Activities of Daily Living (ADLs) 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 care that we assign to a client’s ADL needs Hands-On Assistance, Stand-By Assistance, and Independent.  


Activities of Daily Living (ADLs) is a term used to refer to a person’s daily self-care activities with five (5) basic:

  • Eating
  • Dressing 
  • Personal hygiene
  • Toileting/Continence
  • Transferring/mobility


There are three (3) basic levels of assistance in-home health care that we assign to a client’s ADL needs:

  • Hands-On Assistance
  • Stand-By Assistance
  • 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 ultimately 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 help during their shower) to Hands-On (where the caregiver may wash a client’s back and feet to thoroughly bathing the client).’
  • Independent dressing is the ability of the client to make appropriate clothing choices and physically dress or undress. Assistance on any level constitutes Hands-On Assistance, like helping them pick a summer out ft when they want to wear heavy pants and a winter sweater.
  • Toileting and Continence include having cognitive and physical use.
    • Ability to get on and off the toilet
    • Ability to cleaning oneself
    • Includes Foley catheter and Colostomy bag care

Texas Angels will identify the level of need and assistance needed through Assessment and document with a comprehensive Care Plan and Daily Charting. The Care Plan and charting is vital for several reasons, but here are the top two

    • First, to facilitate the best possible care based on the client’s individual needs and responses to the care provided.  
    • Secondly, Long Term Care Insurance requires 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 continue to do everything the same way to provide consistency.  It also allows us to identify ways to provide better care.

Texas Angels’ caregivers provide full support for ADLs.

    • Feeding, Cutting food, encouraging/supervising eating and liquid intake
    • 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, Assis with Standing and Walking