APPENDIX I: TASK TIME ALLOWANCES ADL = Activities of Daily Living Activity Definitions Time Estimates Considerations Bed Mobility How a person moves to and from lying position, turns side to side and positions body while in bed 5 – 10 minutes Positioning supports, cognition, pain, disability level Transfer How a person moves between surfaces to/from: bed, chair, wheelchair, standing position (exclude to/from bath/toilet) 5 – 10 minutes Up to 15 minutes Use of slide board, gait belt, swivel aid, supervision needed, positioning after transfer, cognition Mechanical lift transfer Locomotion How a person moves between locations in his/her room and other areas on same floor. If in wheel-chair, self-sufficiency once in chair 5 15 minutes Document time and number of times done in Authorized Plan of Care Disability type of aids used, cognition, pain Dressing & Undressing How a person puts on, fastens and takes off all items of street clothing, including donning and removing prosthesis 20 - 45 minutes Supervision, disability, cognition, pain, type of clothing, type of prosthesis Eating How a person eats and drinks, regardless of 5 minutes Set up, cut food and place utensils 30 minutes Individual is fed 30 minutes Supervision of an individual feeding himself or herself Chewing issues, swallowing issues, cognitive impairments, mobility issues
Activity Definitions Time Estimates Considerations Toilet Use How a person uses the toilet room (or commode, bedpan, urinal); transfers on/off toilet, cleanses, changes pad, manages ostomy or catheter and adjusts clothes 5 -15 minutes/use Bowel, bladder program, ostomy regimen, catheter regimen, cognition Personal Hygiene How a person maintains personal hygiene (exclude and showers) 20 min/day Washing face, hands, perineum, combing hair, shaving and brushing teeth 20 min/week Shampoo (only if done separately) 15 min up to 3 times/week Nail Care 20 min/week Disability pain, cognition, adaptive equipment Walking a. How a person walks for exercise only b. How a person walks around own room c. How a person walks within home d. How a person walks outside Document time and number of times in Authorized Plan of Care, and level of assistance needed Disability, cognition, pain, mode of ambulation (cane), prosthesis needed for walking Bathing How a person full-body bath/shower, sponge bath (exclude washing of back, hair), and transfers in/out of tub/shower 15 - 30 minutes If shower used and shampoo done then consider as part of activity, cognition
IADL = Instrumental Activities of Living Activity Definitions Time Estimates Considerations Light Meal, Lunch & Snacks Preparation and clean up 5 – 20 minutes Member participation; type of food preparation; number of meals in Authorized Plan of Care and reparation preparation for more than one meal Main Meal Preparation Preparation and cleanup of main meal 20 - 40 minutes Is Meals on Wheels, Home Delivered Meals, or another meal-based service being used? Preparation time for more than one meal and member participation Light Housework/ Routine Housework Dusting, picking up living space Kitchen housework- put the groceries away, general cleaning Making/changing beds Total floor care all rooms and bathrooms Garbage/trash disposal Non-routine tasks, outside chores, seasonal 30 min – 1.5 hr./week Size of environment, member needs and participation, others in household Grocery Shopping Preparation of list and purchasing of goods 45 min - 2 hours/week errands included: bills, banking and pharmacy. Distance from home Laundry: In-Home Sort laundry, wash, dry, fold and put away 30 minutes/load, 2 loads/week Other activities which can be done if laundry is done in the house or apartment Laundry: Out of Home Sort laundry, wash, dry, fold and put away 2 hours/week