I nɔ izi fɔ yu fɔ du di tin dɛn we yu de du ɛvride? (Activities of Daily Living - ADLs) Lɛ wi no bɔt dis!

Sɔm tin dɛn de we wi ɔl kin du ɛvride we wi nɔ kin ivin tink bɔt. Tin dɛn lɛk fɔ grap na mɔnin, fɔ was wi fes, fɔ brus wi tit, fɔ drɛs, fɔ it, fɔ shaw, ɛn fɔ go na di bafa. Dis na wetin dɔktɔ dɛn kin kɔl ‘Activities of Daily Living’ (ADL) . Dis na di impɔtant tin dɛn fɔ mek wi bɔdi gɛt wɛlbɔdi ɛn fɔ wok fayn fayn wan. Sɔntɛnde, ivin fɔ du dɛn wok dɛn ya we tan lɛk se na simpul tin fɔ wisɛf kin bi prɔblɛm fɔ sɔm pipul dɛn. Lɛ wi tɔk smɔl mɔ bɔt dɛn ADL ya tide, nɔto so?

Wetin na ADL dɛn? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, (ADL) na di bɛsis tin dɛn we wi kin du fɔ mek wi bɔdi gɛt wɛlbɔdi ɛn liv wi layf ɛvride. Wi kin sheb dɛn tin ya to tu pat. Wan na di impɔtant tin dɛm fɔ di bɔdi – lɛk fɔ it, was, ɛn go na tɔylɛt. If dɛn tin ya nɔ bin de, i nɔ bin fɔ izi fɔ wi fɔ liv.

Di ɔda pat na di mɔ kɔmpleks wok dɛn , we na wok dɛn we de ɛp yu fɔ liv yusɛf ɛn fɔ yusɛf. Fɔ ɛgzampul, fɔ manej mɔni, fɔ kam wit tin fɔ it na os, fɔ mek gadin, ɛn fɔ was klos. Fɔ du dɛn tin ya, yu nid fɔ tink ɛn plan smɔl.

Sɔntɛnde, imajin se yu fɔ du smɔl ɔpreshɔn. Yu kin nid ɛp wit dɛn ADL ya fɔ sɔm dez. Dat na nɔmal tin. Bɔt sɔm pipul dɛn kin nid ɛp fɔ du dɛn wok ya fɔ lɔng tɛm, sɔntɛm ivin fɔ di res ɔf dɛn layf. Dis kin bi bikɔs dɛn gɛt wan sik we nɔ de mɛn we kin afɛkt dɛn ebul fɔ muv dɛn bɔdi, dɛn mɛmori, ɛn aw dɛn kin ebul fɔ sɔlv prɔblɛm.

Wetin mek i impɔtant fɔ tɔk bɔt dɛn ADL ya?

We yu go to dɔktɔ ɔ kia fɔ yu famili, i go mɔs bi se di mɛdikal tim go tɔk bɔt dɛn ADL ya. Fɔ tɔk tru, dis nɔto izi tɔpik fɔ tɔk bɔt. Yu kin tink se, "O, a go gɛt fɔ abop pan ɔda pipul dɛn?" ɔ, "Mi mama/papa go ebul fɔ de na os in wan?" Dɛn frayd ɛn wɔri ya kin rili bɔku.

Di tin we impɔtant pas ɔl na fɔ tɔk bɔt dis opin wan ɛn ɔnɛs wan wit yu dɔktɔ ɔr di tim we de kia fɔ yu pɔsin we yu lɛk.

Dɛn go lisin to yu ɛn ɔndastand wetin yu want. We yu tɔk bɔt am dis we ɛn ɔndastand wetin yu go ebul fɔ du, yu ɛn yu famili go ebul fɔ disayd fɔ du di bɛst tin. Fɔ pripia fɔ dis tɔk, i kin ɛp fɔ no gud gud wan wetin dɔktɔ dɛn min we dɛn se ADL.

Tu men kayn ADL dɛn de...

Wi bin dɔn tɔk se ADL dɛn kin sheb mɔ to tu pat.

1. Besik aktiviti dɛm ɛvride (Bɛsik ADL dɛm) .

Dis na di tin dɛn we wi kin du ɛvride, we rili impɔtant fɔ mek wi go liv wi bɔdi. Sɔntɛnde dɛn kin kɔl dɛn tin ya fɔ du tin dɛn we wi bɔdi kin du ɛvride , bikɔs dɛn kin gɛt sɔntin fɔ du wit wetin wi bɔdi nid.

Sɔm ɛgzampul dɛn bɔt di bɛsis ADL dɛn:

• Fɔ gi tin fɔ it:Fɔ tek di it we de na di plet, put am na yu mɔt, ɛn it am fayn.
• Wath/Personal Hygiene: Fɔ go na di bafa yu wan, was yu bɔdi, ɛn klin yusɛf. Dis inklud fɔ brus yu tit ɛn was yu fes.
• Aw fɔ drɛs: Na fɔ pik ɛn wɛr klos fɔ yusɛf. Tin dɛn lɛk fɔ bɔtin ɛn fɔ zip.
• Tɔylɛt: Fɔ go tɔylɛt yu wan, du wetin nid, ɛn kɔmɔt na do klin.
• Transfa: Tin dɛn lɛk fɔ muf frɔm bed to chia, grap frɔm chia, ɛn waka rawnd di rum.
• Kɔntinɛns: Na di ebul fɔ kɔntrol di ebul fɔ pul dɔti ɛn pis we ɛn usay yu want.

Na wan impɔtant tin we wi fɔ mɛmba. Difrɛns de bitwin fɔ du dis bɛsik ADL ɛn fɔ du am sef wan . Imajin, yu kin muv rawnd di os, bɔt yu fil se yu nɔ balans, ɔ yu dɔn fɔdɔm sɔm tɛm ɛn yu nɔ ebul fɔ rɔnawe. If na so, i rili impɔtant fɔ tɛl dɔktɔ bɔt am.

I izi fɔ put tin dɛn bifo, tink se, "O, na so i bi we yu de ol." Bɔt if yu si se fɔ du dɛn men wok ya at pas aw i bin de du trade, nɔ mek dat mek yu at pwɛl. We yu tɛl dɔktɔ, dɛn kin tɛl yu fɔ mek sɔm simpul chenj dɛn. Fɔ ɛgzampul, fɔ pul rug dɛn we slipul na yu os ɔ fɔ put grab bar dɛn na di bafa.

2. Instrumɛnt ADL dɛn (IADL dɛn) .

Dɛn wok ya we dɛn kɔl Instrumental Activities of Daily Living (IADL), na smɔl tin we kɔmpleks pas di bɛsik ADL dɛn. Dɛn nid mɔ mental skil fɔ pefɔm. IADL dɛn nɔ jɔs de sɔpɔt wi bɛsis tin dɛn we wi nid fɔ du na wi bɔdi, bɔt dɛn de sɔpɔt wi ɔl wi wɛlbɔdi. Fɔ mek yu ebul fɔ du dɛn wok ya, yu nid fɔ ebul fɔ tink kɔmpleks, fɔ mek tin ɔganayz, ɛn fɔ ebul fɔ muv insay ɛn ausayd di os.

Sɔm ɛgzampul dɛn bɔt IADL dɛn:

• Fɔ manej os: fɔ klin di os, mek bed, pul di dɔti.
• Fɔ pripia it: Fɔ plan fɔ it, fɔ pripia di tin dɛn we yu nid, ɛn kuk am sef wan.
• Managing medications: Fɔ tek mɛrɛsin di rayt tɛm ɛn di rayt doz.
• Fɔ manej mɔni: fɔ pe bil, fɔ du bank wok, ɛn fɔ yuz mɔni fayn fayn wan.
• Shopin: Mek wan list fɔ di tin dɛn we yu nid fɔ yu os, go na di stoa, ɛn tek dɛn.
• Yuz di fon: Fɔ ebul fɔ kɔl pɔsin ɛn ansa kɔl dɛn we de kam.
• Transpɔt: Fɔ travul yu wan wit bɔs, tren, ɔ drayv yu yon motoka ɔ buk taksi.
• Bruk:Fɔ sɔt, was, drɛy, ɛn fol klos.

Bɔku tɛm, we pipul dɛn no se dɛn nɔ go ebul fɔ du dɛn IADL ya fɔ dɛnsɛf, dɛn kin aks fɔ ɛp fɔs fɔ du dɛn wok ya. Sɔmtɛm, pɔrsin nɔr kin ivin no se dɛn nid ɛp wit IADL te in fambul ɔ dɔktɔ pɔynt am. Bɔrku pipul dɛm wae nid ɛp wit IADL kin du besik ADL wae nɔr gɛt ɛni prɔblɛm.

Di tin dɛn we pɔsin nid kin chenj as tɛm de go. Fɔ ɛgzampul, pɔrsin wae gɛt smɔl smɔl kɔgnitiv prɔblɛm ɔr wae gɛt Alzaima sik wae de bigin kin gɛt prɔblɛm fɔ du sɔm IADL bɔt nɔr nid ɛni ɛp wit di bɛsis ADL dɛm. Bɔt as di kɔndishɔn de go bifo, dɛn kin bigin fɔ gɛt prɔblɛm fɔ du ivin di bɛsis ADL dɛn.

Dis na di rizin we mek fɔ asɛs ADL nɔ kin bi wan tɛm tin. Bifo dat, di wan dɛn we de kia fɔ wɛlbɔdi biznɛs, lɛk dɔktɔ, nɔs, ɛn ɔkupeshɔn tɛrapist kin chɛk ɔltɛm fɔ no aw yu ebul fɔ du di bɛsis ɛn IADL. Dɛn kin luk fɔ ɛni chenj we go sho se dɛn nid fɔ ɛp dɛn mɔ.

Ustɛm dɔktɔ dɛn kin chɛk fɔ si if dɛn gɛt ADL?

Ustɛm ɛn aw ɔltɛm dɔktɔ dɛn go asɛs yu ebul fɔ du ADL go difrɛn difrɛn wan bay yu mɛdikal istri ɛn di kɔndishɔn we yu gɛt naw. Tipikli, nɔs ɛn ɔkupeshɔn tɛrapist kin chɛk aw yu de du dɛn ADL ya fayn fayn wan we:

• We yu de na ɔspitul.
• Afta we i kam bak na os frɔm di ɔspitul.
• We i de wɛl afta dɛn dɔn ɔpreshɔn am, aksidɛnt we i gɛt na in bɔdi, we i wund in bren bad bad wan, ɔ we i gɛt strok.
• If yu gɛt wan sik we de ambɔg yu nyuro, lɛk Alzaima ɔ Pakinsin sik, we kin mek yu nervɔs sistɛm wik smɔl smɔl.
• If yu gɛt intɛlektual disabiliti.
• If yu gɛt prɔblɛm wit yu maynd.

Aw dɛn kin asɛs di ADL dɛn?

Dɔktɔ dɛn kin yuz difrɛn we dɛn fɔ no if pɔsin ebul fɔ du tin dɛn we i kin du ɛvride. Fɔ ɛgzampul, dɛn kin wach yu ɔ di pɔsin we yu lɛk we yu de du dɛn tin ya dairekt wan . Sɔntɛnde, dɛn kin aks di wan dɛn we de kia fɔ dɛn bɔt wetin dɛn de si. Ɔda tɛm, di pɔsin we gɛt prɔblɛm wit ADL go ripɔt insɛf .

Dɔktɔ dɛn kin yuz wan ɔ mɔ pan dɛn we ya togɛda fɔ ɔndastand di bɛst we aw pɔsin kin ebul fɔ kia fɔ insɛf ɛn us kayn ɛp i nid. Dipen pan ɔmɔs ɛp dɛn nid, dɔktɔ dɛn kin tɛl yu fɔ du tin dɛn lɛk:

• Yuz spɛshal tin dɛn fɔ it ɛn tin dɛn lɛk transfa bɛlt fɔ ɛp fɔ es pɔsin ɔp.
• Fɔ mek ajɔstmɛnt na os, lɛk fɔ yuz chia dɛn we gɛt say fɔ mek yu an fɔ mek i izi fɔ sidɔm ɛn grap frɔm chia.
• Fɔ tek yu famili mɛmba (infɔmal pɔsin we de kia fɔ yu) ɔ pɔsin we de ɛp yu fɔ gɛt wɛlbɔdi na os fɔ kia fɔ yu.
• Fɔ tink bɔt ɔda we dɛn fɔ slip, lɛk fɔ de na os we dɛn de ɛp pipul dɛn fɔ liv ɔ fɔ mɛn pipul dɛn we dɔn ol.

Dɔktɔ dɛn kin tray ɔltɛm fɔ tɛl yu bɔt di tin dɛn we yu go du we go mek yu ɔ di pɔsin we yu lɛk sef as yu ebul.

Wetin na di Katz Index? (Katz ADL Skel)

Dɛn kin kɔl dis bak ``Katz ADL skel.`` Dis na chɛklist we dɔktɔ dɛn kin yuz bɔku tɛm fɔ no aw yu kin du di wok we yu de du ɛvride. Di ``Katz ADL skel`` men wan de luk pan besik ADL dɛm , ɛn i nɔ de luk pan IADL dɛm (mɔ kɔmpleks wok dɛm).

Di ``Katz ADL skel'' de mɛzhɔ aw yu kin du siks (6) besik ADL dɛn fayn fayn wan. Yu kin gɛt wan mak we na wan (1) fɔ ɛni wok we yu kin du fɔ yusɛf , ɛn wan mak we na ziro (0) fɔ ɛni wok we yu nid ɛp fɔ du . So, yu kin gɛt maksimam mak we na siks (6). Di mɔ di mak we yu gɛt, na di mɔ yu go ebul fɔ du di wok fɔ yusɛf. Di mɔ di mak smɔl, na di mɔ yu go nid ɛp na yu layf ɛvride.

Na di siks besik ADL dɛm na di ``Katz ADL skel'' ɛn wetin yu nid fɔ du fɔ gɛt wan mak fɔ ɛni wan pan dɛm:

1. Waf: If yu kin klin yu ɔl bɔdi we yu nɔ ɛp, ɔ wit ɛp fɔ wan pat nɔmɔ na di bɔdi (e.g., bak).

2. Drɛs: If yu kin pik ɛn put ɔl yu klos, ɛn du tin lɛk bɔtin ɛn huk ɛn yay fɔ yusɛf (yu kin nid ɛp fɔ tay yu shuz).

3. Tɔylɛt: If yu ebul fɔ go tɔylɛt we yu nɔ ɛp yu, sidɔm pan am, yuz am, ɛn kam bak klin.

4. Transfa: Una grap fo bed o chia witout helep from oda pesin, if yu fit.

5. Kɔntinɛns: If yu gɛt kɔmplit kɔntrol pan ustɛm ɛn usay yu de pis ɛn pul dɔti.

6. Fid: If i kin tek it na di plet ɛn put am na in mɔt fɔ insɛf.

Dɔktɔ dɛn kin yuz di Katz ADL skel ɛn ɔda chɛklist ɔ asɛsmɛnt fɔ gɛt kɔmplit pikchɔ bɔt wetin yu kin du ɛn us kayn ɛp yu nid. Fɔ ɛgzampul, dɛn kin yuz di Lawton Instrumental Activities of Daily Living Scale fɔ si aw yu go ebul fɔ du mɔ kɔmpleks wok dɛn, lɛk fɔ pripia it ɔ fɔ du os wok dɛn.

If yu fɛn ADL chɛklist na di intanɛt, i bɛtɛ fɔ tɔk to dɔktɔ bifo yu yuz am fɔ yusɛf. Ilɛksɛf yu gɛt gud maynd, i izi fɔ mek yu nɔ ɔndastand wan chɛklist lɛk dis ɔ wetin i se. If yu gɛt ɛnitin fɔ wɔri bɔt yusɛf ɔ pɔsin na yu famili, di bɛst ɛn sef tin fɔ du na fɔ tɔk to dɔktɔ ɛn gɛt dɛn gayd yu fɔ no wetin fɔ du nɛks.

Di tin we impɔtant pas ɔl fɔ mek yu mɛmba (Take-Home Message) .

Dɛn tin ya we wi kin du ɛvride (ADL) na tin dɛn we wi kin du ɔltɛm ɛn dɛn kin rili insay wi layf. So, bɔku tɛm wi nɔ kin tink bɔt dɛn te yu ɔ pɔsin we wi lɛk nɔ ebul fɔ du dɛn. Na da tɛm de kwɛstyɔn dɛn lɛk, "Us kayn ɛp wi go nid? Aw lɔng wi go nid am? Wetin go apin to di tumara bambay fɔ ɔl dis?" bigin fɔ rayz.

Kwɛstyɔn dɛn kin kam na mi maynd izi wan, bɔt fɔ fɛn ansa nɔ kin izi ɔltɛm. Na dat mek i impɔtant fɔ tɛl dɔktɔ bɔt di tin dɛn we de mɔna yu. Dɛn go rɛdi fɔ wok wit yu ɛn fɛn sɔlvishɔn.

If yu de fil bad, yu de fil bad, ɔ yu jɔs taya bikɔs ɔf dis kayn wɔri, tink bɔt fɔ tɔk to pɔsin we de gi advays bɔt yu maynd . Dɛn kin ɔndastand aw yu de fil ɛn ɛp yu fɔ fɛn fayn we fɔ mɛn dɛn chenj ya na yu layf izi smɔl. Mɛmba se nɔto yu wan de!

` Aktiviti dɛm fɔ liv ɛvride, ADL dɛm, besik ADL dɛm, ikwipmɛnt yus ADL dɛm, IADL dɛm, wɛlbɔdi asɛsmɛnt dɛm, fɔ kia fɔ ol pipul dɛm, fɔ liv indipɛndɛnt