Areas of Occupation & ADL Evals

Question 1

Evaluation should follow a ______ approach

Answer 1

Top-down: meaning we look at the areas of occupation first

Question 2

Areas of occupation

Answer 2

Various life activities in which people, populations or organizations engage; including: BADLs/PADLs, IADLs, Work, Education, Play/Leisure, Social participation; Rest/Sleep.

Question 3

First step in eval

Answer 3

Occupational Profile: Obtaining am understanding of the clients personal hx, experiences, patterns of daily living, interests, values & needs

Question 4

Desired outcome of eval

Answer 4

ID of persons OP concerns/difficulties and est. of individual priorities

Question 5

Analysis of Occupational Performance

Answer 5

Observation of persons actual performance of an activity in actual context - if not practical, simulation

Question 6

Assessment of Motor and Process Skills (AMPS) focuses on assessment of the

Answer 6

Effectiveness, efficiency or safety of a persons ADL task performance including PADLs, IADLs and some leisure activities.

Question 7

AMPS Method

Answer 7

Interview to determine 3-5 tasks relevant/challenging to pt.; selection of 2-3 tasks by pt.; observation of quality of performance (standardized) in natural/closely simulated environment (culturally diverse); AMPs training course must be completed

Question 8

The AMPS uses what type of scale?

Answer 8

4-pt ordinal
1=low
4=high

Question 9

AMPS population

Answer 9

Anyone with a developmental age older than 2y/o with any diagnosis that causes functional limitations with ADLs

Question 10

Barthel Index focuses on measurement of

Answer 10

A persons independence in BADLs and fx’al mob before and after intervention and the level of personal cared needed by the individual

Question 11

Barthel Index Items

Answer 11

1. Feeding, 2. Transferring, 3. Personal grooming, 4. Tolieting, 5. Control of Bowel &, 6. Bladder, 7. Bathing, 8.Dressing, 9. Walking on level ground, 10. Negotiating and climbing stairs.

Question 12

Barthel Index Method

Answer 12

Direct observation, interview of individual/caregivers and/or review of medical records
Weighted system used to score, max score is 10,

Question 13

Barthel Index Population

Answer 13

Adults & elders with physical disabilities and/or chronic illness
Typically used is medical model setting

Question 14

Cognitive Performance Test (CPT) focuses on assessment of

Answer 14

6 fx’al ADL tasks that require cognitive processing skills based on Allen’s Cog Disabilities Model
1. Dressing, 2. Shopping., 3. Making Toast, 4. Making a call, 5. Washing, 6. Traveling

Question 15

CPT Method

Answer 15

Standardized admin procedures; OT askes pt. to do task and offers what is needed for the pt. for task performance
(demo, reassurance, cues, more directions, elim of sensory info)
Standardized info for materials

Question 16

CPT scoring

Answer 16

Based on Allen’s levels: 1 = low & 6 = highest - can score between 6-36

Question 17

CPT population

Answer 17

Adults and elders with psychiatric and/or cog dysfun.

Question 18

FIM System/WeeFIM focus is on the assessment of the

Answer 18

Severity of a disability as determined by what the individual actually does and the amount of assistance needed to complete each task

Question 19

6 Performance areas addressed by FIM/WeeFIM

Answer 19

1. Self care: feeding, toileting, B&B mngt, grooming, bathing, dressing
2. Sphincter control: B&B control
3. Mobility: Bed/chair/wc, toliet, tub/shower transfers
4. Locomo: walking, using stairs, using wc
5. Communication: expression/comp
6. Social Cog: social interaction, memory, prob solve

Question 20

WeeFIM is for

Answer 20

3-7 y/o

Less than 3 y/o uses a 1= rare, 2= sometimes, 3= usually scale

Question 21

FIM/WeeFIM is scored on a scale of

Answer 21

1 (dependent) - 7 (independent)

Question 22

FIM/WeeFIM population

Answer 22

FIM - adults with disabilities

WeeFIM - children 6mo-7 with intell. abilities less than typical

Question 23

Katz Index of ADL foucs

Answer 23

Assessment of level of independent functioning/type of assistance needed in 6 areas:
1. Bathing, 2. Dressing, 3. Toileting, 4. Transferring, 5. Continence, 6. Feeding
Observation and interview

Question 24

Katz scoring

Answer 24

Individual ratings are converted into global letter score 1=A=Indep, 7=G=Dep & 8=Other

Question 25

Katz population

Answer 25

Adults and elders with chronic illness