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
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
