ONA Item Essential Elements Item Set Up During the Activity Clean-up (Includes reminders/cues before (Includes reminders/cues during (Includes reminders/cues after the activity) the activity) the activity) 3a Upper Body Dressing: Select appropriate Lift arms Put clothing away The ability to put on and clothing for the Put clothing on after undressing remove shirt or pajama setting or Button, snap and zip top. Includes buttoning, if environment. applicable. Get clothes out of drawers and closets 3b Lower Body Dressing: Select appropriate Raise legs Put clothing away The ability to dress and clothing for the Pull up clothing after undressing undress below the waist, setting or Button, snap and zip including fasteners. Does environment. not include footwear. Get clothes out of drawers and closets 3c Putting on/taking off Select appropriate Bend down to put Put footwear away footwear: The ability to put footwear for the footwear on after taking off on and take off socks and setting or Put footwear on shoes or other footwear environment. Tie, buckle or fasten that are appropriate for Get footwear out of footwear safe mobility. closets or off of floor 4a Sit to stand: The ability Get assistive devices Use legs to bear Put assistive devices to safely come to a in place such as a weight away after use standing position from walker or cane Use arms to bear sitting in a chair or on the weight side of the bed. Rise up to a standing position Pull oneself up using an adaptive device 4b Chair/bed to chair Get assistive devices Use legs to bear Put assistive devices transfer: The ability to in place such as a weight away after use safely transfer to and from walker or cane Use arms to bear a bed to a chair (or weight wheelchair). Rise up to a standing position Pull oneself up using an adaptive device Sit down in a chair 4c Roll left and right: The Get sidelyer or other Position self Put assistive devices ability to roll from lying on assistive device in While laying down, away after use back to left and right side, place roll from one side to and return to lying on back. another Use side rails or devices to roll Use arms to pull oneself to one side and the other 5b Walks 150 feet: Once Get assistive devices Bear weight to walk Put assistive devices standing, the ability to walk in place such as a Consider mobility away after use at least 150 feet in a walker or cane with adaptive devices corridor or similar space. in place such as walkers and rails if currently used to ambulate. 5c Step onto/off of a curb: Get assistive devices Bear weight to go up Put assistive devices The ability to step on/off a in place such as a and down a curb or away after use curb or up/down one step. walker or cane step Consider the ability to go up and down a step or curb with adaptive devices in place such as canes, walkers, etc. 5d 12 steps: The ability to Get assistive devices Bear weight to go up Put assistive devices go up and down 12 steps in place such as a and down stairs away after use with or without a rail. specialized rail Bear weight with arms to use rails to go up and down stairs 5f Wheels 150 feet: Once Get wheelchair into Use arms to propel Plug in wheelchair to seated in position for use manual wheelchair charge wheelchair/scooter, the Get wheelchair off of Use controller to ability to wheel at least 150 a ramp or out of a propel electric feet in a corridor or similar vehicle wheelchair space. Maneuver wheelchair/scooter around corners Maneuver around obstacles 6b Eating: The ability to Set up plate, drink Cut-up food during Capture cleaning up use suitable utensils to and/or utensils on meal. (If food is cut after eating in Item bring food to the mouth the table for effective up before meal is 12 - Housework and swallow food once the use presented at the meal is presented on a table, capture food table/tray. This includes cut-up in meal prep). modified food consistency. Bring food and drink to the mouth to eat and drink Eat in a safe manner (Choke risk may be present if food is eaten too rapidly). 6c Tube feeding: The Set up supplies for Pour nutrition into clean g-tube site and ability to manage all feeding bag or syringe supplies equipment/supplies Watch for residuals related to obtaining Flush tubing nutrition. Ensure proper operation throughout feeding 7a Toilet hygiene: The Identify the need to Adjust clothing Dispose of ability to maintain perineal eliminate before and after use elimination supplies hygiene, adjust clothes Wipe after toileting such as: attends, before and after using Flush the toilet wipes and catheter toilet, commode, bedpan, Empty bedpan or items. urinal. commode Change and clean up Capture cleaning the after incontinence toilet in Item 12 – Use of catheter, Housework colostomy, urostomy 7b Toilet transfer: The Set up rails or Bear weight to get on Remove rails or bars ability to safely get on and handles to assist with and off of a toilet. after use off a toilet or commode. transfer Consider use of adaptive devices to transfer if already in place 8a Shower/bathe self: The Transfer into the Adjust water Transfer out of the ability to bathe self in shower temperature shower or tub shower or tub, including Set up supplies Use soap, shampoos washing, rinsing, and to clean the body drying self. Includes Rinse off the body transferring in/out of Dry off tub/shower. 9a Oral Hygiene: The Set up toothpaste Apply toothpaste to Put toothpaste and ability to use suitable items and toothbrush toothbrush toothbrush away to clean teeth. [Dentures (if Brush teeth applicable): The ability to Rinse remove and replace Floss dentures from and to the Clean and soak mouth, and manage dentures equipment for soaking and Oral care for gums rinsing them.] 10a General Hygiene: The Set up supplies for Brush hair Put supplies away ability to perform other use Apply deodorant hygiene maintenance tasks, Keep face clean such as hair brushing, Keep hands clean shaving, nail care, and Clean face and hands applying deodorant. Note: after eating Excludes toilet, and oral Wash hands after hygiene. using the toilet Nail care Shaving Menses 12a Housework: The ability Set up supplies for Keep the living room Put away cleaning to safely and effectively cleaning clean supplies maintain cleanliness of the Keep the bathroom living environment by clean washing cooking and eating Keep the bedroom utensils; changing bed clean linens; dusting; cleaning Keep the inside of the the stove, sinks, toilets, home clean tubs/showers and counter; Use chemicals and sweeping, vacuuming, and appliances to clean washing floors; and taking out garbage. 13a Make a light meal: The Set up supplies for Use stove Put away ingredients ability to plan and prepare making meals Use knives and supplies all aspects of a light meal Use microwave and such as a bowl of cereal or other appliances a sandwich and cold drink, Read list of or reheat a prepared meal. ingredients Comple steps of making meals 14a Laundry: Includes all Set up supplies for Sort laundry Put laundry supplies aspects of completing a laundry Take laundry to away. load of laundry using a washer washer and dryer. Includes Put laundry in washer sorting, loading and Put soap in washer unloading, adding laundry Push buttons on detergent, and folding washer to start it laundry. Put laundry in dryer Push buttons on dryer to start it Take laundry out of dryer Put laundry away 15a Use public Provide bus schedule Plan and arrange the Not applicable transportation: The ability to individual ride to plan and use public Reminder to plan a Embark and transportation. Includes ride disembark from ride boarding, riding, and Fasten seat belt disembarking from Drive transportation. Navigate 16a Money Management: Set out bank Manage finances for Put bank statements The ability to manage statements and bills food, clothing and and bills away finances for basic shelter necessities (food, clothing, Count money shelter), including counting Make change money and making change, Pay bills paying bills/writing checks, Write checks making budgeting and Balance a checkbook other financial decisions, Save and budget for and balancing checkbook. larger purchases 17a Light Shopping: Once Create a shopping list Shop from a list Put items away at store, can locate and Locate and select select up to five groceries items and personal care items, Take items from take to check out, and shelves complete purchasing Take cart to checkout transaction. Interact with store personnel Pay for items 47c Medication Get oral medication Take the correct oral Put oral medicine management-oral out of where it is medication as away medication: The ability to kept prescribed prepare and take all Take the oral prescribed oral medication at the medications reliably and right time safely, including Take the correct dose administration of the Put the pill in the correct dosage at the mouth appropriate times/intervals. 47d Medication Get inhaler/mists out Use the correct Put inhaler/mists management- of where it is kept amount of away inhalant/mist medications: (includes nebulizer) inhaler/mist The ability to prepare and Take dose at the take all prescribed correct time. inhalant/mist medications Hold mask or inhaler reliably and safely, in the correct including administration of position the correct dosage at the appropriate times/intervals. 47e Medication Get injectable Use the correct Put injectable management-injectable medication out of amount of injectable medication away medications: The ability to where it is kept medication prepare and take all Use the injection at prescribed injectable the right time.