Iadl Goals Occupational Therapy ExamplesIt gives concrete data on the degree of the client's performance. IADL is a medical abbreviation for Instrumental Activities of Daily Living. Moderate evidence to support the use of aquatic therapy to improve tension, depression, anger, and confusion. Occupational therapy practitioners address different aspects of health management such as: Symptom and condition management Medication management Social and emotional health promotion and maintenance Communication with the healthcare system Personal device management Nutrition, and Physical activity management Activities. Using a Chronic Disease Self Management (CDSM) model to address health issues for older adults appears to help preserve and improve IADL function. will don shirt with Min A using hemi technique sitting EOB by 2 weeks. Evidence indicates that impaired cognition contributes to risk of hospital readmission and. Strong strength of evidence was found for the beneficial effect of occupational therapy-related interventions for physical activity levels and handwriting, moderate strength of evidence for IADL participation and medication adherence, and low strength of evidence for cognitive rehabilitation. This would include activities such as e. Self-management: Using a Chronic Disease Self Management (CDSM) model to address health issues for older adults appears to help preserve and improve IADL function. OTs focus on helping people stay engaged in their jobs, community, family and social. Occupational Therapy Toolkit Treatment Guides - Section 1 Conditions and Diseases Burn Injury Cancer Cardiac Disease Cardiac Surgery Carpal Tunnel Syndrome - Conservative Management Carpal Tunnel Syndrome - Postoperative Management Cervical Stenosis, Myelopathy, and Radiculopathy. Be sure that you know the client's current level of performance. Here are some examples: Bed Mobility. IADL stands for instrumental activities of daily living. IADLs include more complex activities that are essential to live independently. , meal preparation and home management) require the integration of multiple process skills. will complete EOB UB dressing using AE PRN with Mod A by 2 weeks. • Short Term Goal: Push self up into quadruped position with minimal physical assistance and maintain position for 2 minutes while. TheOTPF–4doesnotserveasa taxonomy, theory, or model of occupational therapy. Ratings are added by hand to obtain. Related, but different than ADLS, which stands for activities of daily living. Learn how to set up occupational therapy goals with SMART goals. Activities play a crucial role to measure functional health or disability. Today the patient poorly tolerated a MET level of 4. IADLs include more complex activities that are essential to live independently. Examples of IADLs include activities such as meal prep, chores, cleaning, managing money and taking public transportation. As the health care system moves to assessing value through achievement of quality outcomes, the field of occupational therapy must address the inclusion of functional cognition in evaluation and treatment. OT SMART Goals: Significant, Measurable, Achievable, Relates to person, Time based. Our unit has a small kitchen with a stove, microwave, dishes and a coffee maker. Examples of Occupational Therapy Goals Long Term Goal: The patient will advance from following a 1 step verbal direction to a 3 step verbal direction, independently, 100% of trials, to improve sequencing and memory recall skills used in functional daily routines. Manage their own need Cue to swallow medications Inform person of each medication given Open containers Organize/Label medications Put medications in lock box Place medication in person's hand/mouth Read labels to person Remind person to take medications Reorder medication Other (Displa. American Journal of Occupational Therapy, 72(4). Data Sources: CINAHL, MEDLINE in PubMed, Cochrane, OTseeker, and PsycINFO. Not only does it give practical tips and instruction for goal setting in an easy to follow format, it provides outcome measure examples for a variety of goals plus a bank of short term goals and long term goals for: BADL IADL Performance components of occupational therapy practice Chronic conditions Dementia Low vision Maintenance therapy. Occupational therapy interventions to improve performance of instrumental activities of daily living for community-dwelling older adults: A systematic review. AROM = active range of motion; AAROM = active assisted range of motion; FWW = front-wheeled walker; IADLs = instrumental activities of daily living; ROM = range of motion; UE = upper extremity. Functional cognition is a critical domain of concern for occupational therapy practice. All children are raised with the goal of helping them become independent young adults. Function. ADL/IADL In Room OT Treatment Ideas ADLs actually do the tasks of bathing, dressing, make up, shave, shoes, etc Fall recovery techniques Washing hands and proper hygiene Transfers to and from bed, toilet, chair, wheelchair, etc with walker, transfer pole, sliding board, etc. IADL: Six skill areas, 58 items Items are rated using a 4-point scale (0-3) to describe whether a child is unable, seldom, occasionally, or frequently able to complete a task. Remembering to go to doctors appointments and taking medications as prescribed. Her parents are concerned that she does not "play like other children. Moderate to strong evidence to support the use of goal-directed interventions to improve self-ratings of performance and satisfaction, goal attainment, occupational performance, and psychosocial reintegration. This assessment rates a child’s ability to conduct activities of daily living (ADLs) and instrumental activities of daily living (IADLs) that are most common among children between the ages of. Of importance to note is that the majority of the items for these programs were purchased from dollar stores or using items already around the rehab department. She does not provide cues to show others she is playing and has difficulty sharing her toys. Daughter had been providing some support for ADLs and IADLs prior to surgery. It is important to balance the need for member centered language and SMART goals as both are required components to goal writing. In a nutshell: cognitive stimulation and adding novel demands to everyday tasks improves IADL performance durably. edu%2fnews%2ffostering-independence-introducing-instrumental-activities-daily-living/RK=2/RS=cXQlAw1xksb. Billing and coding for OT interventions will be based on the medical conditions being addressed and the activity/intervention being applied. 9 SMART Goal Examples for Occupational Therapy 1. Examples of iADLs include balancing a checkbook and managing medications. Social awareness so as not to be taken advantage of. Patient can read and listen to tapes. Here are some examples: Bed Mobility. Intended for occupational therapy practitioners and students, other health care professionals, educators, researchers, payers, policymakers, and consumers, the OTPF–4 presents a summary of interrelated constructs that describe occupational therapy practice. Occupational therapy interventions to improve performance of instrumental activities of daily living for community-dwelling older adults: A systematic review. OT SMART Goals: Significant, Measurable, Achievable, Relates to person, Time based RHUMBA: Relevant, How long, Understandable, Measurable, Behavioral, Achievable COAST (my all time fav!): Client, Occupation,. OT SMART Goals: Significant, Measurable, Achievable, Relates to person, Time based. 4oJJFsi_0Yt2w-" referrerpolicy="origin" target="_blank">See full list on chop. Not only is coloring great for stress reduction, it is also an activity that many people enjoy as a creative outlet. We can also teach people how to use adaptive tools to continue to safely perform activities such as cooking, cleaning, bathing, etc. Preparing a Simple Meal or Beverage This is a patient favorite standing tolerance intervention when I’m working in inpatient rehab in particular. Choose the appropriate setting for administration 4. For example: Laurie will complete a 5-step task of making tea; Aaron will cut out a circle; Mary will wash her hands. Children with trisomy 21 (Down syndrome) are no exception!. The American Occupational Therapy. Occupational therapists and occupational therapy assistants possess the foundational education and training necessary to address driving and community mobility as an IADL as identified in the Occupational Therapy Practice Framework: Domain and Process, 2nd Edition (AOTA, 2008). As such, my goal with this article is to encourage and provide resources for occupational therapy departments in developing IADL programs. A student who has difficulty with meal preparation may need assistance in chopping vegetables, but be able to cook a simple meal on their own. INSTRUMENTAL ACTIVITIES OF DAILY LIVING About this Domain (IADLs) To identify the need for support with medication management, meal preparation, transportation, housework, telephone use, shopping and managing finances. Occupational Therapy Toolkit Treatment Guides - Section 1 ADLs and IADLs Activities of Daily Living Bathing and Showering Clothing Care Community Mobility Dressing Driving Feeding, Eating, and Swallowing SMART Goals SMART Goals - Action Plan Stress Management Stress Management - Relaxation Tools. Use stackable containers to utilize space. In that study, the group of 23 subjects treated with this meal preparation protocol showed significant improvement in their meal preparation skill, as measured by the Rabideau Kitchen Evaluation-Revised (RKE-R), a test of meal preparation skill, and in their cognitive–perceptual skill, as measured by the WAIS-R Block Design Test. Measurable: This piece is essential for both reimbursement and tracking progress. All children are raised with the goal of helping them become independent young adults. Instrumental activities of daily living (IADL) are activities that are needed to live an independent life. Abstract. Once health care providers have assessed your ability to perform ADLs and IADLs, they can design an appropriate care plan to compensate for your deficiencies and provide adequate help. IADL skills include meal preparation, community mobility, health maintenance, home management (clothing care, cleaning), shopping, and care of others and pets. For example, a student who has difficulty dressing themselves may need assistance with putting on clothes, but may be able to independently fold clothes. Once health care providers have assessed your ability to perform ADLs and IADLs, they can design an appropriate care plan to compensate for your deficiencies and provide adequate help. These two areas are primary focus of the occupational therapy practitioner, as together, they represent all functional occupations, or the daily tasks that make up an individual’s day. Visualize value; for example have a ballpark idea of what is more–$5 or $500 or $50,000 and what you might possibly be able to buy with each amount. Treatment diagnosis codes and billing codes should reflect the deficit performance skills being addressed in the plan of care. This will be achieved by taking prescribed medication daily. For example, a student who has difficulty dressing themselves may need assistance with putting on clothes, but may be able to independently fold clothes. Other tips to consider: Get rid of items you no longer use. Dressing: The ability to select appropriate clothes and to put the clothes on. The American Occupational Therapy Association lists 12 essential IADLs: Managing your finances , including paying your bills, using bank facilities, and planning your expenses. For example, completing vision, sensation, motor, & cognitive testing helps to identify safety strategies for ADLS & IADLS, could potentially be billed as self-care/home management training. A therapy plan that starts with ADLs and progresses to iADLs will better. Strengths in Areas of Occupation: Proximity, support, and offers from her daughter to help with ADLs and IADLs until client is able to complete by herself. For example, in the preparatory zone you would place items such as cutting boards, prep bowls, various utensils, measuring cups, etc. Archie will cut simple shapes like squares and triangles out of paper with smooth edges in 3 of 5 trials with limited assistance and 50% verbal cues to promote hand-eye coordination and separation of sides of hands. The Occupational Therapy Practice Framework: Domain and Process (4th ed. OT SMART Goals: Significant, Measurable, Achievable, Relates to person, Time based. Choosing Wisely Recommendation References American Occupational Therapy Association. Appropriate goals include (but are not limited to): - Within two to four weeks, pt will demonstrate independence, with use of. Decrease Anterior Knee Pain "Over the next four weeks, the patient's anterior knee pain evaluation during prolonged sitting will decrease from 7/10 to 3/10 to help them return to work in the office. Use compensatory techniques (task modification, one-handed techniques, hand-over-hand guiding, task segmentation, end chaining). An example might be performing putty grip exercises to increase wrist and hand strength. OT Goal Examples • Long Term Goal: Demonstrate improved endurance and strength for postural control and upper extremity function by maintaining position for 4 minutes with verbal cues. Review the results with the client (discuss gaps between competence and. Toes, knees, hips, elbows, fingers extended and flexed; feet underwent dorsiflexion and plantar flexion; arms and fingers adducted and abducted, toes, too. Pain self-management Coordinate medication peak with exercise and activity. Utilize drawer & cabinet partitions to keep areas more organized. Examples include switching out shoelaces for Velcro, trading out clasp jewelry for magnetic clasps, selecting button-ups instead of pull-over shirts, and switching out button-up pants for elastics. Common IADLs include: Care of other; Care of pets; Cooking and cleaning; Communicating with others; Driving; Health management; Money management; Parenting or child-rearing. The basic ADL include the following categories: Ambulating: The extent of an individual’s ability to move from one position to another and walk independently. Occupational therapists are increasingly encouraged to do more with less. There will be a limited time left for pediatric therapy, and goal completion Communicate with caregivers to determine what goals are relevant. "My needs…" It is important to balance the need for member centered language and SMART goals as both are required components to goal writing. Toes, knees, hips, elbows, fingers extended and flexed; feet underwent dorsiflexion and plantar flexion; arms and fingers adducted and abducted, toes, too. Nadia, the school-based occupational therapist, completed an occupational therapy profile with Jimmy using the Canadian Occupational Performance Measure (Law et al. So, what are some examples of IADLs? Within the “SHAFT” categories, are several activities such as: Managing a budget, including using the ATM, counting and using money, managing bank accounts, writing checks, and remembering bills. IADL: Six skill areas, 58 items Items are rated using a 4-point scale (0-3) to describe whether a child is unable, seldom, occasionally, or frequently able to complete a task. Put away dishes immediately after washing. If your patient enjoys coloring but doesn’t have an artistic flair (I can relate), you can pull out adult coloring books that make coloring so much easier. Four main performance areas were identified as concerns and priorities: daily living occupations (bathing and dressing self), meal preparation, developing social skills. So, what are some examples of IADLs? Within the “SHAFT” categories, are several activities such as: Managing a budget, including using the ATM, counting and using money, managing bank accounts, writing checks, and remembering bills. Feeding: The ability of a person to feed oneself. So, what are some examples of IADLs? Within the "SHAFT" categories, are several activities such as: Managing a budget, including using the ATM, counting and using money, managing bank accounts, writing checks, and remembering bills. As such, my goal with this article is to encourage and provide resources for occupational therapy departments in developing IADL programs. Complex IADLs (e. IADL is a medical abbreviation for Instrumental Activities of Daily Living. These are important activities that you don’t need to do every day, unlike ADLs. ; AOTA, 2020c) defines occupational therapy as therapeutic use of everyday life occupations with persons, groups, or populations (i. A therapy plan that starts with ADLs and progresses to iADLs will better prepare a patient to reenter their community and get back to their lives to the best of their new abilities. -Patient will demonstrate independence in knowledge of hip precautions during functional activities for home and for community. Occupational Therapy (OT) Goal Examples Long Term Goal: Perform upper body dressing independently in unsupported sitting within 6 months. The activities of daily living are classified into basic ADLs and Instrumental Activities of Daily Living (IADLs). Visualize value; for example have a ballpark idea of what is more–$5 or $500 or $50,000 and what you might possibly be able to buy with each amount. Short Term Goals: Don. • The identified need could be due to capacity versus performance because of: • Lack of knowledge • Lack of skills. Client completes the OSA-SF form via self-report. RHUMBA: Relevant, How long, Understandable, Measurable, Behavioral, Achievable. See more ideas about occupational therapy, living skills, pediatric occupational therapy. will brush teeth standing at sink with Min A for safety by 3 weeks. IADLs include more complex activities that are essential to live independently. If the patient is in the acute setting and cannot tolerate higher level mobility, working on rolling bed-level as well as completing supine to side lying to sitting edge of bed for ADLs is a great way to work up to more advanced functional mobility. IADL skills include meal preparation, community mobility, health maintenance, home management (clothing care, cleaning), shopping, and care of others. Treatment diagnosis codes and billing codes should reflect the deficit performance skills being addressed. There are nine areas of activities of daily living used in occupational therapy: Bathing and showering; Toileting and toilet hygiene; Dressing; Feeding; Eating and swallowing; Functional mobility; Personal device care; Personal hygiene and grooming; Sexual activity. Examples include switching out shoelaces for Velcro, trading out clasp jewelry for magnetic clasps, selecting button-ups instead of pull-over shirts, and switching out button-up pants for elastics. 2022 Copy the Table Setting Arrangement - Life Skills Activity IADLs Subscribe to Download! Watch Video Here! View Details Posted: 10. assist while seated with mod trunk support for 3/5 attempts, to increase level of independence with dressing. For example, a therapist can have a client plan and execute a meal for two in the occupational therapy kitchen. The Problem Up to 40% of older adults live with some kind of disability that makes engaging in IADLs difficult. GOAL BANK Upper Body ADLs: 1. com/_ylt=AwrigxTI8GBkR3kocgxXNyoA;_ylu=Y29sbwNiZjEEcG9zAzIEdnRpZAMEc2VjA3Ny/RV=2/RE=1684103496/RO=10/RU=https%3a%2f%2fwww. Psychotic disorders are associated with deficits in everyday functioning, causing impairment/disability in activities of daily living. Long Term goals: These goals are anticipated to be met after the patient has completed all occupational therapy services for the episode of care (including rehabilitation, home care, and outpatient services). The Occupational Therapy Practice Framework: Domain and Process (4th ed. Example-Typical Goal-ADL Independent. Once health care providers have assessed your ability to perform ADLs and IADLs, they can design an appropriate care plan to compensate for your deficiencies and provide. Occupational Therapy Goals for Autism ASD April 5, 2021 Contents Hide 1 Cognition 2 Sensory Stimuli 3 Visual 4 Auditory 5 Vestibular 6 Taste 7 Irregular sleeping pattern 8 Emotion 9 Mental Health 10. So, what are some examples of IADLs? Within the “SHAFT” categories, are several activities such as: Managing a budget, including using the ATM, counting and using money, managing bank accounts, writing checks, and remembering bills. Treatment diagnosis codes and billing codes should reflect the deficit performance skills being addressed in the plan of care. Manage their own need Cue to prepare snack/meal Follow prescribed diet Label/organize food products Make food accessible to person Prepare all meals Prepare meals for person to reheat Prepare special diet Throw out spoiled food Work out a menu with person Other (Displays when this option is checked) Other (Displays when this option is checked) …. In a nutshell: cognitive stimulation and adding novel demands to everyday tasks improves IADL performance durably. In my experience, many patients demonstrate improved standing activity tolerance, functional reach and dynamic balance when engaged in valued IADL tasks. Join or sign in for access to this resource Join AOTA Today Sign In. Occupational Therapy (OT) Goal Examples Long Term Goal: Perform upper body dressing independently in unsupported sitting within 6 months. Examples of IADLs include activities such as meal prep, chores, cleaning, managing money and taking public transportation. High School Occupational Therapy Activities Keep goals focused on attainable goals. Join or sign in for access to this resource. American Occupational Therapy Association. Theraputty (Turning) Tools: Theraputty tools can be used to simulate many functional activities ( therapeutic cooking activities )! Including: opening a water bottle top or a tight jar lid. Goal bank topic examples include but are not limited to: ADL: Bathing/ Showering, Clothing Retrieval/ Dressing, Eating/Feeding, Functional Mobility/ General/ Car/ Chair/ Toilet/ Shower Transfers, Wheelchair Use/Transfers… Oxygen Management, Sexual Activity…and more. In a nutshell: cognitive stimulation and adding novel demands to everyday tasks improves IADL performance durably. Examples of IADLs include activities such as meal prep, chores, cleaning, managing money and taking public transportation. AROM = active range of motion; AAROM = active assisted range of motion; FWW = front-wheeled walker; IADLs = instrumental activities of daily living; ROM = range of motion; UE = upper extremity. The patient was only able to tolerate a MET level of 1 while sitting EOB. will complete UB bathing with Min A requiring less than two verbal cues by 1 week. The Instrumental Activities of Daily Living (IADLs) include more complex activities related to the ability to live independently in the community. Train in safe and efficient functional mobility (sit to stand, bed mobility skills, transfers, ambulation and wheelchair mobility) during ADL and IADL tasks. IADL: Six skill areas, 58 items Items are rated using a 4-point scale (0-3) to describe whether a child is unable, seldom, occasionally, or frequently able to complete a task. " She has limited use of her right arm and usually has a flat affect. Purpose. The American Occupational Therapy. COAST (my all time fav!): Client, Occupation, Assist level, Specific, Time bound. Occupational Therapy Intervention: ADL, IADL, productivity and leisure training Safely incorporate affected extremity with all activities. As such, my goal with this article is to encourage and provide resources for occupational therapy departments in developing IADL programs. Occupational Therapy (OT) Goal Examples Long Term Goal: Perform upper body dressing independently in unsupported sitting within 6 months. The REAL is a standardized rating scale developed to assess children’s ability to care for themselves at home, school, and in the community. Examples of iADLs include balancing a checkbook and managing medications. RHUMBA: Relevant, How long, Understandable, Measurable, Behavioral, Achievable. Self-Feeding Compensatory Strategies. These are activities that support and enhance daily life, including interacting. For example, if activities reflect safety awareness during ADLs, billing may reflect ADL self-care. By design, the OTPF–4 must be used to guide occupational therapy practice in conjunction with the knowledge and. Example-Typical Goal-ADL Independent Improved Goal-ADL Independence Goal Example Goal Example Goals and Outcomes Example -Smoking Cessation Example -Mental Health Goal Example-Health Condition Goal. OT interventions must emphasize performance skills using enabling interventions. Not only does it give practical tips and instruction for goal setting in an easy to follow format, it provides outcome measure examples for a variety of goals plus a bank of short term goals and long term goals for: BADL IADL Performance components of occupational therapy practice Chronic conditions Dementia Low vision Maintenance therapy. These goals include achieving skills such as banking/budgeting, shopping, meal preparation and planning, coping with stress, community access, assertiveness, and self-advocating. OCT 744 Exam 2 Study Questions You are treating a 5-year-old girl. Get free examples and learn how to create measurable goals for occupational therapy. concepts that ground occupational therapy practice and builds a common understanding of the basic tenets and visionoftheprofession. Decide if the OSA-SF is appropriate 3. Both client and therapist can observe potential areas of deficit, including limitations in functional cognition, as performance proceeds, and the therapist can address these performance issues before the client returns home. She is not typically spontaneous in her play. All children are raised with the. These are activities that support and enhance daily life, including interacting with others and your environment. For example, a therapist can have a client plan and execute a meal for two in the occupational therapy kitchen. Romero-Ayuso and colleagues (2021) conducted a systematic review to identify assessment tools that can be used to assess cognitive IADL performance. Susan Cahill 03/01/2022 Complex IADLs (e. The basic ADL include the following categories: Ambulating: The extent of an individual’s ability to move from one position to another and walk independently. “Over the next four weeks, the patient’s anterior knee pain evaluation during prolonged sitting will decrease from 7/10 to 3/10 to help them return to work in the office. To help improve the client’s return to daily activities and IADLs, here are 5 occupational therapy cooking activities for adults, that don’t require a kitchen. Short Term Goals: Don pull-over shirt with min. Decrease Anterior Knee Pain “Over the next four weeks, the patient’s anterior knee pain evaluation during prolonged sitting will decrease from 7/10 to 3/10 to help them return to work in the office. Train in safe and efficient functional mobility (sit to stand, bed mobility skills, transfers, ambulation and wheelchair mobility) during ADL and IADL tasks. Complex IADLs (e. Psychotic disorders are associated with deficits in everyday. Strengths in Areas of Occupation: Proximity, support, and offers from her daughter to help with ADLs and IADLs until client is able to complete by herself. GOAL BANK Upper Body ADLs: 1. The steps, performance skills, and body movements follow. Make sure that all dyscalculia or other learning disabilities are addressed and accommodated. COAST (my all time fav!): Client, Occupation, Assist level, Specific, Time bound. Explain the purpose and instructions to the client 5. “I need to get back to work” “I just want to golf again” “I can’t even open a water bottle” “My spouse has to do all of the cooking” Although standard exercises are helpful, it’s critical to add in functional activities. For example, a student with autism may have difficulty with daily living skills due to impaired communication or social interaction; however, they also may have excellent visual memory that can be used for daily living skills goals and interventions. ADL: Bathing/ Showering, Clothing Retrieval/ Dressing, Eating/Feeding, Functional Mobility/ General/ Car/ Chair/ Toilet/ Shower Transfers, Wheelchair. 9 SMART Goal Examples for Occupational Therapy. A student who has difficulty with meal. Romero-Ayuso and colleagues (2021) conducted a. May 4, 2022 - Explore Carissa Worm's board "OT ADL's/ IADL's", followed by 484 people on Pinterest. If the patient is in the acute setting and cannot tolerate higher level mobility, working on rolling bed-level as well as completing supine to side lying to sitting edge of bed. Skilled nursing facility IADL training: Cost effective solutions. , clients) for the purpose of enhancing or enabling participation. GOAL BANK Upper Body ADLs: 1. Learning Nonverbal Cues - For patients with cognitive impairments, such as autism, learning social cues is an important step along the path to developing meaningful relationships. Choosing Wisely Recommendation References 1. High School Occupational Therapy Activities Keep goals focused on attainable goals. IADL stands for instrumental activities of daily living. Remembering a List - Restoring and maintaining memory are key goals for cognitive occupational therapy. AROM = active range of motion; AAROM = active assisted range of motion; FWW = front-wheeled walker; IADLs = instrumental activities of daily living; ROM = range of motion; UE = upper extremity. IADL is a medical abbreviation for Instrumental Activities of Daily Living. Occupational therapists and occupational therapy assistants possess the foundational education and training necessary to address driving and community mobility as an IADL as identified in the Occupational Therapy Practice Framework: Domain and Process, 2nd Edition (AOTA, 2008). Objective: To conduct a narrative synthesis of updated evidence on interventions within the scope of occupational therapy to improve or maintain performance of and participation in IADLs among adults with MS. Occupational therapists assist the clients to create individualized goals through life skills training. In healthcare, ADL stands for activities of daily living. A therapy plan that starts with ADLs and progresses to iADLs will better prepare a patient to reenter their community and get back to their lives to the best of their new abilities. These two areas are primary focus of the occupational therapy practitioner, as together, they represent all functional occupations, or the daily tasks that make up an individual’s day. Instrumental activities of daily living (IADL) are activities that are needed to live an independent life. Keywords: clients, health, occupational therapists. Ratings are added by hand to obtain raw ADL and IADL scores, which may be converted to standard scores. Learn how to set up occupational therapy goals with SMART goals. Let's check out ten examples that show goal-setting in action. Here are a few examples: 1. Teach stress management and relaxation techniques.