W3 Flashcards
Purpose of Assessment
- Quantify and qualify communication strengths and weaknesses
- Identify the presence/possible influence of associated disorders
- Establish treatment goals
- Provide informational basis from which to make predictions regarding recovery and treatment outcomes
Functional measures
Used in all areas of rehabilitation Typically target “real life” activities Self-care Ambulation (movement) Success in communicating with a family member
Measures of participation
Measures of participation:
Assess the degree to which individuals participate in activities characteristic of their daily lives
Pts participation in social activities
Performance of job duties
Quality of life measures
Address how the individuals “feel” about their participation
Pt’s attitudes and beliefs related to the ability to enjoy life
Steps in Assessment Process
Gather
Info about impairment from referral, case history, and examinations
Evaluate
pt’s subjective responses (symptoms) and objective test results
Determine
does a distinctive cluster of symptoms and signs, representing a syndrome, exist?
Use
Info from pt’s history, examination, and life situation to formulate a conclusion about the effects of pt’s condition on the his daily life competence & independence
Decide
Whether tx is indicated, what tx program (including frequency), & prognosis
Base Decisions
On big picture of pt & other relevant sources of information (clinical experience and clinical literature).
tests for brain-injured adults need large norm groups
True, often 50-100 individuals
Do SLPs diagnose TBI?
no, Have a key role in the screening, assessment, and treatment of individuals with TBI
What are some clinical services we provide?
Assessment Planning Treatment Prevention Advocacy Education Research
Determining the type of assessment depends on the patient’s:
Stage of recovery
Age
Educational level
Severity of deficits
Limited number of test batteries have been developed to assess cognitive-communication deficits associated with TBI
True
Waht are used to assess deficits related to arousal
Coma Scales
Categorical scales that assign a person a number indicating pt level of arousal based on:
Presence of certain behaviors
Response to stimuli
Most common scales for arousal
Glasgow Coma Scale
Ranchos Los Amigos Levels of Cognitive Functioning Scale
Adelaide Coma Scale (pediatrics)
15-point scale
Rates patients on parameters of:
Eye opening
Motor response
Verbal response
Classifications: Mild TBI (13-15 points) Moderate TBI (11-12 points) Severe TBI (8 or fewer points)
Glasgow Coma Scale
Categorizes on an 8-level scale Scored on: Responsiveness Orientation Purposeful activity Self-regulation Memory Spontaneity Independence Levels of severity range from no response to purposeful and appropriate
Ranchos Los Amigos Levels of Cognitive Functioning Scale
A version of the Glasgow Coma Scale for use in pediatric population
Takes into account:
Child’s age
Child’s developmental level
Designed to be applied to infants too young to speak
Adelaide Coma Scale
Evaluated as a component of most standard cognitive assessments
Mini-Mental State Examination (Folstein, Flostein, & McHugh, 1975)
Orientation to person, time, and place
Important to remove clocks, calendars, and other external indicators the patient could use
Assessment of Orientation
important to remove clocks for
assessment of orientation
Tasks vary in complexity (rate of stimulus presentation, stimulus type-verbal vs. nonverbal)
Vigil Continuous Performance Test
attention
Connect a series of stimuli (numbers or letters) in a set as quickly as possible
Trail-Making Test
assessment of attention
Eight subtests to assess various types of attention
Test of Everyday Attention (TEA)
assessment of attention
California Verbal Learning Test-II (CVLT-2)
assessment of memory