Yu tink se i at fɔ du tin dɛn we yu de du ɛvride yu wangren? Mek wi tok (Aktiviti dem fo Daily Living - ADLs)

Yu dɔn ɛva si yu mama, papa, ɔ grani we yu lɛk tek smɔl tɛm fɔ put dɛn yon bɔtin? Ɔ i tan lɛk se yu fɔgɛt smɔl we yu de mek kɔp ti? Wi de si dɛn smɔl smɔl tin ya ɛvride. Sɔntɛnde wi kin fɔgɛt bɔt dɛn, ɛn tink se, "Na so i kin bi we wi dɔn ol." Bɔt dɛn simpul tin ya kin rili tɔk bɔku tin bɔt wi wɛlbɔdi, mɔ di we aw wi kin ebul fɔ liv wi layf fɔ wisɛf. Na dat wi kin kɔl "Activities of Daily Living (ADLs)" na mɛrɛsin.

Fɔ tɔk am simpul wan, wetin na dɛn tin ya we pɔsin kin du fɔ liv ɛvride (ADL)?

Dis na tin we rili simpul. ADL na di impɔtant wok dɛm wae wi kin du ɛvride fɔ kia fɔ wi bɔdi ɛn fɔ gɛt wɛl bɔdi. Tink bɔt am, di tin dɛn we wi kin du frɔm di tɛm we wi wek na mɔnin te wi go slip na nɛt. Wi nɔ go ebul fɔ liv if wi nɔ gɛt tin dɛn lɛk fɔ it, fɔ was, ɛn fɔ go na tɔylɛt. Na dɛn men tin dɛn de kin kam insay.

Dɔn bak, dis kin ad smɔl mɔ kɔmplisiti. Fɔ ɛgzampul, tin dɛn lɛk fɔ manej mɔni, fɔ kam wit tin fɔ it na os, fɔ kuk, ɛn fɔ was klos. If dɛn tin ya nɔ de, i at fɔ lɛ wi liv wi wan ɛn fɔ wisɛf, nɔto so?

Sɔntɛnde, pɔrsin kin jɔs nid ɛp fɔ du dɛn wok ya fɔ shɔt tɛm. Imajin se yu leg brok ɛn dɛn dɔn du ɔpreshɔn pan yu. Fɔ sɔm tɛm, i nɔ go izi fɔ yu fɔ was ɔ waka fɔ yusɛf. Da tɛm de, sɔmbɔdi go nid ɛp. Bɔt we di wund dɔn wɛl, yu go ebul fɔ du dɛn tin ya fɔ yusɛf bak.

Bɔt sɔm pipul dɛn nid ɛp fɔ du dɛn wok ya fɔ lɔng tɛm, sɔntɛm fɔ di res ɔf dɛn layf. Dis na bikɔs dɛn gɛt wan sik we nɔ de mɛn. Fɔ ɛgzampul, pɔsin we gɛt siriɔs at at kin gɛt prɔblɛm fɔ bɔtin klos ɔ it bikɔs i nɔ kin ebul fɔ bɛn ɔ stret in an ɛn fut dɛn fayn fayn wan. Semweso, pɔrsin wae gɛt dis sik wae de mɛmori ɔltɛm (lɛk Alzaima sik) kin bigin fɔ fɔgɛt tin dɛm lɛk fɔ kuk ɛn fɔ yuz mɔni.

Dɔktɔ dɛn kin sheb dɛn ADL ya to tu pat. Lɛ wi luk dɛn wan bay wan.

1. Besik Aktiviti dɛn we dɛn kin du ɛvride (Bɛsik ADL dɛn) .

2. Aktiviti dɛm fɔ liv ɛvride we involv fɔ yuz inschrumɛnt dɛm (Instrumental ADL ɔ IADL) .

Besik Daily Activities (ADL) - Di impɔtant tin dɛm fɔ liv

Dis inklud di tin dɛm we wi rili nid fɔ du fɔ liv, tin dɛm we gɛt fɔ du wit wi bɔdi dairekt wan. Dɛn tin ya tan lɛk di men tin dɛn we wi bɔdi nid. If wi nɔ ebul fɔ du ɛni wan pan dɛn tin ya, i go afɛkt wi wɛlbɔdi dairekt wan.

Tink bɔt am dis we. If yu ebul fɔ waka, bɔt yu nɔ balans ɛn fɔdɔm we yu de waka, dat na prɔblɛm. I min se yu kin du am, bɔt yu nɔ go ebul fɔ du am sef wan . If yu trip pan smɔl rug na os ɛn fɔdɔm, ɔ if yu slip ɛn fɔdɔm na di bafa, yu fɔ rili tɛl yu dɔktɔ bɔt dɛn tin dɛn de.

Nɔ put dɛn tin ya bifo fɔ tink se, "Dis na jɔs aw i kin bi we yu dɔn ol." Ivin smɔl chenj kin bi di biginin fɔ big prɔblɛm.

Assisted Living Activities (IADL) - Tin dɛm wae de ɛp yu fɔ liv fɔ yusɛf

Naw lɛ wi luk di sɛkɔn pat. Wi kin kɔl dɛn tin ya `Instrumental Activities of Daily Living (IADLs).` Dɛn tin ya nɔ kin impɔtant fɔ liv lɛk dɛn bɛsik wok dɛn de. Bɔt if pɔsin fɔ liv in wan, sef, ɛn fɔ insɛf na di sosayti, i fɔ ebul fɔ du dɛn wok ya. Dis nid fɔ mek yu kɔmpleks smɔl, yu fɔ plan, ɛn ɔganayz.

Bɔku tɛm, di fɔs tin we pɔsin kin no na we i nid ɛp na we i nɔ ebul fɔ du dɛn IADL ya. Sɔntɛnde dɛn kin no se, "O, a nɔ kin ebul fɔ tek di bɔs mi wan igen," ɔ "A kin fɔgɛt fɔ tek mi mɛrɛsin sɔm tɛm." Sɔmtɛm de pɔrsin nɔr kin no, bɔt dɛn fambul ɛn dɔktɔ kin si di difrɛns.

Bɔku tɛm, ivin pɔsin we gɛt prɔblɛm fɔ du IADL kin stil du di bɛsis ADL dɛn we wi bin dɔn tɔk bɔt bifo tɛm (lɛk fɔ was ɛn it) we nɔ gɛt ɛni prɔblɛm. Bɔt we tin dɛn de lɛk sik dɛn we gɛt fɔ du wit mɛmori, as tɛm de go, ivin di bɛsis ADL dɛn kin bigin fɔ at fɔ du.

Us tɛm dɛn dɔktɔ dɛn kin luk fɔ dɛn ADL ya?

Dis nɔto tɛst we dɛn kin du pan ɔlman ɔltɛm, bɔt dɛn kin luk am spɛshal wan pan sɔm tin dɛn. Dɛn kayn tin ya kin bi:

• We yu de na ɔspitul: If dɛn de trit yu na ɔspitul fɔ sik, di nɔs ɛn dɔktɔ dɛn go chɛk fɔ si if yu ebul fɔ wok fɔ yusɛf bifo dɛn sɛn yu na os.
• Afta dɛn dɔn du ɔpreshɔn, aksidɛnt, ɔ strok: Bikɔs di bɔdi nɔ kin wok fayn afta sɔntin lɛk dis, bɔku tɛm dɛn kin fɛn dɛn tin ya we pɔsin kin ebul fɔ du we i de wɛl.
• We sik dɛn de we de ridyus mɛmori ɛn bren wok: Bikɔs di kɔndishɔn fɔ pipul dɛn we gɛt sik lɛk `Alzheimer’s disease` ɛn `Parkinson’s disease` kin chenj as tɛm de go, dɛn kin chɛk dɛn ɔltɛm fɔ si if dɛn kin wok fɔ dɛnsɛf.
• Wae pɔrsin gɛt mɛntɛl hεlth prɔblɛm: Sɔm mɛntɛl hεlth kכndyushכn kin rεsכp pɔrsin in intres εn ebul fɔ du in wok. Dis na tɛm bak fɔ pe atɛnshɔn.

Aw dɛn kin mɛzhɔ dɛn abiliti dɛn ya?

Dɔktɔ dɛn kin yuz difrɛn we dɛn fɔ du dis.

• Dairekt obshɔbishɔn: Yu de wach pɔsin dairekt wan we de du di wok ɛn asɛs aw yu go ebul fɔ du am fayn fayn wan.
• Aks pɔsin we de kia fɔ yu: If yu gɛt pɔsin we de kia fɔ yu, aks dɛn bɔt wetin yu ebul fɔ du ɛn gɛt infɔmeshɔn.
• Self-report: Sɔntɛnde yu kin aks yusɛf , "Yu kin du dis yu wan? Wetin na di prɔblɛm dɛn?"

If yu yuz wan ɔ mɔ pan dɛn we ya, yu go no ɔmɔs ɛp yu nid. Bay dis, yu dɔktɔ kin tɛl yu se:

• Yuz tin dɛn we go ɛp yu: Tin dɛn lɛk tin fɔ waka fɔ waka, spɛshal kɔtlɛri fɔ it, ɛn handel fɔ batrum.
• Fɔ mek chenj dɛn to di say we yu de na os: Tin dɛn lɛk fɔ yuz chia dɛn we gɛt an, fɔ pul di rug dɛn we slipul, ɛn ɔda tin dɛn.
• Fɔ haya pɔsin fɔ ɛp: Fɔ haya pɔsin fɔ ɛp wit wok na os ɔ di savis dɛm fɔ `home health aide`.
• Ɔda ples dɛn fɔ slip: I go dipen pan di tin we de apin, rifer am to ples lɛk usay dɛn de ɛp pipul dɛn fɔ liv ɔ usay dɛn de kia fɔ ol pipul dɛn.

Lɛ wi lan bak bɔt di Katz ADL Scale kwɛshɔn.

Dis na wan we we dɔktɔ dɛn ɔlsay na di wɔl de yuz bɔku bɔku wan. Dɛn kɔl am di `Katz Indeks fɔ Indipɛndɛns insay Aktiviti dɛm fɔ De Liv` ɔ `Katz ADL skel`. I de mɛzhɔ aw yu kin du di 6 bɛsik ADL dɛn we wi bin dɔn tɔk bɔt fɔs fɔ yusɛf.

Dis na tin we rili simpul. Yu gi 1 poɛnt fɔ ɛni wok we yu kin du yu wan, we nɔ gɛt ɛp. Yu gi 0 poɛnt fɔ ɛni wok we nid ɛp. Di maksimal mak na 6.

Lɛ wi si wetin na dɛn 6 besik ADL dɛn de ɛn wetin yu nid fɔ du fɔ gɛt mak.

Di dɔktɔ go yuz di Katz ADL skel, wit ɔda kwɛstyɔn dɛn lɛk di Lawton Instrumental Activities of Daily Living Scale, we de mɛzhɔ IADL dɛn, fɔ gɛt kɔmplit pikchɔ bɔt yu kɔndishɔn. If yu fɛn dɛn kayn kwɛstyɔn dɛn de na di intanɛt, nɔ fil dɛn ɛn disayd fɔ yusɛf. Yu kin mistek ɛksplen di infɔmeshɔn. Di bɛst ɛn sef tin fɔ du na fɔ tɔk to dɔktɔ ɛn du dɛn tin ya ɔnda in gayd if yu ɔ pɔsin we yu lɛk de gɛt dis kayn prɔblɛm.