Evaluation of ADLs Flashcards

1
Q

Activities oriented toward taking care of one’s own

body and completed on a routine basis

A

Activities of Daily Living

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2
Q

most basic skills of everyday life
tasks that are typically performed in a
habitual manner, every day, and across all age groups, genders, and cultures

A

ADLS

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3
Q

T/F
Problems with ADLs can occur at any age, but prevalence rates are higher for the elderly and are a core problem associated with late-stage dementia.

A

TRUE

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4
Q

T/F
ADL concerns are likely to be related to cognitive, psychological, or motor issues and less frequently due to sensory impairments.

A

FALSE

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5
Q

What do we assess and how do we evaluate ADLs in persons with mental health disorders?

A

Environment
Resources
Individual’s skill/ability

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6
Q

How do we functionally assess and evaluate ADLs in persons with mental health disorders?

A

Self-report
Informant report
functional assessment

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7
Q

Assesses FUNCTIONAL STATUS as a measurement of the client’s ability to perform activities of daily living independently

A

Katz Index of Independence in ADL Scale

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8
Q

Katz Primary purpose

A

for screening older patients w their

ADLs

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9
Q

6 items measured by Katz SAT

A
Bathing
 Toileting
 Dressing
 Transferring
Continence
 Feeding
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10
Q

T/F

Katz can be used in assessing any age if deemed appropriate

A

true

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11
Q

Katz Scoring Interpretation

A

6 Full function
4 Moderate impairment
2 or less Severe functional impairment

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12
Q

Limitation of Katz

A

Does not provide info abt what aspects of ADLs are impaired

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13
Q
  • evidence-based, semi-standardized assessment tool
    developed within the framework of the cognitive
    disabilities model
  • intended to ASSESS DEGREE TO WHICH COGNITIVE DISABILITY RESTRICTION interferes with everyday task performance through observation of task behavior
A

Routine Task Inventory - Expanded

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14
Q

Aim of Routine Task Inventory - Expanded

A
  • promote the safe routine performance to valued occupations
  • to maximize participation in life situations
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15
Q

Targeted population of Routine Task Inventory - Expanded

A

people w cognitive disability

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16
Q

Routine tasks/activities are divided into 4 subscales which are?

A

✓ Physicalscale–ADL
✓ Community scale – IADL
✓ Communication scale
✓ Work readiness scale

17
Q

T/F

RTI-E is based on a one time structured task performance

18
Q

T/F

RTI-E can be completed by more than 1 method

19
Q

T/F

In RTI-E, level of agreement or discrepancy can be used as a measure of the client’s awareness

20
Q

Widely used instrument in rehabilitation/physdys settings
Used to assess a patient’s level of disability as well as a change in patient status in response to rehabilitation or medical intervention

A

Functional Independence Measure

21
Q

T/F

FIM is comprised of 18 items, grouped into 2 sub scales

22
Q

Possible score range in FIM

23
Q

T/F

Higher scores indicate more independence (FIM)

24
Q

Performance-based, criterion-referenced, observational tool designed to assist practitioners in documenting functional status and change

A

Performance Assessment of Self-care Skills

25
PASS consists of 26 core tasks which are?
✓ 5functionalmobility ✓ 3personalself-care ✓ 14 IADLs w cognitive emphasis ✓ 4 IADLs w physical emphasis
26
In PASS, examiner may alternate between tasks that are more cognitively based and tasks that require more physical exertion. T/F
True
27
SAT that assess Independent functioning in ADL [170 items – 6 areas]
Klein Bell Activities of Daily Living Scale
28
6 areas of Klein Bell Activities of Daily Living Scale
``` Bathing and Hygiene Elimination Dressing Mobility Eating Emergency telephone communication ```
29
In Klein Bell Activities of Daily Living Scale, all 170 items are rated as “achieved” or “failed” T/F
True
30
T/F Klein Bell Activities of Daily Living Scale can be used with individuals from 8 months old to the elderly with any diagnosis; also for pediatric and mental health setting
False | 6 mos
31
Klein Bell Activities of Daily Living Scale total raw score range
0-213
32
Actual or simulated performance of basic living skills (20 subtests)
Milwaukee Evaluation of Daily Living Skills
33
Target Population of Milwaukee Evaluation of Daily Living Skills
• Adults (18 years and above) • Chronic mental illness (2 year hx) • Resided or at least 6 months in a psychiatric hospital, halfway house, group home, or skilled nursing facility • Participated for at least 2 years in an outpatient day treatment program
34
- Reflects the nature, depth, and breadth of services provided - Shows the clinical reasoning of the OT practitioner - Provides enough info that services are delivered in a safe and effective manner
Documentation in Occupational Therapy
35
The ff are purposes of documentation of evaluation except: -Communicate info about the client’s occupational history and experiences, interests, values, and needs -Provide an accurate justification for outcomes -Articulate the rationale for provision of OT services and the relationship of those services to client outcomes -Provide a clear chronological record of client status
-Provide an accurate justification for outcomes
36
How do we document the objective results obtained from our assessment tools?
1. Identify type of assessment tool used 2. Describe the use of assessment tool. 3. Identify purpose of using the assessment tool with the client. 4. Provide complete description of the results obtained
37
What should be included in analysing OP?
Client (Client factors, performance skills) Context Occupation