While that much is obvious, you have no idea where to start. You need to learn the ins and outs of ADLs and IADLs when creating a care plan with in-home care that matches his needs.
Activities of daily living (ADLs) are tasks your dad needs to do for himself to survive. It includes activities like eating foods, using the toilet, and moving around. He needs to be able to get out of bed, shower, and get dressed. Sometimes, he’ll need in-home care services to complete these necessary tasks.
Instrumental activities of daily living (IADLs) are not as critical for survival, but they are necessary for safety and comfort. IADLs include being able to drive a car or arrange transportation services. They include paying bills and managing money, cooking a meal, doing the housework, and organizing prescriptions and over-the-counter medications.
There are several lists of ADLs and IADLs online. Go over these lists with your parents to get input on what they can confidently do independently and what they feel is a bit harder to manage without help. You want to make sure they have help with the things they don’t feel confident doing on their own.
Remember that ADLs and IADLs are good for guidance, but they’re not the only things to consider. You also have to weigh whether your parents are struggling for now but will improve as they heal from surgery or chronic illness or if it’s a permanent situation.
For example, your mom fell and fractured her wrist. While her wrist is in a cast, she cannot use her right hand. That makes it hard for her to carry a laundry basket to the laundry room. She can’t lift a pot from the oven. She has a hard time buttoning her shirts, tying her shoes, and pulling up her pants. She’ll need temporary care services.
Your dad’s been diagnosed with emphysema. He’s often winded and has a hard time with stamina. He can’t handle more strenuous household activities like changing his sheets, cleaning the shower, or running the vacuum. He needs someone to do these for him for the rest of his life.
In both cases, additional services may need to be removed and added. Make sure you consider how flexible a plan is when creating the list of services you want your parents to have.
You’ve created the right care plan for your dad. How do you get started? Call a local agency and ask to talk to an in-home care specialist. Go over prices and services and make the arrangements that match your dad’s needs.