ADL Care: What Not To Do

We’ve identified these critical mistakes that students frequently make when answering ADL-related questions:

❌ Independence Promotion Errors:

  • Doing everything for the resident
  • Not allowing enough time for self-care
  • Rushing through tasks
  • Taking over when minimal help is needed
  • Discouraging attempts at independence
  • Ignoring resident capabilities

❌ Safety and Body Mechanics Mistakes:

  • Forgetting to lock wheels on equipment
  • Improper body mechanics
  • Not using gait belts when required
  • Working alone when assistance is needed
  • Incorrect bed height adjustment
  • Failing to assess environment for hazards

❌ Privacy and Dignity Errors:

  • Not providing proper coverage
  • Leaving doors/curtains open
  • Exposing residents unnecessarily
  • Discussing care in public areas
  • Ignoring cultural preferences
  • Rushing through personal care

❌ Personal Hygiene Oversights:

  • Wrong washing direction (clean to dirty)
  • Improper water temperature
  • Not checking skin condition
  • Skipping oral care
  • Using wrong cleaning agents
  • Inadequate drying/moisture care

❌ Transfer and Positioning Errors:

  • Not explaining procedures
  • Improper lift techniques
  • Forgetting safety checks
  • Wrong positioning angle
  • Incorrect equipment use
  • Not securing side rails when needed

❌ Feeding Assistance Mistakes:

  • Rushing meals
  • Wrong positioning for eating
  • Not checking diet restrictions
  • Improper food temperature
  • Not encouraging independence
  • Poor hand hygiene

❌ Documentation Errors:

  • Incomplete records
  • Not noting refusals
  • Missing important changes
  • Late documentation
  • Subjective comments
  • Failing to report concerns

❌ Communication Mistakes:

  • Not explaining procedures
  • Ignoring resident preferences
  • Poor listening skills
  • Unclear instructions
  • Not reporting changes
  • Missing non-verbal cues

❌ Time Management Errors:

  • Rushing through care
  • Poor prioritization
  • Skipping steps to save time
  • Not allowing for resident pace
  • Inadequate preparation
  • Multitasking unsafely

❌ Question Analysis Mistakes:

  • Not reading full scenarios
  • Missing key details
  • Choosing familiar but wrong answers
  • Overlooking safety issues
  • Not considering resident rights
  • Rushing through “easy” questions

Key Points to Remember:

  • Safety before speed
  • Promote independence always
  • Maintain dignity throughout
  • Follow proper procedures
  • Document accurately
  • Report changes promptly

Red Flags in Questions:

  • Watch for safety issues
  • Notice independence opportunities
  • Look for dignity concerns
  • Consider proper sequence
  • Check for proper technique
  • Identify reporting needs

Common Question Traps:

  • Multiple correct answers (find BEST)
  • Time-saving shortcuts
  • Convenient but unsafe options
  • Partially correct procedures
  • Common practice vs. best practice

Time to perfect your ADL care! Move on to ‘ADL Success Blueprint’.

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