🚩 Tests and Measurements: Outcome Measures

Question 1

Tests and Measurements: Outcomes Measures

Examines degree of assistance required for bathing, dressing, toileting, transferring, continence and feeding in geriatric population

Answer 1

KATZ

Total points: 0-6

1 point: given if the activity is done without help. 0 point: required help or unable to do it.

Question 2

Tests and Measurements: Outcomes Measures

Used to monitor functional changes and predict functional outcomes after CVA. Examine includes feeding, bathing, dressing, grooming, bowel, bladder, toilet, bladder, toilet use, transfer, mobility, and stairs

Answer 2

BARTHEL

The Higher the score the better the pt is (0-100)

Question 3

Tests and Measurements: Outcomes Measures

Evaluates feeding, grooming, bathing, upper body dressing, lower body dressing and toileting, bowel and bladder control, Measures the level of assistance. 1- 7, 7 = total independence

Answer 3

FIM

Question 4

Tests and Measurements: Outcomes Measures

Measures quality of life, self-reported 36 items

Answer 4

The SF­-36

Question 5

Tests and Measurements: Outcomes Measures

To collect data on adults in home care setting.
Allows home health agencies assess quality of care

Answer 5

OASIS

Question 6

Tests and Measurements: Outcomes Measures

Examines mobility and impact of ADL on frail elderly, includes static [balance] and dynamic (gait) balance.

• Less than 19 = high risk for falls
• 9-24 = moderate risk of falls
• 25 and over = lower risk of falls

Answer 6

Performance Oriented Mobility Assessment
(POMA)

Question 7

Tests and Measurements: Outcomes Measures

Measure functional balance in older adults in clinical setting and clients response to treatment.

• A score of 45 or below = indicate some risk of falls
• Score below 36 = 100% falls risk
• Maximum score is 56

Answer 7

Berg Balance Test

Question 8

Tests and Measurements: Outcomes Measures

FIM 1

Answer 8

Dependent

Patient completes <25% of the physical work

Question 9

Tests and Measurements: Outcomes Measures

FIM 2

Answer 9

MAXIMAL ASSISTANCE

Question 10

Tests and Measurements: Outcomes Measures

FIM 3

Answer 10

MOD A

Patient completes 50-74% of the work

Question 11

Tests and Measurements: Outcomes Measures

FIM 4

Answer 11

MINIMAL ASSISTANCE

Pt completes 75-99% of the work

Question 12

Tests and Measurements: Outcomes Measures

FIM 5

Answer 12

SUPERVISION

Question 13

Tests and Measurements: Outcomes Measures

FIM 6

Answer 13

Modified Independent

Requires assistive or adaptive device

Question 14

Tests and Measurements: Outcomes Measures

FIM 7

Answer 14

Independent

Question 15

Tests and Measurements: Outcomes Measures

Maintains steady balance without support. Accepts maximal challenge, shifts weight easily in all directions

Answer 15

Normal Balance

Question 16

Tests and Measurements: Outcomes Measures

Maintains static balance without support, minimal sway. Accepts moderate challenge (i.e. picking up object from floor)

Answer 16

Good Balance

Question 17

Tests and Measurements: Outcomes Measures

Able to maintain static balance with hand hold support / Min A. Accepts minimal challenge (i.e. turning trunk or head)

Answer 17

FAIR

Question 18

Tests and Measurements: Outcomes Measures

Static: Requires Min/Mod to A maintain static posture, and is unable to accept challenges or move without loss of balance

Answer 18

POOR

Question 19

Tests and Measurements: Outcomes Measures

A 68-year-old female 6 months post CVA presents to therapy with o referral for “Balance Disturbance.” During the initial evaluation, she is able to maintain standing with o straight cone and can turn her head in various directions. She is unable to reach down to tie her shoes

Answer 19

Static: fair

Dynamic: fair

Question 20

Tests and Measurements: Outcomes Measures

Types of Cueing

Answer 20

VISUAL, TACTILE, VERBAL

Question 21

Tests and Measurements: Outcomes Measures

The Mini-Mental State Examination can be used to

Answer 21

screen for cognitive dysfunction or dementia. The 11 question measure assesses five areas of cognitive function: orientation, registration, attention/calculation, recall, and language. The measure takes approximately 5-10 minutes to complete. Possible scores obtained on the Mini-Mental State Examination range from 0-30.

Question 22

Tests and Measurements: Outcomes Measures

A score of less than 20 in the Mini-Mental State means that

Answer 22

may be associated with dementia, delirium, schizophrenia or an affective disorder.

Scored from 0-30:

A score of 24 is the minimum score to avoid being classified as having a cognitive impairment.

A score of 30 is a perfect score and would indicate that the patient is cognitively within normal limits.

Question 23

Tests and Measurements: Outcomes Measures

A score of 28 in the Mini-Mental State means that:

Answer 23

no cognitive impairment

Question 24

Tests and Measurements: Outcomes Measures

A score of 5 in the Mini-Mental State means that:

Answer 24

severe cognitive impairment

Question 25

Tests and Measurements: Outcomes Measures

A physical therapist administers the Mini-Mental State Examination to a patient recently admitted to an acute care medical facility. The MINIMUM patient score necessary in order to avoid being classified as possessing a cognitive impairment would be:

Answer 25

26

or any score between 21 and 26