ACL 2.0 - 2.2

They can sit in a mobile shower commode chair or a shower chair and toilet seat with arms. Many people are able to sit long enough to void.

They can lean forward on the count of three to cooperate with personal hygiene; physical assistance to sustain leaning forward may be necessary.

ACL 2.0 - 2.2

Dressing can be done for them while sitting with back support. The improved trunk control will allow sitting up for 20 to 30 minutes without sliding out.

While sitting, they can lift a foot to help with dressing. They can standup and hold on while their pants are pulled up, but their hands will probably have to be placed on a rail for them.

Assistance with dressing includes placing the garments beside them and cueing to the openings for their hands and feet. They will need assistance with using buttons, zipper, Velcro or magnetic fastenings.

The person requires assistance and constant supervision to complete their self-care activities.

Within ACL 2 Low, they are assisted with eating, drinking, toileting, bathing, and dressing. Caregivers are required to plan, guide and assist with all activities of daily living.

Things that produce sounds vary. Everyday objects can produce a sound. It can vary in volume and pitch. If the person has a favorite instrument see if a relative will bring it in if it is portable. Find recordings of their favorite familiar music. Keep beats and rhythms simple. Other sounds that capture attention are things like bike bells.

Simple few word commands are understood like "stand-up", "eat" and "shower".

Taste preference is also very individualized. You may have siblings with very similar backgrounds who have very different food preferences. This preference can also occur in people with a cognitive disability. Give them a variety of tastes to awaken their senses. Of course, adhere to swallowing precautions. Some strong taste experiences are salty, sour, sweet and bitter.

A person's sense of smell may diminish as their cognition drops. The smell will have to be very strong in order to gain their attention. Mustard, garlic, lemon, perfumes and various herbs and spices produce strong distinct smells.

Primary contrasting colors are noticed in ACL 2 Low when their vision is intact. There should only be one subject with a bland or blurry background.

Busier pictures maybe ignored as the information is not processed.

Familiar furniture are vaguely recognized and items can be mistaken. When there is too much information present, confusion or ignoring the visual cues may occur.

A person's sense of touch may vary and may be affected by their medical diagnosis. If they have had a cerebral vascular accident or an acquired brain injury, their sensation maybe affected. One side maybe more affected than the other. Approach the person from their better side first and then alternate to their affected side. Note their response. Did the person's facial expression change as a result of the sensation. Do they appear more relaxed after the sensation?

Different textures produce various touch sensations like smooth, rough, slippery, furry, fluffy, bumpy, squishy, etc.

The signs of sensory deprivation intensify when their movements are restrained. Frantic, constant attempts to get up and move, fighting against restraints, rocking, head banging, kicking, and pounding intensify or only appear when restrained, which can be a necessary temporary evil to rule out pain. If the person cannot weight bear, pushing them around in a manual wheelchair still provides a sense of movement and being upright. Panicked calls for help at odd hours for no apparent reason are signs of sensory deprivation; as is the loss of circadian rhythms.