Before the assessment
The occupational therapist reviews the referral question, available medical or rehabilitation information and the approved assessment scope. The person may be asked about their usual routine, current supports, living situation and the activities that have become difficult since the injury.
During the assessment
The assessment combines conversation with observation of relevant everyday tasks. Depending on the referral, this may include personal care, transfers, mobility, meal preparation, household activities, shopping, transport or community access. The therapist also considers pain, fatigue, cognition, confidence, environmental barriers and safety.
Equipment and support recommendations
If equipment, home changes or assistance may be needed, the occupational therapist considers whether each recommendation is practical, proportionate and linked to the observed functional problem. Recommendations should help improve safety, independence or participation.
What the ADL report includes
The written report describes the information considered, relevant observations, current abilities and limitations, environmental factors and recommendations that answer the referral question. It may identify short-term supports, equipment trials, rehabilitation strategies or the need for further assessment.
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Frequently asked questions
What does ADL mean?
ADL means Activities of Daily Living—the personal, household and community tasks that make up an ordinary day.
Where does an ADL assessment happen?
It is often completed in the person’s home because the environment, access and actual task setup are relevant. The location depends on the referral question and approved scope.
How long does an ADL assessment take?
The time varies with the complexity of the injury, the environment and the questions the referrer needs answered. The approved scope should also allow for analysis and a written report.