PA services include assistance with any activity of Activities of Daily Living (ADL) or Instrumental Activities of Daily Living (IADL) . Assistance for ADLs includes bathing, toileting, transfer and ambulation, skin care, grooming, dressing, extension of therapies and exercise, care of adaptive equipment, meal preparation, feeding, and incidental household cleaning and laundry. IADLs include shopping, banking, budgeting, using public transportation, social interaction, recreation, and leisure activities. Assistance with IADLs includes accompaniment, cueing and minor problem-solving necessary to achieve increased independence, productivity and inclusion in the community. The personal assistant may directly perform some activities and support the individual in learning how to perform others.