ADL Evals

Question 1

Kitchen Task Assessment (KTA) focus

Answer 1

Measurement of the judgment, planning and organizational skills used to perform a simple cooking task

Question 2

KTA Method

Answer 2

Pre-test of hand washing, observes pt. making cooked pudding from mix, large print instructions used, OT can provide assistance if needed

Question 3

KTA Scoring

Answer 3

0=Indep, 1=Verbal assistance, 2=Physical assistance, 3=totally incapable
Evaluated on: Initiation, organization, performing all steps, proper sequence, judgement/safety & completion of task
Final scores range from 0-18; higher numbers=^ impairment

Question 4

KTA Population

Answer 4

Originally developed from adults/elders with senile dementia of the Alzheimer type - expanded to use with other pops with cog dysfun.

Question 5

Klien-Bell Activities of Daily Living Scale (K-B scale) focus

Answer 5

Assessment of independent functioning in ADLs as evidenced by achievement of 170 items in 6 areas: dressing, elimination, mobility, bathing/hygiene, eating & emergency telephone communication
Used to increase caregivers understanding of assistance level

Question 6

K-B Scale Scoring

Answer 6

Method: Observation and AE is allowed

Achieved (indep/w.o AE) or Failed (phys/verb/AE)

Question 7

K-B Scale Population

Answer 7

Individuals from 6mo-elderly with and dx (physical, psychosoc, cognitive and/or developmental)

Question 8

Kohlman Eval of Living Skills (KELS) focus

Answer 8

Determine of pt. knowledge and/or performance of 17 basic living skills needed to live independently in 5 main areas: Self care, safety/health, money mngt, transportation/telephone, work/leisure.
KELS can provide general overview of person’s functional level and give a baseline for further eval/intervention.

Question 9

KELS Method

Answer 9

OT provides standard instructions for pt to complete task, OT uses standard questions to obtain the individuals self report of performance, NO additional instructions or feedback

Question 10

KELS Scoring

Answer 10

Independent or needs assistance
Total score of 5.5 or less indicates presence of skills for independent living, total score of 6 or more indicates absence of skills for independent living.
Separate Community Support Scale exists.

Question 11

KELS Population

Answer 11

Originally used for adolescents/adults in acute psych settings but expanded to elders and those with a diversity of dx in a variety of settings

Question 12

Milwaukee Eval of Daily Living Skills (MEDLS) focus

Answer 12

Assessment of actual/simulated performance of BADLs needed to function in the individuals expected environment: 1. Basic communication, 2. Personal Care (toileting)/Hygiene (tooth-brushing), 3. Med mngt, 4. Personal health care (eye glasses), 5. Time awareness, 6. Eating, 7. Dressing, 8. Safety in home &, 9. Community, 10. Use of telephone, 11. Transportation, 12. Maintenance of clothing & 13. Use of money.
Can provide comprehensive data on a # of performance-based ADL tasks that are useful for intervention and d/c planning

Question 13

MEDLS Method

Answer 13

Screening used to determine which subtests are relevant to individual and his/her expected environment and needed items are admin in standardized form & have a time limit - recommended to be done during normal am routine
Scoring is based on standard criteria

Question 14

MEDLS Population

Answer 14

Originally developed for adults with chronic MI, residing in tx center or attending out pt for 2 years but expanded to other pops with ADL deficits

Question 15

Routine Task Inventory (RTI) focus

Answer 15

Measure of individuals level of impairment in activities of daily living according Allen’s

Question 16

RTI Measures

Answer 16

6 Physical Scales: grooming, dressing, bathing, walking, feeding & tolieting
8 Instrumental Scales: housekeeping, food prep, spending $, taking meds, laundry, shopping, telephoning and traveling

Question 17

RTI: 3 Methods

Answer 17

Observation, Self Report or Report of a caregiver

Question 18

RTI Scoring

Answer 18

Scoring based on behavioral criteria of ACLs 1-6

Question 19

RTI Population

Answer 19

Adults/elders with cognitive impairments

Question 20

Scoreable Self Care Eval focus

Answer 20

Measure of fx’al performance and identification of difficulties in 18 basic living tasks of 4 main areas: Personal Care, Housekeeping Chores, Work/Leisure & Financial Mngt

Question 21

Scoreable Self Care Eval method & scoring

Answer 21

Motivational questionnaire about self care skills; OT admins standardized instructions for tasks & observed.
Performance is scored on INability to do task.

Question 22

Scoreable Self Care Eval population

Answer 22

Adolescents, adults & elders with psychiatric illness in acute/community

Question 23

Test of Grocery Shopping Skills (TOGSS)

-KOGSS-

Answer 23

To eval thru observation grocery shopping skills at grocery store using list (2 list for pre-post testing).
Scoring is based on ability to efficiently/accurately find items at lowest price: Accuracy, time, redundancy.
MI & ppl with cog impairments

Question 24

Sexual Expression/Activity Evaluation

Answer 24

Determine if sexual activity is valued, identify obstacles, determine if pt knowledge is adequate - always respect privacy

Question 25

Work Hardening Programs

Answer 25

Interdisciplinary approach - real/sim work tasks used - transition between acute care and return to work
Addresses productivity, safety, phys tolerance, work behaviors

Question 26

Work Conditioning Program

Answer 26

1 discipline is provider of services
Real/sim work tasks used - transition between acute care and return to work
Addresses flexibility, strength and movement

Question 27

Rehab (sheltered) Workshops, Supported Employment Programs & Transitional Employment Programs (TEPs)

Answer 27

Multidisciplinary/interdisciplinary approach
Real work activities used - can be paid
Can have job coaches/accommodations
Can be transitional or final goal
Accreditation not required