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Content: the need for supervision by one person for the patient to perform new activity procedures that were adapted by the therapist for safe and effective performance. A patient requires standby assistance when errors and the need for safety precautions are not always anticipated by the patient
-Independent Status: no physical or cognitive assistance is required to perform functional activities. Patients at this level are able to implement the selected course of action, consider potential errors, and anticipate safety hazards in familiar and new situations
General intervention guidelines for performance in areas of occupation
-Intervention should follow a "top-down" progression of considering the person's areas of occupation first rather than a "bottom-up" approach which focuses initially and/or solely on performance skills and client factors
-The impact of performance skill deficits and client factors on occupational performance is considered after the establishment of individual's desired occupational outcome
-Specific interventions to remediate, alleviate, and/or compensate for the effects of performance skill deficits and client factors on occupational performance are often required
-The focus of remediation interventions for performance skill deficits and client factors must be related to the individual's ability to perform meaningful occupations that are needed and desired by the individual
-Intervention for deficits that cannot be remediated should include recommendations for adaptive strategies and/or adaptive equipment that compensate for the deficits and ease performance in areas of occupation
-Strategies that can be generalized to different situations are particularly helpful (eg. principles of energy conservation)
-Multiple factors should be considered when recommending adaptive strategies (these factors are also relevant to consider when selecting adaptive equipment)
-Training in adaptive strategies and/or equipment used to enhance performance must consider the person's privacy and dignity (this is especially critical in interventions for the performance of PADL)
Factors to consider when recommending adaptive strategies
-What is important to the individual about the task? -Is the strategy viewed as compatible with the particular social context? -Does the strategy enhance the individual's sense of personal control? -Does the strategy minimize the effort? -Does the strategy interfere with social opportunities or diminish the presentation of self? -Is the recommended strategy temporally realistic given the context?