Assessment Flashcards

1
Q

Home Environment Assessment Protocol (HEAP)

A

Observation and interview-based assessment used to identify need for home modifications

Features include:
- given to caregivers of clients who have dementia
- scored on safety hazards, functional adaptations, clutter, and comfort

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2
Q

Caregiver Strain Index (CSI)

A

Questionnaire administered to caregivers to identify potential concerns related to the caregiver role

Features include:
- given to caregivers who provide assistance to an older adult
- a score of 7 or higher indicates need for further assessment

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3
Q

Beck Depression Inventory (BDI)

A

Self-report questionnaire used to screen for depression

Features include:
- for ages 13-80
- higher scores indicate greater severity of depression

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4
Q

Montreal Cognitive Assessment (MoCA)

A

Screening tool administered to adult populations to identify mild cognitive impairment

Features include:
- pencil and paper tasks and verbal tasks
- scores range from 0-30; 26+ is considered normal

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5
Q

Executive Function Performance Test (EFPT)

A

Performance-based assessment that evaluates executive functions and amount of cueing required during functional activities

Features include:
- administered to adults
- observation of 4 independent living tasks: preparing oatmeal, managing meds, paying bills, using telephone

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6
Q

Contextual Memory Test (CMT)

A

Standardized screening tool and questionnaire used to evaluate self-awareness and use of cognitive compensatory strategies

Features include:
- based on the Dynamic Interactional Model of Cognition
- used with adults who have memory impairment

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7
Q

Bay Area Functional Performance Evaluation (BaFPE)

A

Standardized assessment tool administered to adults who have mental health conditions, neurological impairment, and intellectual disability

Features include:
- measure affective, cognitive, and performance ability
- contains 2 subtests: task-oriented assessment (TOA) and social interaction scale (SIS)

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8
Q

Bruiniks-Oseretsky Test of Motor Proficiency (BOT)

A

Standardized, norm-referenced pediatric assessment of motor proficiency

Features include:
- gross and fine motor subtests
- short form can be used as a screening tool

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9
Q

Peabody Developmental Motor Scales (PDMS)

A

Pediatric assessment used to evaluate fine and gross motor skills

Features include:
- norm-referenced
- results provide percentile rank, standard score, and age equivalents

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10
Q

Miller Function and Participation Scales (M-FUN)

A

Observation and performance-based pediatric evaluation tool to assess the impact of motor abilities on social participation at home and school

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11
Q

Hawaii Early Learning Profile (HELP)

A

Curriculum-based pediatric assessment used to screen growth and development and assist in establishing an intervention plan

Features include:
- non-standardized
- criterion-referenced
- family-centered

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12
Q

Sensory Processing Measure (SPM)

A

Pediatric observation-based rating scale used to measure sensory processing

Features include:
- norm-referenced
- contains 3 forms: home, classroom, and school environments

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13
Q

Community Integration Measure (CIM)

A

Self-report measurement tool that assesses the level and quality of community integration for adults with disabilities where a higher score indicates better community integration

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14
Q

Bayley Scales of Infant and Toddler Development

A

Observation-based rating scale used to assess developmental functioning

Features include:
- performance-based tasks and questionnaires for caregivers
- assess cognitive, language, and motor delays

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15
Q

Berg Balance Scale

A

Objective functional balance test used to assess static and dynamic balance abilities

Feature include:
- valid for older adults
- interpreted scores indicate risk for falls

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16
Q

Motor-Free Visual Perception Test (MVPT)

A

An assessment used to measure visual perceptual skills

Features include:
- valid for pediatrics and adults
- task performance does not require motor ability

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17
Q

Non-standardized sensory screening

A

Process used to obtain a general understanding of a client’s ability to perceive sensory input, includes screening for:
- touch awareness
- pain awareness
- temperature awareness
- proprioception
- kinesthesia

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18
Q

Evaluation Tool of Children’s Handwriting (ETCH)

A

Performance-based assessment of legibility and handwriting speed

Features include:
- criterion-referenced
- different versions to evaluate cursive and manuscript handwriting

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19
Q

Phalen’s Test

A

Screening test used to detect irritation of median nerve at wrist

Performed by pressing dorsum of the hands together with wrists fully flexed and fingers pointed down for one minute

Positive test results in parasthesia/tingling in the median nerve distribution

Common screening for carpal tunnel syndrome

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20
Q

Finklestein’s test

A

Screening test used to detect deQuervain’s tenosynovitis

Performed by having the client grasp the thumb with the fingers into the palm of the hand then ulnar deviating the wrist

Positive test elicits exquisite pain along the radial aspect of the wrist

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21
Q

Two-point discrimination test

A

Sensory screening test involves applying pressure to fingertips with client vision occluded

1-5mm - normal
6-10mm - fair
11-15mm - poor

One point perceived - protective sensation only
No points perceived - absent protective sensation

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22
Q

Tinel’s test

A

Screening test used to detect distal irritation or area of re-innervation of a nerve

Performed by tapping directly over the path of the nerve to elicit a paresthesia in the affected nerve distribution

Common screening for:
- carpal tunnel syndrome
- cubital tunnel syndrome

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23
Q

Goal attainment scaling

A

Outcome measurement system used in pediatrics that includes:
- weighting goals by level of importance
- measuring effectiveness of intervention
- utilizing input from family, intervention team, and child

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24
Q

Allen Cognitive Level Screen (ACLS-5)

A

Standardized cognitive screening test of cognitive function, test includes completing a leather-lacing task

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25
Q

Froment’s sign

A

Screening test used to detect an ulnar nerve lesion

Performed by having a client forcefully hold a piece of paper between the thumb and radial side of the proximal phalanx of the second digit

A positive test results in flexion of the IP joint of the thumb to substitute for absence of the adductor pollicis

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26
Q

Transition Planning Inventory

A

Vocational inventory and rating scale used to understand the transition needs for students preparing for life after graduating from high school

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27
Q

Performance Assessment of Self-care Skills (PASS)

A

Observation-based rating scale used to measure assistance needed in daily living tasks

Features include:
- contains clinic and home versions
- criterion-referenced
- examiner rates independence, safety, and adequacy

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28
Q

Barthel Index of ADL

A

ADL rating scale based on a client’s current level of function

Features include:
- ability to rate 10 activities in areas of ADL and mobility
- can be completed through self-report or interview of a caregiver
- receiving a higher score indicates greater level of ability

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29
Q

Nine Hole Peg Test

A

Standardized, timed test to assess finger dexterity

Features include:
- picking up and placing pegs into holes one at a time
- appropriate for ages 18+

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30
Q

Jebsen-Taylor Hand Function Test

A

Standardized test to assess variety of hand functions used in ADL

Features include:
- 7 timed subtests to stimulate functional hand tasks
- appropriate for ages 6+

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31
Q

Driving evaluation

A

A combination of clinical assessments, stimulated performance tests, and road evaluation used to determine level of safety and independence when operating a motor vehicle

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32
Q

Glasgow Coma Scale (GCS)

A

Neurological screening tool used to identify level of consciousness and measure severity of TBI

Features include:
- 15 point scale
- measures motor, verbal, and eye opening responses

33
Q

Internal consistency

A

Correlation statistic calculated to ensure items on a test deliver consistent score

34
Q

Intrarater reliability*

A

The ability of a test to yield similar results when administered to the same client by the same therapist with repeated testing

35
Q

Box and Blocks test

A

Standardized test to assess unilateral gross manual dexterity

Features include:
- moving blocks from one side of a box to the other
- appropriate for ages 6+

36
Q

Interrater reliability

A

Ability of the test to yield similar results when administered to the same client by two independent raters

37
Q

Ipsative assessment

A

A type of standardized test in which the client rates their own level of performance using specific testing instructions and the results are compared at separate intervals over time

Examples include:
- COPM
- Pediatric Volitional Questionnaire

38
Q

Criterion-referenced test

A

Type of standardized test includes comparing abilities of a client to a defined list of skills of level of performance

39
Q

Norm-referenced test

A

Type of standardized test that compares performance of a client in relation to average performance of a peer sample

40
Q

Disabilities of the Arm, Shoulder, and Hand (DASH)

A

Standardized self-report questionnaire to assess physical function and symptoms in the upper limb musculoskeletal d/o, commonly used to collect outcomes information

Features include:
- 30 items related to UE function
- appropriate for 18+

41
Q

Pediatric OutcomesData Collection Instrument (PODCI)

A

Standardized measure for children with musculoskeletal d/o used to assess several domains of function and QoL

Features include:
- 0-100 rating scale
- appropriate for 19+

42
Q

Pediatric Quality of Life Inventory (PedsQL)

A

Standardized pediatric measure for children with acute and chronic health conditions as well as healthy children used to assess health related QoL

Features include
- appropriate for ages 2-18

43
Q

School Function Assessment

A

Questionnaire used with students K-6 to evaluate performance in functional tasks that support social and academic performance at school

44
Q

Craig Handicap Assessment and Reporting Technique (CHART)

A

Questionnaire used to determine the extent to which a client’s disability impacts level of participation in everyday life activities

45
Q

Model of Human Occupation Screening Tool (MoHOST)

A

Evaluation tool based on MOHO designed to assess a client’s occupational functioning in the areas of volition, skills, habituation, and the environment

46
Q

Rancho Los Amigos Level of Cognitive Functioning

A

Descriptive 10 level behavioral scale of cognitive function typically used with a client after a TBI, typically used to guide behavioral interventions

47
Q

Work performance measurement

A

A part of the vocational rehabilitation process that includes evaluation of a client’s ability to perform demands of the workplace

48
Q

Job analysis

A

Systematic evaluation of cognitive, psychological, physical, and social aspects of job demands to:
- facilitate client return to work
- match a rehabilitated worker to a job
- identify musculoskeletal risk factors

49
Q

Functional Capacity Evaluation (FCE)

A

Objective evaluation process, also referred to as work capacity evaluation/assessment, to determine functional and physical abilities related to essential job tasks

50
Q

Canadian Occupational Performance Measure

A

Occupational performance evaluation and outcome measurement tool that measures perceived capacity and satisfaction in the areas of self-care, productivity, and leisure

51
Q

Semmes Weinstein Monofilament Test

A

Tactile sensory test used to assess thresholds of protective sensation by pressing or touching filaments on specific areas of the body

52
Q

Wrinkle test

A

Objective measure of sympathetic responses used to test peripheral nerve function by immersing client’s hand in warm water for approximately 5-15 minutes

53
Q

Numeric Rating Pain Scale

A

Self-report pain measure where a client verbalizes a number to correspond with a perceived level of pain from no pain to most severe pain

54
Q

Modified Moberg pick-up test

A

Procedure used to determine general functional sensibility of the hand, involves picking up small common objects one at a time and placing the objects in a cup with and without vision occluded

Requires client to be able to identify the objects in advance of screening

55
Q

RLA level VII

A

Automatic, appropriate: Minimal assistance for daily living skills

Characterized by:
- minimal supervision for new learning
- may attend to a familiar task in a distraction-free environment for up to 30m with minimal redirection
- overestimates abilities
- minimal supervision for safety in home and community routines

56
Q

RLA level VI

A

Confused, appropriate: Moderate assistance

Characterized by:
- inconsistent orientation to person, place, time
- supervision needed for old learning
- may attend to a familiar task in a distraction-free environment for up to 30m with moderate redirection
- can follow simple directions

57
Q

RLA level V

A

Confused, inappropriate, nonagitated: maximal assistance

Characterized by:
- alert, nonagitated
- not oriented to person, place, time
- may wander
- unable to learn new information
- inappropriate use of objects without direction

58
Q

RLA level IV

A

Confused, agitated: maximal assistance

Characterized by:
- alert and in a heightened state of activity
- absent short-term memory
- purposeful attempt to remove restraints/tubes
- may exhibit aggressive behavior

59
Q

RLA level III

A

Localized response: total assistance

Characterized by:
- response to discomfort by pulling tubes/drains
- blinks when bright light crosses visual field
- inconsistent response to simple commands

60
Q

RLA level II

A

Generalized response: total assistance

Characterized by:
- generalized reflex to painful stimuli
- responses may be delayed
- responds to repeated auditory stimuli with increased or decreased activity

61
Q

RLA level I

A

No response: total assistance

Characterized by:
- no change in behavior when presented with any form of stimuli

62
Q

ASIA D

A

Characterized by:
- incomplete lesion with motor function preserved below the neurological level
- at least half of key muscles below neurological level have a muscle grade of Fair (3/5) or more strength

63
Q

ASIA C

A

Characterized by:
- incomplete lesion with motor function preserved below the neurological level
- at least half of key muscles below neurological level have a muscle grade of less than Fair (3/5)

64
Q

ASIA B

A

Characterized by:
- incomplete lesion with sensory but no motor function preserved below the neurological level; includes sacral segments S4-S5

65
Q

ASIA A

A

Characterized by:
- complete lesion with no motor or sensory function preserved in the sacral segments S4-S5

66
Q

ASIA results are based on…

A

Sensory testing of each dermatome for L and R side effects
MMT for R and L sides

67
Q

ASIA E

A

Characterized by:
- normal motor and sensory function

68
Q

RLA VIII

A

Purposeful, appropriate: Stand-by assistance

Characterized by:
- SBA for ADLS to take corrective action when impairments interfere with task completion
- Ind attends to and complete familiar tasks for 1h
- Ind once a new activity is learned

69
Q

RLA level IX

A

Purposeful, appropriate: SBA on request

Characterized by:
- SBA for ADLS on request when impairments interfere with task completion
- Ind shift between tasks and can attend for minimum of 2h
- uses assistive memory devices
- able to monitor appropriateness of social interactions with SBA

70
Q

ACL 1

A

Automatic actions
Characterized by:
- reflexive responses
- responsive to internal stimuli
- impaired awareness of time and place
- global cognition impaired
- max A for ADL

71
Q

RLA level X

A

Purposeful, appropriate: mod I

Characterized by:
- Ind multitask, may require occasional breaks
- accurately estimates skills and abilities and Ind adjusts task demands
- social behaviors are consistently appropriate

72
Q

ACL level 6

A

Planned actions
Characterized by:
- abstract thinking
- carry over learning from one session to another
- anticipates errors and demonstrates ability to plan ahead
- judgement and problem-solving is intact

73
Q

ACL level 5

A

Exploratory actions

Characterized by:
- global cognition mildly impaired
- trial-and-error method used during activities
- decreased ability to plan ahead and anticipate errors
- poor judgement and occasionally impulsive

74
Q

ACL level 4

A

Goal-directed actions

Characterized by:
- global cognition moderately impaired
- responds to tangible, visual motor cues
- some goal-directed behaviors
- can pay attention for up to 1h

75
Q

ACL level 3

A

Manual actions

Characterized by:
- ability to manipulate objects with hands
- responsive to tactile cues
- repetitive actions that are not goal directed
- short attention span and unpredictable behaviors

76
Q

ACL level 2

A

Postural actions

Characterized by:
- awareness of GM movements
- global cognition impaired
- may benefit from 1-step verbal instructions
- requires 24h nursing care

77
Q

What are the levels of assistance?

A

7: complete I (timely and safe)
6: MI (device, extra time, modified method)
5: supervision/SBA/contact guard (balance cues, they do 100% of the task)
4: min assist (subject does 75%)
3: mod assist (subject does 50-74%)
2: max assist (subject does 25-49%)
1: total assist (subject does <25%)

78
Q
A