Daily living component activity 4 descriptor D (2 points)
Needs assistance to be able to wash either their hair, or body below the waist.
Daily living component activity 4 descriptor D is most likely to apply to an individual whose needs relate to their physical abilities.
Who it’s most likely to apply to
Daily living component activity 4 descriptor D is most likely to apply to an individual who is unable to use aids or appliances and who is unable to reach their lower limbs or their hair.
Example: an individual with osteoarthritis, who satisfies daily living component activity 4 descriptor D
Supporting information
Linda has osteoarthritis of the spine, which causes her significant back pain throughout the day. She is under the care of her GP. Her GP has sent a letter which details the strong painkillers she takes to help with her back pain.
Application form
In her application for ADP, she notes that she uses a grab rail and a shower seat to use the shower and when she uses the bath, she sits on a bath board. She is unable to wash her legs or feet, because even when sitting and using a long-handled sponge, it is too painful for her to bend forwards to wash them.
As Linda is unable to reach her feet to wash them and is unable to use aids to help her, she needs another person to help her.
Case manager’s decision
The case manager determines that Linda satisfies daily living component activity 4 descriptor D because she needs the assistance of another person to wash below her waist to an acceptable standard.