Flashcards in Exam 3-ACL Deck (21):
ACL- what is it's intended use?
Is a screen of functional cognition with persons whose cognitive abilities appear to be in the range of 3.0-5.8 on the Allen scale of cognitive levels and models of performance.
It is a quick, inexpensive assessment for detecting unrecognized or suspected cognition
Provides an estimate of scope or severity
ACL- intended populations?
-adults with psychiatric disorders
-adults with dementia
-those whose patterns of functional behavior appear to have global cognitive functioning
-adolescents with psychiatric problems
-adult with TBI or CVA
ACL- how is it structured?
-sensory cues from the leather, lace, and needles
-administrator's verbal and demonstrated cues and instruction
-feedback from the person's motor actions while making the stitches
ACL- what are the stitches/levels?
level 3- running stitch
level 4- whip stitch
level 5- single cordovan
ACL- when can an OTA administer?
-must be TCU or other appropriate setting
-OTA is service competent
-OT does other assessments with the client
ACL- when must an OT administer?
settings where the OT is doing diagnostic workups or giving functional diagnosis and intervention for IADL competency issues.
ACL- correlations to MMSE (Mini Mental State Exam)
Low level 3 = 1-12 on MMSE
High 3- low 4 = 12-17 on MMSE
Mid 4- High 4 = 18-23 on MMSE
Level 5- 5.8 = 25+ (30 possible) on MMSE
T/F- ACL is used for behavioral patients
T/F- You should get to know client before you administer the test.
ACL 0-0.8 is what mode of performance/level of care?
Comatose- Total assistance
ACL 1-1.8 is what mode of performance/level of care?
Awareness- Total assistance
ACL 2-2.8 is what mode of performance/level of care?
Gross Body Movements/Maximum Assistance
ACL 3-3.8 is what mode of performance/level of care?
Manual Actions/Moderate Assistance
ACL 4-4.8 is what mode of performance/level of care?
Familiar Activity/Minimum Assistance
ACL 5-5.8 is what mode of performance/level of care?
Learning new activity/Standby Assistance
ACL 6 is what mode of performance/level of care?
Planning new activity/No supervision required
What levels of cognition are looked at under ACL 1: Awareness?
Withdrawing from noxious stimuli, responding to stimulation, locating stimulation, rolling in bed, raising body parts
What levels of cognition are looked at under ACL 2: Gross body movement?
Overcoming gravity, righting reactions, aimless walking, directed walking, grabbing
What levels of cognition are looked at under ACL 3: Manual Actions?
Grasping objects, distinguishing objects, sustaining actions on objects, noting effects on objects, and using all objects
What levels of cognition are looked at under ACL 4: Familiar Activity?
Sequencing, differentiating features, completing goal, personalizing, and rote learning