Activities of daily living (ADL) can be categorized into two types: basic ADLs and instrumental ADLs.

Basic ADLs are the essential tasks that are necessary for self-care, and include:

• Bathing: The ability to wash and clean oneself in the bath or shower.
• Dressing: The ability to put on and take off clothing and footwear.
• Grooming: The ability to maintain personal hygiene, such as brushing teeth, combing hair, and shaving.
• Toileting: The ability to use the toilet and maintain continence.
• Feeding: The ability to consume food and drink, either independently or with assistance.

Instrumental ADLs are tasks that are necessary for independent living and include:

• Meal Preparation: The ability to prepare and cook meals.
• Housekeeping: The ability to perform housekeeping tasks such as cleaning, laundry, and shopping.
• Medication Management: The ability to manage medications, including administering and monitoring dosages.
• Transportation: The ability to use transportation independently, whether by driving or using public transportation.

Strategies to Support Aging Parents with ADLs

• Assess ADL Functionality: Observe your aging parents' ability to perform ADLs and make note of any changes or difficulties. This can help identify areas where additional support may be necessary.
• Encourage Exercise and Physical Activity: Encouraging your parents to engage in regular exercise and physical activity can help improve their strength, mobility, and overall health.
• Make Home Modifications: Making modifications to the home, such as installing grab bars in the bathroom or adding a ramp to the front entrance, can help improve safety and accessibility.
• Consider Home Care Services: Home care services, such as personal care assistants or homemakers, can provide assistance with ADLs and instrumental ADLs, allowing aging parents to remain in their homes.
• Seek Professional Help: In some cases, additional help may be necessary, such as physical or occupational therapy, to help aging parents maintain their ADL functionality.

To summarize, as members of the sandwich generation, understanding the importance of ADLs and strategies to support aging parents can help maintain their independence and quality of life. By assessing ADL functionality, encouraging exercise and physical activity, making home modifications, considering home care services, and seeking professional help when necessary, caregivers can support their aging parents and help them maintain their ADL functionality.