Activities of daily living

The importance of a healthy daily routine

At SDP, we are proud to serve non-profit organizations that provide essential services to the population. The specific issues faced by people benefiting from the services of resources that use ASO are diverse, but one point that is often common is the difficulty of maintaining activities of daily living (ADLs). Indeed, regardless of the difficulty experienced, one sphere where a change can quickly be observed is that of activities of daily living. Liang et al (2022) observe a direct correlation between the degree of disruption of daily activities and the severity of anxiety and depressive symptoms.

Some resources provide assistance directly linked to ADLs, offering services such as food assistance, cooking workshops, socialization opportunities, activities, etc. Others integrate ADLs almost automatically into the intervention plan for their diverse populations. Others integrate activities of daily living almost automatically into the intervention plan for their diverse populations. Many of the organizations that use ASO offer residential services where the person is housed within the resource and often participates in daily tasks, among other things, to encourage a return to a healthy level of activities of daily living. Regardless of the form of assistance offered, many of the elements discussed may apply.

Integrating ADLs into the intervention plan

Brown (2022) highlights how coaching in the establishment of a daily routine is a simple and accessible intervention that is effective in reducing psychological symptoms.

In ASO, a tool often used is the intervention plan. The intervention plan enables specific objectives to be set and monitored:

Now, it's also possible to have predefined objectives that appear as soon as a new intervention plan is created. By choosing predefined objectives related to ADLs, it would be possible to emphasize the importance of paying attention to this sphere:

Leveraging group activities

Heubner & Tryssenaar (1996) highlight the benefits of organizing activities for people living in a homeless shelter. In fact, they observed that leading playful activities accessible to all residents improved communication and social functioning among participants. It was another way of getting people back into action.

Salles & Barros (2009) indicate that activities of daily living and social participation decline as a result of mental health. They also report that mental health services greatly value these activities, as they promote autonomy and a place in society.

For group activities, both group interventions and activities can be used in ASO. These two sections can be used to organize and track group activities: recreational activities, residents' meetings, etc. Participation is also tracked through these sections. Some resources also use these sections to manage registrations and waiting lists directly on the activity page.

Schultz-Krohn (2004) reiterates the importance of family routines in all contexts, sharing the results of her research on parents living in a homeless shelter. Indeed, the parents who participated in the study made significant efforts in establishing and maintaining family routines to foster closeness and a sense of community. He encourages resources working in this field to support parents in their role as organizers of family routines. Koome et al (2012) argue that routines promote activation and become the foundation on which families with adolescents facing mental health challenges could organize their lives, fulfill obligations, and support each other.

McNulty et al. (2009) studied how 23 women living in a shelter for women who are victims of domestic violence spent their time. The study highlighted the particularities of living in such a resource: shared living space with several other women and children, which also entails the need for joint organization of household chores; a strict framework to ensure everyone's safety, which limits opportunities for socialization with one's usual network; and a significant investment of time and energy in administrative procedures. The researchers suggest that workers in women's shelters help women establish good routines in order to promote long-term goals.

We will share an example of a women's shelter that uses a specific module in ASO to manage residents' tasks. This module allows a specific task to be assigned to the resident/family living in a designated room. A list of tasks is generated for each week. Adjustments could be made to allow a task to be assigned to more than one room in order to create opportunities for interaction and teamwork between the people sharing a task.

Bibliography

Brown, K. (2022). The rhythm of your life: The effects of daily routine on mental health (Literature review). Southern Adventist University. https://knowledge.e.southern.edu/gradnursing/98

Heubner J, Tryssenaar J. Development of an Occupational Therapy Practice Perspective in a Homeless Shelter: A Fieldwork Experience. Canadian Journal of Occupational Therapy. 1996;63(1):24-32. doi:10.1177/000841749606300104

Koome, F., Hocking, C., & Sutton, D. (2012). Why routines matter: The nature and meaning of family routines in the context of adolescent mental illness. Journal of Occupational Science, 19(4), 312-325. https://doi.org/10.1080/14427591.2012.718245研飞ivySCI+3

Liang, L., Hou, W. K., Li, T. W., Liu, H., Goodwin, R., & Lee, T. M. C. (2023). Latent Profiles and Transitions of Daily Routine Disruptions Are Associated with Severity of Symptoms of Anxiety and Depression. Leisure Sciences, 1-16. https://doi.org/10.1080/01490400.2023.2228311

McNulty MC, Crowe TK, Kroening C, VanLeit B, Good R. Time Use of Women with Children Living in an Emergency Homeless Shelter for Survivors of Domestic Violence. OTJR. 2009;29(4):183-190. doi:10.3928/15394492-20090914-06

Moraes Salles, M. & Barros, S. (2009). Home care: a practice under development. Text & Context – Nursing, 18(1), 1–2. https://doi.org/10.1590/S0103-21002009000100002


Schultz-Krohn, W. (2004). The meaning of family routines in a homeless shelter. American Journal of Occupational Therapy, 58(5), 531–542. https://doi.org/10.5014/ajot.58.5.531

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