ADL Evals Flashcards
Kitchen Task Assessment (KTA) focus
Measurement of the judgment, planning and organizational skills used to perform a simple cooking task
KTA Method
Pre-test of hand washing, observes pt. making cooked pudding from mix, large print instructions used, OT can provide assistance if needed
KTA Scoring
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
KTA Population
Originally developed from adults/elders with senile dementia of the Alzheimer type - expanded to use with other pops with cog dysfun.
Klien-Bell Activities of Daily Living Scale (K-B scale) focus
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
K-B Scale Scoring
Method: Observation and AE is allowed
Achieved (indep/w.o AE) or Failed (phys/verb/AE)
K-B Scale Population
Individuals from 6mo-elderly with and dx (physical, psychosoc, cognitive and/or developmental)
Kohlman Eval of Living Skills (KELS) focus
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.
KELS Method
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
KELS Scoring
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.
KELS Population
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
Milwaukee Eval of Daily Living Skills (MEDLS) focus
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
MEDLS Method
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
MEDLS Population
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
Routine Task Inventory (RTI) focus
Measure of individuals level of impairment in activities of daily living according Allen’s
RTI Measures
6 Physical Scales: grooming, dressing, bathing, walking, feeding & tolieting
8 Instrumental Scales: housekeeping, food prep, spending $, taking meds, laundry, shopping, telephoning and traveling
RTI: 3 Methods
Observation, Self Report or Report of a caregiver
RTI Scoring
Scoring based on behavioral criteria of ACLs 1-6
RTI Population
Adults/elders with cognitive impairments
Scoreable Self Care Eval focus
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
Scoreable Self Care Eval method & scoring
Motivational questionnaire about self care skills; OT admins standardized instructions for tasks & observed.
Performance is scored on INability to do task.
Scoreable Self Care Eval population
Adolescents, adults & elders with psychiatric illness in acute/community
Test of Grocery Shopping Skills (TOGSS)
-KOGSS-
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
Sexual Expression/Activity Evaluation
Determine if sexual activity is valued, identify obstacles, determine if pt knowledge is adequate - always respect privacy
Work Hardening Programs
Interdisciplinary approach - real/sim work tasks used - transition between acute care and return to work
Addresses productivity, safety, phys tolerance, work behaviors
Work Conditioning Program
1 discipline is provider of services
Real/sim work tasks used - transition between acute care and return to work
Addresses flexibility, strength and movement
Rehab (sheltered) Workshops, Supported Employment Programs & Transitional Employment Programs (TEPs)
Multidisciplinary/interdisciplinary approach Real work activities used - can be paid Can have job coaches/accommodations Can be transitional or final goal Accreditation not required
