Activities of Daily Living Bootcamp: Toileting and Bathing

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Video Runtime: 82 Minutes; Learning Assessment Runtime: 34 Minutes

All people engage in some level of bathing and toileting, yet it can be highly variable in habits and routines across culture and gender. People with acquired deficits in physical, cognitive, and visual skills can lose independence in bathing and toileting. In this course, you will learn how deficits influence bathing and toileting performance, and consider how habit adaptations, environmental modifications, and interventions for person variables can maximize outcomes.

Meet your instructor

Carrie Ciro

Dr. Carrie Ciro is an associate professor and chair of the Department of Rehabilitation Sciences at the University of Oklahoma. She has over 20 years of clinical experience working with adults/older adults in a variety of settings, including skilled nursing, home health, and hospital care. Additionally, she has 20 years of…

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Chapters & learning objectives

1. The Personal Meaning of Bathing and Toileting

How, when, and where people bathe and toilet can be highly variable, culturally meaningful, and can contribute to individualism. In this chapter, the instructor will highlight the habits, routines, and roles that contribute to the meaning of bathing and toileting for people with and without a disability.

2. Task-Specific Bathing and Toileting Intervention for People With Non-Weight Bearing Precautions

New limitations in physical skill and endurance can create disability in bathing and toileting. In this chapter, you will consider how non-weight bearing precautions of the lower extremity affect bathing and toileting and, apply certain adaptations/modifications to enhance success.

3. Task-Specific Bathing and Toileting Intervention for People With Limitations Due to Movement Precautions and Strength Deficits

New limitations in physical skill and endurance can create disability in bathing and toileting. In this chapter, you will consider how movement precautions (e.g., hip precautions) and muscle deficits (e.g., stroke) affect bathing and toileting, and apply adaptations/modifications to enhance success.

4. Task-Specific Bathing and Toileting Intervention in People With Limitations in Cognition: Part One

New or slowly occurring limitations in cognitive and visual skills can create disability in bathing and toileting. In this chapter, you will consider how limitations in arousal, attention, sequencing, and organization affect bathing and toileting and apply adaptations/modifications to enhance success.

5. Task-Specific Bathing and Toileting Intervention in People with Limitations in Cognition and Vision: Part Two

New or slowly occurring limitations in cognitive and visual skills can create disability in bathing and toileting. In this chapter, you will consider how limitations in the initiation, appropriate object use, memory, low vision, and hemianopsia affect bathing and toileting and apply adaptations/modifications to enhance success.

6. Use of Clinical Reasoning to Combine Adaptations for Multiple Deficits

Many of the patients we see have multiple and complex areas of disability. This may include physical, cognitive, and/or visual issues. In this chapter, you will use clinical reasoning to consider when it is appropriate and complimentary to combine adaptations.

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