Chapter 17 Activities of Daily Living (Basic)
In the following sections, bed activities, transfer, feeding (aspiration), carrying, and lifting concerns will be listed. These concerns are activity (dynamic) related. (For static issues, see Positioning.)
17.1 Bed Activities
CONTRAINDICATIONS AND PRECAUTIONS
L00-L99 DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE
M00-M99 DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE
1 Pierson FM, Fairchild SL. Principles and techniques of patient care, ed 3. Philadelphia: W.B. Saunders, 2002.
2 Maihafer GC. Rehabilitation of total hip replacements and fracture management considerations. In: Echternach JL, editor. Physical therapy of the hip. New York: Churchill Livingstone, 1990.
3 AHCPR. Pressure ulcers in adults: prediction and prevention. Clinical Practice Guideline Number 3, AHCPR Pub. No. 92-0047, May 1992.
17.2 Carrying
Carrying is defined as the act of moving something from one place to another place and is applied below within the context of UE activity.1 Upper limb prosthetic concerns and ergonomic issues are listed below.
1 Webster’s third new international dictionary. Springfield (MA): Merriam-Webster, 1981.
2 Kisner C, Colby LA. Therapeutic exercise: foundations and techniques, ed 3. Philadelphia: F.A. Davis, 1996.
3 Pierson FM, Fairchild SL. Principles and techniques of patient care, ed 3. Philadelphia: W.B. Saunders, 2002.
17.3 Feeding/Swallowing Problems (Dysphagia)
OVERVIEW.
Aspiration of vomitus involves the inhalation of regurgitated gastric contents into the pulmonary system.1 It may be unsafe to have patients feed by mouth if they are at high risk for aspiration. Signs of a person with high risk for aspiration include decreased alertness, decreased responsiveness, absent swallow, absent protective cough, difficulty handling secretions (excessive cough, choking), copious secretions, a wet gurgling voice quality, or a decreased movement (range and strength) of oral, pharyngeal, and laryngeal areas.2
