Miriam lost her basic ADL (activities of daily life) and is presenting serious ADL impairments, she may need to move to nursing home, these tasks of personal care, food, personal grooming, clothing, bathing and hygiene, urination, communication, mobility and household activities are very compromised and give doctors a pattern to identify, evaluate and diagnose deficiencies in ADL, and be able to give patient the necessary attention. These deficiencies can increase slowly or quickly and become chronic, such as the loss of communication and mobility of other members.
