caregiver might include,
I. taking care of someone who has a chronic illness or
disease
II. managing medications or talking to doctors and
nurses on someone's behalf
III. helping to bathe or dress someone who is disabled
IV. taking care of household chores, meals, or bills for
someone who cannot do these things alone.
DOMESTIC AFFAIRS OF THE CLIENT
There are two major categories of domestic affairs
1. Medical
2. Non medical
MEDICAL DOMESTIC AFFAIRS
Assisting for daily living activities (ADL) and
instrumental ADL
Accompanying the client for medical care
Prevent accidents, poisoning and suicides
Providing basic first aid
Seeking assistance and advices in providing care
NON MEDICAL DOMESTIC AFFAIRS
Shopping
Cooking
Housekeeping
Laundry
Maintain accounts
Attend recreational activities
Take the client out
ACTIVITIES OF DAILY LIVING(ADL)
The Activities of Daily Living are a series of basic
activities performed by individuals on a daily basis
necessary for independent living at home or in the
community.
ADL
There are 5 basic categories.
Personal hygiene – bathing/showering, grooming, nail care, and oral
care
Dressing - the ability to make appropriate clothing decisions and
physically dress/undress oneself
Eating - the ability to feed oneself, though not necessarily the
capability to prepare food
Maintaining continence - both the mental and physical capacity to
use a restroom, including the ability to get on and off the toilet and
cleaning oneself
Transferring/Mobility- moving oneself from seated to standing,
getting in and out of bed, and the ability to walk independently from
one location to another
INSTRUMENTAL ADL(IADL)
Instrumental ADL are actions that are important to
being able to live independently, but are not
necessarily required activities on a daily basis.
The instrumental ADL are not as noticeable as the
ADL when it comes to loss of functioning, but
functional ability for IADLs is generally lost prior to
ADLs.
IADLs can help determine with greater detail the
level of assistance required by an elderly or disabled
person.
IADL
The IADLs include:
Basic communication skills - such as using a regular phone,
mobile phone, email, or the Internet
Transportation - either by driving oneself, arranging rides, or
the ability to use public transportation
Meal preparation - meal planning, cooking, clean up, storage,
and the ability to safely use kitchen equipment and utensils
Shopping - the ability to make appropriate food and clothing
purchase decisions
IADL
Housework - doing laundry, washing dishes, dusting,
vacuuming, and maintaining a hygienic place of residence
Managing medications - taking accurate dosages at the
appropriate times, managing re-fills, and avoiding conflicts
Managing personal finances - operating within a budget,
writing cheques, paying bills, and avoiding scams
ADL checklist - daily
ADL checklist - weekly
ADL checklist - monthly
Case Scenario
51 years old Mrs.Senanayake with left hand and leg weakness,
loss of appetite and diarrhea.
Past medical history: Hypertension, Stroke, Diabetes Mellitus
and lung cancer
At present her vital signs are BP 150/90 mmHg, RR 18 per min,
PR 120 per min, Tm 101F
She is on Atenolol 5mg Mane, Aspirin 75mg Nocte, Diamicrone
MR 30mg BD, Paracetamol 1g QID and Mixtard Insulin 20U
Mane and Vesper
Physiotherapy BD Daily
Neurology physician referral 2nd Dec 2021
Dietitian referral EOD
Write your ADL checklist in daily, weekly and monthly basis
THANK YOU
