When the floors are not slippery, a stable shower chair with armrests and non-slip rubber feet can be suggested. If the floors are extremely slippery when wet, recommend the use of a mobile shower commode chair or wipe the floor dry.

The action of dressing and undressing is improved but supervision may be required as instructions are not retained. Doing the action of dressing is what makes sense to the person rather than the goal-directed actions of getting dressed. Mistakes often occur when unsupervised. Improve the person's ability to dress correctly by laying out their clothing in the correct order. Use larger buttons, Velcro or magnetic fastenings or trousers with elastic waists.

Prevent falls by dressing while seated and removing loose fitting shoes or slippers.

The person requires constant supervision as they are unable to monitor their performance in self-care activities.

Predictions on what types of assistance a person requires should only be treated as a suggestion. There are many confounding factors which often skew these predictions. Factors which often affect predictions are a person's procedural memory, individual differences, physical abilities, age of onset and variation in the support provided by caregivers.

Constant supervision is required for most self-care tasks depending on how many procedural memories remain intact and how well structured the person was prior to their cognitive disability.

Encourage the use of picture books and familiar family albums. Reproduceable photo albums should be used as the item may become lost. The person pays attention to all lower information up to where their ceiling of abilities is. Let them flip through pages of favorite magazines and picture books. Pictures that have a few subjects with a bland background are more likely to capture the person's attention.

Children begin to talk several years before reading and writing makes sense to them. People with a cognitive disability often remember how to read and write but the content of the words does not make sense to them.

Sensory cues have to be quite outstanding to capture the person's attention. If there is too much information present, the person may seem overwhelmed. Pictures which are "too busy" maybe ignored. A single subject with fairly bland colors may capture the person's attention better.

Strong smells do capture the person's attention. Hot and cold contrast also captures the person's attention. Taking the person for a walk outside in a different temperature also captures the person's attention.

The person pays attention to listening to sounds for a limited period of about a minute.

Movement information which captures the person's attention includes walking around or travelling in vehicles.

As they are able to pay more attention, it moves from grasp and release of an object at a single point to a backward and forward motion to placing objects in a row. Within ACL 3.6, the person can place objects around the edge of a shape and within ACL 3.8, they have enough mental energy to fill all the space within a shape. The sense of being done involves completing all movements until there is no more supplies or empty spaces.

Linear information is used in ACL 3 High to help the person organize what they are doing. The concept of a line becomes much stronger and the person can trace the outline of shapes and color within a line within ACL 3.6. Within ACL 3.8, the person has enough mental energy to keep filling all the empty spaces or use all objects until they are done. The outline of shapes captures the person's attention. This information is strong as the person still lacks true classification ability where grouping of information takes priority.

Classification, within the ACLs, is the organization of material objects and actions into groups. The simplest groups are formed in ACL 3.6 by sorting material objects that are alike, one criterion at a time. Striking colors, elementary shapes and easily seen differences in size are the features that capture their attention.

The concept of all of the objects or all of the space captures their attention within ACL 3.8. Classification is still closely connected to the perceivable features of the material objects that are in front of them.