ACTIVITIES OF PERFORMANCE

1. PERSONAL CARE ACTIVITIES
   1. Cleanliness, Hyg. & Appear. – Bathes, performs toilet and oral hygiene activities, and dresses as needed.
      1. Bathing – Obtains and uses supplies; doffs clothing; achieves bathing position; maintains bathing position; soaps, rinses, dries all body parts; leaves bathing position.
         • 1) Obtains supplies – Obtains supplies (shampoo, soap, adaptive equipment).
         • 2) Doffs clothing – Removes (doffs) clothing.
           • aa. Upper body – Removes clothing from upper body.
           • bb. Lower body – Removes clothing from lower body.
         • 3) Regulates water – Turns on water and adjusts the temperature.
           • aa. Turns faucets on/off – Reaches and turns faucets on and off.
           • bb. Regulates temperature – Sets appropriate temperature.
         • 4) Gets in position – Gets in bathing position (transfers to shower, tub, or bathing seat).

> 4) Gets in position – Gets in bathing position (transfers to shower, tub, or bathing seat).

> 5) Cleans self – Cleans entire body (lathers and rinses body).

aa. Uses supplies – Uses washcloth, sponge, or mitt with appropriate amount of soap; able to handle soap.

bb. Face and neck – Lathers and rinses face and neck.

cc. Front torso – Lathers and rinses front half of trunk.

dd. Back torso – Lathers and rinses back.

ee. Front perineal area – Lathers and rinses front perineal area.

ff. Back perineal area – Lathers and rinses back perineal area, including buttocks.

gg. Left arm – Lathers and rinses left arm, including underarm.

hh. Right arm – Lathers and rinses right arm, including underarm.

ii. Left leg – Lathers and rinses left leg.

jj. Right leg – Lathers and rinses right leg.

> 6) Shampoos hair – Uses appropriate amount of shampoo to wash hair; rinses hair; (conditions if appropriate).

aa. Uses shampoo – Uses appropriate amount of shampoo or conditioner.

bb. Washes – Lathers hair and scrubs scalp.

cc. Rinses – Rinses soap/conditioner from hair

> 7) Dries self – Dries body, including hair.

aa. Face and neck – Dries face and neck.

bb. Front torso – Dries front half of trunk.

cc. Back torso – Dries back.

dd. Left arm – Dries left arm, including underarm.

ee. Right arm – Dries right arm, including underarm.

ff. Left leg – Dries right leg.

gg. Right leg – Dries left leg.

hh. Hair – Dries hair.

> 8) Leaves position – Leaves bathing position.

> b. Toilet Hygiene – Obtains and uses supplies; achieves toileting or elimination position; maintains

position; cleans; leaves toileting or elimination position.

> 1) Obtains supplies – Obtains and uses supplies (toilet paper, other supplies and devices).

> 2) Gets in position – Achieves toileting position (transfers to toilet, commode, or moves into position).

> 3) Eliminates – Produces/withholds eliminating contents as appropriate.

> 4) Cleans self – Cleans self (reaches and wipes anal and or genital areas sufficiently).

> 5) Leaves position – Leaves elimination position

(resumes ambulation position, replaces clothing correctly).

> 6) Flushes toilet – Flushes toilet.

> 7) Menstrual needs – Manages menstrual needs; applies, removes device.

> c. Hand Washing – Obtains and uses supplies; regulates water; soaps, scrubs and rinses, shuts water off; dries hands.

> 1) Obtains supplies – Obtains supplies.

> 2) Turns on water – Turns on water and adjusts the temperature.

aa. Turns faucets on – Reaches and turns faucets on.

bb. Regulates temperature – Sets appropriate temperature.

> 3) Cleans hands – Uses appropriate amount of soap; lathers; washes; rinses.

> 4) Turns off water – Turns water off.

> 5) Dries hands – Dries hands with towel, electric dryer.

> d. Oral Hygiene – Obtains and uses supplies; cleans mouth and teeth; rinses pertinent to natural teeth or dentures.

> 1) Obtains supplies – Obtains supplies (toothbrush, paste, dental floss, mouthwash).

> 2) Brushes – Brushes teeth (applies paste, brushes, rinses).

aa. Applies paste – Manages toothpaste container; applies appropriate amount.

bb. Brushes – Brushes all teeth.

cc. Rinses – Rinses toothpaste from mouth.

> 3) Mouthwash – Uses mouthwash (pours mouthwash into glass, rinses for appropriate amount of time, discards wash).

> 4) Flosses – Flosses teeth (obtains appropriate length of floss, flosses teeth, discards floss).

> 5) Stores dentures – Stores dentures in an hygienic and safe location.

> e. Grooming – Obtains and uses supplies; shaves; applies and removes cosmetics; combs and brushes hair.

> 1) Cares for hair – Obtains needed tools and supplies; combs/brushes; styles hair.

aa. Obtains supplies – Obtains equipment/supplies.

bb. Cares for hair – Combs/brushes and styles hair.

> 2) Fingernails – Obtains needed tools and supplies; cares for fingernails.

aa. Obtains supplies – Obtains equipment/supplies.

bb. Cares for fingernails – Cares for fingernails.

> 3) Toenails – Obtains needed tools and supplies; cares for toenails.

aa. Obtains supplies – Obtains equipment/supplies.

bb. Cares for toenails – Cares for toenails.

> 4) Shaves – Obtains supplies; shaves face, legs, axilla as needed.

aa. Obtains supplies – Obtains equipment/supplies.

bb. Shaves – Shaves face, legs, axilla as needed.

> 5) Cosmetics – Applies and removes cosmetics (obtains materials, applies appropriate amount in an acceptable fashion).

aa. Obtains supplies – Obtains equipment/supplies.

bb. Applies – Applies appropriate amount in an acceptable fashion.

> 6) Deodorant – Obtains and applies deodorant.

aa. Obtains supplies – Obtains supplies.

bb. Applies – Applies appropriate amount in an acceptable fashion.

> f. Dressing – Selects appropriate clothing; obtains clothing from storage area; sequentially dons and doffs all items including appliances (e.g. glasses, prostheses, orthoses), underwear, shoes, outerwear, and accessories; adjusts clothing; and fastens and unfastens.

> 1) Selects clothing – Selects appropriate clothing for the weather and the occasion.

> 2) Obtains clothing – Obtains and puts away clothing.

aa. opens storage – Opens closet doors and drawers.

bb. reaches and obtains clothes – Reaches, obtains and places clothing.

cc. closes storage – Closes closet doors and drawers.

> 3) Unfastens – Opens fasteners for all clothing and accessories (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, watchbands, ties, etc.)

aa. Upper body – Opens fasteners for all upper body clothing (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)

aa1. Pullover – Opens fasteners for pullover clothing (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)

aa2. Front opening – Opens fasteners for front opening clothing (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)

aa3. Bra – Opens fasteners for bras (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)

bb. Lower body – Opens fasteners for all lower body clothing (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)

bb1. Pants/Underpants – Opens fasteners for pants/underpants (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)

bb2. Shoes – Opens fasteners for shoes (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)

bb3. Socks – Opens fasteners for socks (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)

cc. Accessories – Opens fasteners for all accessories (fasteners include buttons, clasps, snaps, zippers, hook and loop,watchbands, ties, etc.)

dd. Assistive device(s) – Opens fasteners for all assistive devices (fasteners include eyeglass bands, hook and loop for splints, harnessing buckles for prosthetics, etc.)

> 4) Fastens – Closes fasteners for all clothing and accessories (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces,watchbands, ties, etc.)

aa. Upper body – Closes fasteners for all upper body clothing (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)

aa1. Pullover – Closes fasteners for pullover clothing (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)

aa2. Front opening – Closes fasteners for front opening clothing (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)

aa3. Bra – Closes fasteners for bras (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)

bb. Lower body – Closes fasteners for all lower body clothing (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)

bb1. Pants/Underpants – Closes fasteners for pants/underpants (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)

bb2. Shoes – Closes fasteners for shoes (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)

bb3. Socks – Closes fasteners for socks (fasteners include buttons, hooks in back, snaps, zippers, hook and loop, laces, etc.)

cc. Accessories – Closes fasteners for all accessories (fasteners include buttons, clasps, snaps, zippers, hook and loop,watchbands, ties, etc.)

dd. Assistive device(s) – Closes fasteners for all assistive devices (fasteners include eyeglass bands, hook and loop for splints, harnessing buckles for prosthetics, etc.)

> 5) Upper Body – Dons and doffs upper body clothing (underwear and outerwear) excluding fastenings.

> aa. Doffs upper clothing – Removes upper body clothing (outerwear, underwear, shoes)

aa1. Pullover – Takes off garments that pull over the head (undershirt, sweater, full slip, etc.)

aa1a. Grasps – Grasps garment to remove.

aa1b. Pulls up – Pulls the garment up to chest height.

aa1c. Pulls over – Pulls garment over shoulders.

aa1d. Pulls off – Pulls the garment off of arms and away from body.

aa2. Front opening – Takes off garments that have front openings (shirt, button sweater,  jacket, etc.); excluding fastenings.

aa2a. 1st arm – Removes first arm from sleeve of garment.

aa2b. Around back – Pulls the garment around the back of the body.

aa2c. 2nd arm – Removes second arm from sleeve.

aa3. Bra – Excluding fastening; removes bra

aa3a. Straps – Slips arms out of straps.

aa3b. Removes – Pulls bra away from body.

> bb. Dons upper clothing – Dons upper body clothing (underwear, outerwear, shoes).

bb1. Pullover – Puts on pullover garment (undershirt, sweater, full slip, etc.); arranges.

bb1a. Grasps – Picks garment up and positions it properly.

bb1b. 1st arm – Puts first arm through the armhole.

bb1c. Up 1st arm – Moves the garment all the way up the first arm.

bb1d. 2nd arm – Puts the second arm in the other armhole.

bb1e. Up 2nd arm – Moves the garment all the way up the second arm.

bb1f. Head & neck – Puts head through the neck opening.

bb1g. Down to sides – Pulls the garment down, attending to all sides of the body.

bb1h. Adjusts – Straightens the garment.

bb2. Front opening – Puts on garments that open in front, have front fastenings (jacket, shirt, button sweater, etc.); adjusts; excluding fastenings.

bb2a. Grasps – Picks the garment up and positions it correctly.

bb2b. 1st arm – Inserts one arm in the appropriate armhole.

bb2c. Around back – Brings the garment around the back of the body.

bb2d. 2nd arm – Inserts the second arm into the remaining armhole.

bb2e. Onto shoulders – Pulls the garment up onto the shoulders.

bb2f. Arranges – Straightens the garment.

bb3. Bra – Puts on bra, excluding fastening.

bb3a. 1st strap – Puts first arm through strap.

bb3b. 2nd strap – Puts second arm through strap

bb3c. Straightens – Assures straight material.

bb3d. Ends together – Brings two ends together.

> 6) Lower Body – Dons and doffs lower body clothing (underwear, outerwear, and footwear); excluding fasteners.

> aa. Doffs lower clothing – Removes lower body clothing (outerwear, underwear, shoes)

aa1. Pants/Underpants – Takes off pants; excluding fastening; takes off underpants.

aa1a. Waist to hips – Lowers garment from waist to hips.

aa1b. One foot – Removes first foot from garment.

aa1c. Second foot – Removes second foot from garment.

aa2. Shoes/boots – Excluding fastening (laces, Velcro, etc.); removes shoes from both feet.

aa2a. Off heel – Takes shoe off of heel (both feet).

aa2b. Off of foot – Takes shoe off rest of foot (both feet).

aa3. Socks – Takes socks off of both feet

aa3a. Ankle – Pushes/pulls sock to top of ankle (both feet).

aa3b. Over heel – Pushes/pulls sock off of heel (both feet).

aa3c. Off feet – Pushes/pulls sock until it is completely off of foot (both feet).

> bb. Dons lower clothing – Dons lower body clothing (underwear, outerwear, shoes).

bb1. Pants/Underpants – Puts on pants and/or underpants; arranges clothing; excluding fastening.

bb1a. Picks up – Picks up garment and positions properly.

bb1b. Holds open – Holds the garment open.

bb1c. 1st foot – Inserts the first foot.

bb1d. 2nd foot – Inserts the second foot.

bb1e. Over feet – Pulls the garment over both feet.

bb1f. Over knees – Pulls the garment up above both knees.

bb1g. Pulls to waist – Pulls the garment to the waist.

bb1h. Adjusts – Adjusts clothing.

bb2. Shoes/boots – Puts shoes onto both feet; excluding fastenings.

bb2a. Proper foot – Brings appropriate shoe to correct foot.

bb2b. Positions – Positions shoe to put it on (both feet).

bb2c. Toes – Slides toes into shoe (both feet).

bb2d. 1st half – Puts half of foot into shoe (both feet).

bb2e. Over heel – Puts the rest of the foot into shoe (both feet).

bb3. Socks – Puts socks or onto both feet; adjusts (fabric)

bb3a. Picks up – Picks up sock and locates the topboth feet).

bb3b. Holds open – Holds sock open in preparation to insert foot (both feet).

bb3c. On toes – Puts sock on toes (both feet).

bb3d. Over heel – Pulls sock up over heel (both feet).

bb3e. Up from ankle – Pulls sock up from ankle (both feet).

bb3f. Adjusts – Adjusts fabric on foot (both feet).

> 7) Clothing accessories – Puts on and takes off clothing accessories such as hats, scarves, mittens,

jewelry, watches, neckties, etc.; stores properly; excluding fastenings.

aa. Dons – Puts on clothing accessories.

bb. Doffs – Takes clothing accessories off.

cc. Stores – Places clothing accessories in appropriate location.

> 8) Specialty clothing – Puts on and takes off specialty clothing such as tights, swimsuits, specialty dresses, costumes, etc.; stores properly; excluding fastenings.

aa. Dons – Puts on specialty clothing.

bb. Doffs – Takes specialty clothing off.

cc. Stores – Places specialty clothing in appropriate location.

> 9) Assistive Device(s) – Puts on and takes off assistive device(s) which are worn (prosthesis, orthosis, glasses, splints, hearing aids, etc.); stores properly, excluding fastenings.

aa. Dons – Puts on assistive device(s).

bb. Doffs – Takes assistive device(s) off.

cc. Stores – Places assistive device(s) in appropriate location.

> g. Nose Blowing – Grasps tissue or handkerchief; blows and  wipes nose.

1) Grasps – Grasps tissue or handkerchief.

2) Wipes nose – Blows and wipes nose.