1. Chapter 13 Self Care Skills

2. Self Care Skills • Toileting • Dressing • Grooming • Personal Hygiene

3. Why • Every day • Time • Energy • Social Acceptance • Sensorimotor • Cognition • Independence • Accomplishment • Pride

4. Creating a Program • Meet with family and therapists • Select specific skills and goals • Instructional method • Socially valid • Age appropriate • Meaningful assessments • Task analysis

5. Keep in mind • Partial Participation • Caregivers • Appropriate environment • Uncomplicated methods • Adapting materials • Sequences of activities • Physical assistance (as needed) • Related Skills

6. Toileting Skills Difficult to teach Self awareness Sequences of related skills May not be able to complete independently

7. Assessing • Physiological readiness • Age • Awareness • Pattern • Current elimination patterns • Chart • Ability to preform related tasks • Separate goals • May not be able to complete all goals independently • Starting point

8. Methods Habit training Massed Practice • Stage 1 Habit Training • Stage 2 Self Initiated • Stage 3 Toileting Independence • High intensity • Multiple opportunities • Increased Fluid • Dry Pants inspection • Accident treatments • Self initiating training • Moisture signaling

9. Difficulties • Fear • Unfamiliar • Size • Noise • Temperature • Public • Reactions • Materials • Distractions

10. Dressing

11. Dressing • Select skill • Frequency • Age • Vocational Requirements • Connection to other skills • Setting • Modeling

12. Deciding Strategies • Current level • Minimal assistance • Undressing before dressing • Techniques • Modified clothing • Where and when

13. Position • Comfortable • Best for maximizing ability • Aware of disability

14. Clothing Fabric • Comfort • Care Design • Cut • Durability Fasteners • Size • Type Specialized Clothes • Special Clothes Inc. Latex Aids

15. Personal Hygiene

16. Key Reasons • Clean • Social acceptance • Well Groomed • pride • Prevent illness and infection

17. Strategies • Adapted Items • Assisted devices • Routines • Skills • Personal Care • Partial independence