Assessment Flashcards
Common reasons for equipment abandonment
-Does not meet the goals of the consumer or consumer’s family/caregivers
-Consumer does not have the required skills
-Consumer or AT team had unrealistic expectations
-Consumer lack of motivation
-consumer intimidated by the technology
-needs or function of the consumer have changed
-inadequate training
-consumer is embarrassed to use
-consumer has low self esteem
Human, Activity, Assistive Technology (HAAT) Model
-Components: human (physical, cognitive, affective, novice vs expert), activity (self-care, productivity, leisure), assistive technology (human-technology interface, activity output, processor, environmental interface), and context (physical, social, cultural, institutional) in which all three exist
-when an individual lacks the capacity to complete a task, the manner in which that task is completed including the use of AT, must be changed
AT Provision Process
- Referral
- Assessment (analysis, synthesis, evaluation)
- Implementation (order and setup, delivery and fitting, training)
- Follow Up (maintenance and repair as needed)
Components of referral process
- ensure the referral is appropriate, if not, refer elsewhere
- plan the assessment (team members, evaluations needed)
Components of assessment process
-gather information (interview, review of records and questionaires, observation, evaluations, equipment trials, objective and subjective/CLOF)
-analyze information
-task analysis
-where task will be performed (sitting, laying, etc)
-list goals and desired outcomes
-define desired features
-consider available interventions
-previous equipment used
-what may be needed in forseeable future
-select intervention
-make recommendations
Physical abilities to assess
-orthopedic issues
-muscle tone
-muscle strength
-endurance
-coordination
-ROM
Sensory abilities to assess
-vision: acuity, tracking & scanning, visual fields, visual perceptual function
-hearing
-tactile/somatosensory
Cognitive abilities to assess
-attention
-problem solving
-memory (ST and LTM)
-sequencing
-judgment
Language abilities to assess
-receptive
-expressive
-sequencing
-coding
-categorizing
Environmental aspects to assess
-environment of use (home, school, work, community)
-social and cultural issues
-family issues
-position used from (seated in wheelchair, laying in bed, etc)
-temperature needs to be used in
Categories of goals for AT
-improved function
-improved health, reduced risk of pathology
-improved safety
-improved comfort
-device mastery and appropriate use
Assessing for available interventions
-list all possible solutions
-consider no tech, low tech, and high tech
-prioritize pros and cons of each option
-evaluate each solution’s ability to match the identified parameters
Selecting the intervention of choice
-consumer makes the final decision
-include equipment, training, and support
-ensure everyone understands and agrees with the plan
-consider funding options
Implementation component of provision process
-ordering
-setup, delivery, and fitting
-training and support
Follow up component of provision process
-status of performance, verify outcomes
-identify changes needed
-update goals
-update training and support strategies