Chapter 13Self Care Skills

Self Care SkillsToiletingDressingGroomingPersonal Hygiene

WhyEvery dayTimeEnergySocial Acceptance

SensorimotorCognitionIndependenceAccomplishmentPride

Creating a ProgramMeet with family and therapistsSelect specific skills and goalsInstructional method

Socially validAge appropriateMeaningful assessments

Task analysis

Keep in mindPartial ParticipationCaregivers

Appropriate environmentUncomplicated methodsAdapting materialsSequences of activitiesPhysical assistance (as needed)Related Skills

Toileting SkillsDifficult to teachSelf awarenessSequences of related skillsMay not be able to complete independently

AssessingPhysiological readiness

AgeAwarenessPattern

Current elimination patternsChart

Ability to preform related tasksSeparate goalsMay not be able to complete all goals

independently Starting point

MethodsHabit training Massed PracticeStage 1 Habit TrainingStage 2 Self Initiated Stage 3 Toileting

Independence

High intensityMultiple opportunitiesIncreased FluidDry Pants inspectionAccident treatmentsSelf initiating trainingMoisture signaling

DifficultiesFear

UnfamiliarSizeNoiseTemperaturePublic

ReactionsMaterialsDistractions

Dressing

DressingSelect skillFrequencyAgeVocational RequirementsConnection to other skillsSettingModeling

Deciding StrategiesCurrent levelMinimal assistanceUndressing before dressingTechniques Modified clothingWhere and when

PositionComfortableBest for maximizing abilityAware of disability

ClothingFabric

Comfort Care

Design CutDurability

Fasteners Size Type

Specialized Clothes

Special Clothes Inc.

LatexAids

Personal Hygiene

Key ReasonsClean

Social acceptanceWell Groomed

pridePrevent illness and infection

StrategiesAdapted ItemsAssisted devicesRoutinesSkillsPersonal Care

Partial independence