 3 ACTIVITIES OF DAILY LIVING (ADL) CLIENT PRESENTATION 1. Substandard Grooming and Hygiene (1) * A. The client came to the session poorly groomed. B. The client displayed poor grooming, as evidenced by strong body odor, disheveled hair, or dirty clothing. C. Others have noted that the client displays substandard grooming and hygiene. D. The client has begun to show an increased focus on his/her hygiene and grooming. E. The client's hygiene and grooming have been appropriate, with clean clothing and no st rong body odor. 2. Failure to Use Basic Hygiene Techniques (2) A. The client gave evidence of a failure to use basic hygiene techniques, such as bathing, brushing his/her teeth, or washing his/her clothes. B. When questioned about his/her basic hygiene techniques, the client reported that he/she rarely bathes, brushes his/her teeth, or washes his/her clothes. C. The client has begun to bathe, brush his/her teeth, and dress himself/herself in clean clothes on a regular basis. D. The client displayed inc reased personal care through the use of basic hygiene techniques. 3. Medical Problems (3) A. The client's poor hygiene has caused specific medical problems. B. The client is experiencing dental difficulties due to his/her poor hygiene. C. Due to the cl ient's poor personal hygiene, he/she is experiencing medical problems that put others at risk. D. As the client has improved his/her personal hygiene, his/her medical problems have decreased. 4. Poor Diet (4) A. Due to the client's inability to cook mea ls properly, he/she has experienced deficiencies in his/her diet. B. The client makes poor food selections, which has caused deficiencies in his/her diet. C. The client has displayed an increased understanding of and willingness to use a healthier diet. D. As the client's diet has improved, his/her overall level of physical functioning has improved. 5. Impaired Reality Testing (5) A. The client's impaired reality testing and bizarre behaviors cause problems with his/her performance of activities of dai ly living (ADL). * The numbers in parentheses correlate to the number of the Behavioral Definition statement in the companion chapter with the same title in The Severe and Persistent Mental Illness Treatment Planner, 2nd ed. (Berghuis and Jongsma) by John Wiley & Sons, 2008. 