Clinical pathway
ADLs
Dressing, grooming, feeding, or self-care routines take much longer than expected or require adult supervision.
Step 1
Occupational performance problem
Dressing, grooming, feeding, or self-care routines take much longer than expected or require adult supervision.
Step 2
Clinical reasoning
- Locate the visual demand inside the routine — finding, orienting, aligning, or monitoring the result.
- Contrast between item and background often explains more than skill level does.
Step 3
Likely limiting level
Level 1: Visual Access
Low contrast in clothing, food, and bathroom surfaces.
Level 4: Visual-Motor Integration
Aligning fasteners and utensils under visual guidance.
Step 4
Intervention options
Nothing tagged for this step yet.
See all matching resourcesStep 5
Movement-based options
Nothing tagged for this step yet.
Step 6
Teacher strategies
- Contrast in cafeteria and bathroom routines; consistent placement of personal items.
Step 7
Parent carryover
- High-contrast plate, placemat, and towel choices.
- Lay clothing out in order of use, oriented as it will be worn.
Step 8
Progress monitoring
- Level of assistance on a defined routine.
- Time to complete the routine independently.
Step 9
Reassessment
Re-screen the limiting level after 6–8 weeks of consistent intervention. If the occupational problem has not changed while the contributing level has, look upstream for a different limiting factor. If neither has changed, or symptoms are worsening, refer out rather than continuing to treat.