Texas Angels Home Care is the Fort Worth area premiere senior care agency.


Activities of Daily Living (ADL) is a term used to refer to a person's daily self-care activities. There are five basic ADLs: eating, personal hygiene, dressing, toileting/continence, and transferring/mobility.


There are three basic levels of assistance in home health care that we assign to a client's ADL needs: Hands-On Assistance, Stand-By Assistance and Independent.


Eating refers to one's ability to feed themselves but not their ability to prepare meals. Assistance can range from just cutting up food, to pureeing or to completely feeding the client.


Personal Hygiene includes grooming, bathing or showering, oral care and nail care. Assistance may range from Stand-By (being there in case the client feels unsteady getting in or out of the shower, or if they may need unanticipated assistance during their shower), to Hands-On (where the caregiver may just wash a client's back and feet to completely bathing the client).


Dressing is the ability of the client to make appropriate clothing choices and to physically dress or undress themselves. Assistance on any level constitutes Hands-On Assistance, like helping them pick out a summer out fit when they want to wear heavy pants and a winter sweater.


Toileting and Continence includes having both the cognitive and physical capacity to use the restroom, the ability to get on and off the toilet, and the ability to cleaning oneself. This includes Foley catheter and Colostomy bag care.


Transferring and Mobility includes walking (ambulation), getting in and out of bed, moving from a sitting position to standing, or transferring from a wheelchair to a car seat. This ADL includes walking beside someone who is unsteady and may fall (Stand-By Assistance).

Texas Angels' caregivers provide full support for ADLs.


  • Feeding, Cutting Food, Encouraging/Supervising Eating
  • Bathing, Showering and Bed Baths
  • Dressing, Picking Out Clothes, Full Dressing or Minimal Assistance
  • Toileting, Bladder Training, Incontinence, Foley & Colostomy.
  • Transfers, Hoyer Lifts, Gait Belts, Assist with Standing and Walking

Texas Angels will identify through Assessment and document through a comprehensive Care Plan and Daily Charting the client's ADL needs and the assistance provided. This is important for several reasons, but here are the top two.


First, to facilitate providing the best possible care based on the client's individual needs and their responses to the care provided.


Secondly, Long Term Care Insurance, VA Benefits and Medicare Advantage Plans require accurate identification and documentation of ADLs and IADLs for payment or reimbursement of provided home care services. Whether you have insurance or are Private Pay, we purposefully do everything the same way to provide constancy. It also allows us to identify ways of providing care and services better.

What is an IADL (Instrumental Activities of Daily Living)?

An IADL includes things like cooking, cleaning and shopping, just to name a few. Texas Angels helps many clients with Instrumental Activities of Daily Living too. Click here to learn more about IADLs.



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