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
Things to include in an outcome measure
-desired end result (action, task)
-qualifiers (specific time, accuracy)
-acceptance level (standard, passing grade)
-quantifiable measures
-measure before and after intervention
-avoid opinions and vague statements
-quantitative
-qualitative
-effectiveness
-satisfaction
-efficiency
-skill development time
-norm referenced measures
-criterion referenced measures
-universally accepted scales and measures
-clinical guidelines
If a client referral is inappropriate, what is the next best step?
a. See the client anyway and do the best you can
b. tell the client you are unable to meet their needs
c. refer the client to an appropriate provider
d. just ignore the referrral
C
An outcome measure:
a. is a provider’s opinion or prediction of the anticipated outcome
b. evaluates the end result against a predetermined set of standards over a period of time
c. measures function before intervention
d. mesures function after intervention
B
human performance definition
the result of a pattern of actions carried out to satisfy and objective, according to some standard
human speech words per minute
150
language board average words per minute
5-15
system performance
performance that is a combination of the human, the activity, being performend, the environment in which it is performed, and the assistive technology
application independent measures
measures specific to the person independent of use of the device, such as reaction time, ROM, strength, etc
human technology interface
all of the interactions between the human user of the technology adn the device
