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
Froment's sign
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
26
Transition Planning Inventory
Vocational inventory and rating scale used to understand the transition needs for students preparing for life after graduating from high school
27
Performance Assessment of Self-care Skills (PASS)
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
28
Barthel Index of ADL
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
29
Nine Hole Peg Test
Standardized, timed test to assess finger dexterity Features include: - picking up and placing pegs into holes one at a time - appropriate for ages 18+
30
Jebsen-Taylor Hand Function Test
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+
31
Driving evaluation
A combination of clinical assessments, stimulated performance tests, and road evaluation used to determine level of safety and independence when operating a motor vehicle
32
Glasgow Coma Scale (GCS)
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
Internal consistency
Correlation statistic calculated to ensure items on a test deliver consistent score
34
Intrarater reliability*
The ability of a test to yield similar results when administered to the same client by the same therapist with repeated testing
35
Box and Blocks test
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
Interrater reliability
Ability of the test to yield similar results when administered to the same client by two independent raters
37
Ipsative assessment
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
Criterion-referenced test
Type of standardized test includes comparing abilities of a client to a defined list of skills of level of performance
39
Norm-referenced test
Type of standardized test that compares performance of a client in relation to average performance of a peer sample
40
Disabilities of the Arm, Shoulder, and Hand (DASH)
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
Pediatric OutcomesData Collection Instrument (PODCI)
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
Pediatric Quality of Life Inventory (PedsQL)
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
School Function Assessment
Questionnaire used with students K-6 to evaluate performance in functional tasks that support social and academic performance at school
44
Craig Handicap Assessment and Reporting Technique (CHART)
Questionnaire used to determine the extent to which a client's disability impacts level of participation in everyday life activities
45
Model of Human Occupation Screening Tool (MoHOST)
Evaluation tool based on MOHO designed to assess a client's occupational functioning in the areas of volition, skills, habituation, and the environment
46
Rancho Los Amigos Level of Cognitive Functioning
Descriptive 10 level behavioral scale of cognitive function typically used with a client after a TBI, typically used to guide behavioral interventions
47
Work performance measurement
A part of the vocational rehabilitation process that includes evaluation of a client's ability to perform demands of the workplace
48
Job analysis
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
Functional Capacity Evaluation (FCE)
Objective evaluation process, also referred to as work capacity evaluation/assessment, to determine functional and physical abilities related to essential job tasks
50
Canadian Occupational Performance Measure
Occupational performance evaluation and outcome measurement tool that measures perceived capacity and satisfaction in the areas of self-care, productivity, and leisure
51
Semmes Weinstein Monofilament Test
Tactile sensory test used to assess thresholds of protective sensation by pressing or touching filaments on specific areas of the body
52
Wrinkle test
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
Numeric Rating Pain Scale
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
Modified Moberg pick-up test
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
RLA level VII
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
RLA level VI
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
RLA level V
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
RLA level IV
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
RLA level III
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
RLA level II
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
RLA level I
No response: total assistance Characterized by: - no change in behavior when presented with any form of stimuli
62
ASIA D
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
ASIA C
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
ASIA B
Characterized by: - incomplete lesion with sensory but no motor function preserved below the neurological level; includes sacral segments S4-S5
65
ASIA A
Characterized by: - complete lesion with no motor or sensory function preserved in the sacral segments S4-S5
66
ASIA results are based on...
Sensory testing of each dermatome for L and R side effects MMT for R and L sides
67
ASIA E
Characterized by: - normal motor and sensory function
68
RLA VIII
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
RLA level IX
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
ACL 1
Automatic actions Characterized by: - reflexive responses - responsive to internal stimuli - impaired awareness of time and place - global cognition impaired - max A for ADL
71
RLA level X
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
ACL level 6
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
ACL level 5
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
ACL level 4
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
ACL level 3
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
ACL level 2
Postural actions Characterized by: - awareness of GM movements - global cognition impaired - may benefit from 1-step verbal instructions - requires 24h nursing care
77
What are the levels of assistance?
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
What are the 6 ACLs?
Level 1: Automatic Actions - ACL 1.0: withdrawing from stimuli: edge of consciousness - ACL 1.2: responding to stimuli - ACL 1.4: locating stimuli - ACL 1.6: moving in bed - ACL 1.8: raising body parts Level 2: Postural Actions - ACL 2.0: overcoming gravity - ACL 2.2: standing and using righting reactions - ACL 2.4: walking ACL - 2.6: walking to identified location - ACL 2.8: using railings and grabbing bars for support Level 3: Manual Actions - ACL 3.0: grasping objects - ACL 3.2: distinguishing among objects - ACL 3.4: sustaining acts on objects - ACL 3.6: noting the effects of actions on objects ACL - 3.8: using all objects and sensing completion of an activity Level 4: Goal-Directed Actions - ACL 4.0: sequencing self through steps of an activity - ACL 4.2: differencing among parts of an activity - ACL 4.4: completing a goal - ACL 4.6: scanning the environment - ACL 4.8: memorizing new steps Level 5: Exploratory Actions - ACL 5.0: learning to improve effects of actions - ACL 5.2: improving the fine details of actions - ACL 5.4: engaging in self-directed learning - ACL 5.6: considering social standards - ACL 5.8: consulting with other people Level 6: Planned Actions - Deductive thinking and trial and error allows them to anticipate problems and to take steps to avoid them.