Assessment and Screening Flashcards
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
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
Act of watching a client preform an action or occupation-based activity
Observation
Written documentation that contains data pertaining to the clients situation
Client record
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
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
Structured dialogue or conversation to collect information from the client, client caregivers, or relevant others
Interview
Evaluation tool administered under standard procedures and scored against specific guidelines
Standardized test
An evaluation tool that measures ability or performance that is not compared to a norm or a standard
Non-standardized test
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
Type of standardized test that compares the performance of a client in relation to the average performance of a peer sample
Norm-referenced test
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
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
Muscle grade assigned for:
-no active movement noted
-no muscle contraction observed or palpated
0/5
Muscle grade assigned for:
-Trace movement observed and palpated
-no active movement was noted, but muscle contraction is observed or palpated
1/5
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
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