Assessment and Screening Flashcards by Molly Adams

A quick method used for acquiring general information about a client’s diagnosis or condition.

Often used to determine rehab potential or the need for more in-depth assessment

Screening

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Part of the OT process completed during evaluation and refined throughout intervention used to gain an understanding of:

Typical level of performance and participation in occupations

-Client identified priorities

Occupational Profile

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Act of watching a client preform an action or occupation-based activity

Observation

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Written documentation that contains data pertaining to the clients situation

Client record

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A comprehensive process to determine client-centered priorities and goals, components typically include:
-Creating an occupational profile
-Administering standardized and non-standardized assessment
-Formulating conclusions regarding needs and priorities
-Collaboration to develop a targeted plan

Evaluation

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Standardized or non-standardized tools used to collect specific information for the evaluation

Examples include:
-Canadian Occupational Performance Measure
- Kitchen Task Assessment
-Transition Planning Inventory
-Contextual Memory Test

Assessment

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Structured dialogue or conversation to collect information from the client, client caregivers, or relevant others

Interview

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Evaluation tool administered under standard procedures and scored against specific guidelines

Standardized test

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An evaluation tool that measures ability or performance that is not compared to a norm or a standard

Non-standardized test

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The 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

Lacks inherent reliability and validity

Non-standardized sensory screening

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

Norm-referenced test

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Test for collecting data on performance or behavior directly from the client, caregivers or relevant to others:

Examples include:
-Ages and Stages Questionnaire
-Children’s Assessment of participation and enjoyment

Self-Report test

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A structured approach to measuring muscle strength and applying a muscle grade to the maximal effort put forth

Grading scale: Zero (0/5) to Normal (5/5)

Manual Muscle Test

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Muscle grade assigned for:
-no active movement noted
-no muscle contraction observed or palpated

0/5

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Muscle grade assigned for:
-Trace movement observed and palpated
-no active movement was noted, but muscle contraction is observed or palpated

1/5

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Muscle grade assigned for:
-poor strength observed where movement is noted only in a gravity-minimized plane

Scores can range from:
-Poor (-): Able to initiate, movement in the gravity-minimized plane
-Poor: Incomplete ROM in gravity-minimized plane
-Poor (+): Complete ROM in gravity minimized plane

2/5

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Muscle grade assigned for:
* fair strength observed where movement is noted against gravity

The score may range from:
* fair (-): incomplete ROM against gravity
* fair: full ROM against gravity with no resistance applied
* fair(+): full ROM against gravity and slight resistance

3/5

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Muscle grade assigned for:
* normal strength observed with full ROM against gravity and moderate resistance

4/5

Muscle grade assigned for:
* normal strength observed with full ROM against gravity and maximal resistance

5/5

Measurement instrument for evaluating joint range of motion; accuracy is ensured through the following standardized procedures including:
-client position
-positioning of the instrument

Goniometer

Method used to measure and monitor UE edema involves using a commercially-available water tank

Steps include filling the tank with water, immersing the hand and distal forearm into the tank, then measuring the amount of water displaced after immersion
Comparisons are made between two hands

Should not be used for clients with open wounds, external fixators, percutaneous oins, or casts

Volumetric displacement

Standard Cognitive screening test of cognitive function, the test includes completing the leather lacing task

Allen Cognitive Level Screen (ACLS-5)

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

Ranchos Los Amigos Level of Cognitive Functioning

Type of standardized test includes comparing the abilities of a client to a defined list of skills or levels of performance
Examples include:
-School Function Assessment
-Gross-Motor Function Measure

Criterion-Referenced Test

Measures the distribution and variation of data points around the mean

Standard Deviation

Sensory screening test that involves applying pressure to the fingertips with client vision occluded, typically using a commercially available disk or caliper with two tips spaced from 1-10 millimeter intervals, responses to pressure indicate functional sensation as follows: * 1-5 mm = Normal * 6-10 mm = Fair * 11-15 mm = Poor * One point perceived = Protective sensation only * No points perceived = Absent protective sensation

Two-Point discrimination test

Measurement term that refers to the size and proportions of the human body

Anthropometric

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

Driving evaluation

Standardized test to assess a variety of hand functions used in ADL Features of the test include: -Seven timed subtests to simulate fucntiona; hand tasks -Appropriate for ages years and older

Jebsen-Taylor Hand Function Test

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

Tinel's test

Standardized, timed test to asses finger dexterity Features include: -Picking up and placing pegs into holes one at a time -Appropriate for ages 18 years and older

9-hole peg test

Standardized self-report questionnaire to assess physical function and symptoms in upper limb musculoskeletal disorders, commonly used to collect outcomes information Features include: -30 items related to upper extremity function -appropriate for ages 18 years and older

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

Standardized measures for children with musculoskeletal disorders, used to assess several domains of function and quality of life Features include: -0-100 rating scale -Appropriate for ages 19 years and younger

Pediatric Outcomes Data Collection Instrument (PODCI)

Standardized pediatric measures for children with acute and chronic health conditions as well as healthy children used to assess health-related quality of life Features of the test include: -Appropriate for ages 2-18

Pediatric Quality of Life Inventory (PedsQL)

Self-report pain analog measure that uses pictures of facial expressions across a rating scale, primarily designed for children ages 4-16

Faces Pain Scale

Self-report pain measure that uses a 0-10 scale where 0 indicates no pain and 10 indicates worst pain

Visual Analogue 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

Numeric Rating Pain Scale

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

Semmes Weinstein Monofilament Test

The client-centered instrument used for avocational pursuits to determine: -Current level of participation in leisure activities -Level of desire to perform leisure activities

Interest Checklist

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

Canadian Occupational Performance Measure (COPM)

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

Functional Capacity Evaluation (FCE)

Performance components of the specific physical, cognitive, and social task demands of a job

Job Demands

Standardized test to assess unilateral gross manual dexterity Features: -Moving blocks from one side of a box to another -Appropriate for ages 6 and older

Box and Blocks test