AT_Social Participation, ADL, IADL Flashcards
What is COMP?
addresses role, role expectations, and activity performance within the client’s own environment
COMP domains
occupational performance specifically leisure, self-care, productivity
How many minutes does it need to be administrated?
10-45 minutes
What is the Administrated method of COPM?
Problem Identification Rating importance Selecting problems for scoring Scoring performance and satisfaction Client Reassessment/ reevaluation
What is the scoring interpretation of COMP?
higher scores reflect greater importance, performance, or satisfaction
What is an Interest checklist?
help gather information about the client’s interests and activities that are done in the past, present, and future.
What is the main focus of the Interest checklist?
focuses on leisure interests that influence activity choices
what are the domains targetted for the interest checklist?
sport leisure activity creative productivity at home health
What is the administrated method of interest checklist?
- OT will explain the purpose of the interest checklist and the procedure
- identify the strong interest
- encourage the client to prioritize the list
- select on interest from the prioritized list togther with the client
- identifies an action plan for the participation
What is the scoring and interpretation of the interest checklist?
Be able to identify their level of interest in each activities
Being able to find patterns of participation in different activities in the past, they currently do and they would like to participate in the future.
What is MMSE?
test of cognitive function among the elderly. This includes tests of orientation, memory, attention, language, and visual-spatial skill.
What are the targetted 7 domains of MMSE?
- orientation to time (5 points)
- orientation to place (5 points)
- three-words registration (3 points)
- attention and calculation (5 pooints)
- three words recall (3 points)
- language (8 points)
- visual construction (1 point)
administrated method of MMSE
Usually takes up to 5-10 minutes
- orientation; ask about the time, place, and date
- Registration: Ask the client to remember 3 random objects and ask to repeat these items as many as 6 times
- attention and calculation: you ask the client to count backward by 7 starts from 100. You ask the client to spell the word “WORLD”
- Recall; ask the client to say the 3 random objects you ask her to remember
- Language: present a wristwatch and pencil and ask the client to identify these items
- Complex 3-stage command: provide a piece of paper, ask the client to receive the paper with her right hand, ask to fold the paper half, and place the paper on the floor
- Reading: provide a command in the paper “close your eyes”, ask the client to read and perform the command
- Writing: ask the client to write a sentence of his/her own choosing
- Copying: on clear paper, draw intersecting pentagons and ask the client to copy the figures exactly,
Score and Interpretation of MMSE
30 maximum score
normal cognitive function - 25 or higher
mild cognitive impairment - 24- 21
Moderate cognitive impairment - 20 - 10
severe cognitive impairment - 10 or lower `
Social interaction Scale (SIS)
measure the level of social competence in assessing 7 areas of social function in 5 different social situations
Domains of SIS
social participation: community, family, peers
via video call, telephone
What is the administration method of SIS?
Varies on the situation. Therapist must observe client’s behavior for a minimum of 10 minutes
What are the 7 categories of social function?
7 categories:
- verbal communication
- psychomotor behavior
- socially appropriate behavior
- response to authority
- independent/dependence
- the ability to work with others
- participation in groups or program activities
What are the 5 social situations?
- one-to-one interview
- mealtime
- unstructured group situation
- structured activity group
- structure verbal group
score and interpretation of SIS
With the use 5 point rating scale to determine the level of function
1 = not able to assess due to degree of dysfunction
2 - markedly dysfunctional or inappropriate but able to be observable/ rated in the specified social situation
3 = somewhat dysfunctional or inappropriate
4 = usually functional or appropriate
5 = almost always functional or appropriate
What is MOCA assessment tool?
use as a screening instrument for the detection of mild cognitive impairment. Usually, use to a client who has memory complaints
What are the domains address to Montreal cognitive assessment?
Domains:
- orientation
- registration/memory
- attention & calculation
- delayed recall
- language
- visuospatial
- naming
- abstract
What is the administration method of MOCA?
administration time 10-15 minutes
visuospatial:
1. alternating trail making
2. cube
3. clock - circle, numbers, hand
Naming - identify each animal, (lion, camel, rhino)
Memory - say the 5 words let the client repeat it twice
Attention - forward counting, backward counting, letter “A” tapping finger (vigilance), serials 7s (subtracting)
Sentence Repetition - say the sentence and let the client repeat it
verbal fluency - say as many words as you can with the same beginning letter
Abstraction - identify the common between two objects ex: train-bicycle
delayed recall - repeat the 5 words earlier (cues)
Orientation - time, month, week, place, city
What is KELS?
Kohlman Evaluation of Living Skills
- assess the person’s ability to function in basic living skills and identifies areas in which the person is able to perform and in which he or she requires assistance.
What are the domains of KELS?
There are 17 living skills under the following 5 areas:
- Self-care
- Safety and Management
- Money Management
- Transportation and Telephone
- Work and Leisure
What are the score and interpretations of KELS?
SCORE:
1 point - needs assistance
0 point - independent, see note, note applicable
INTERPRETATION:
6 or more - indicates cx needs assistance
5 1/2 or less - cx is capable of living independently.
What is Mayers lifestyle questionnaire?
identify the priority needs of the client in relation to the quality of life before the intervention begins
What is the domain focus of MAYERS?
- looking after yourself (independently, w/ difficulty, severe difficulty)
- Living situation (safety and living in the house)
- Looking after others
- Being with others
- being in or out of working/attending college
- Your beliefs and values (religion)
- Finances (need of money, source of income, budgeting)
- choices (control in life)
- Activities you enjoy doing
The administration method of Mayers lifestyle questionnaire
- have the client answer all the domains before your first visit
- if haven’t completed it, you may ask via interview
- identify the key priority areas
- discuss and make an order of identified problems to be dealt with during the intervention
What is the Katz Index of Independence in ADL
assess the functional status of an individual by measuring their ability to perform activities of daily living
what are the domain of focus of Katz Index of Independence in ADL?
ADLs:
- bathing
- dressing
- toileting
- transferring
- continence
- feeding
Administration of Katz Index of Independence in ADL
This assessment is administered through observation of client performance in the 6 given ADLS
What is the scoring and interpretation of KATZ?
1 point = independence 0 point = dependence INTERPRETATION: 6= high independency 0 = very dependent
What is the Barthel ADL index?
this is to assess what the patient does and this aims to establish a degree of independence from any health
What are the domain of focus of the Barthel ADL Index?
10 ADLS: Feeding Bathing Grooming Bowel Bladder Toilet use Dressing Transfer Mobility Stairs
Administration of Barthel
This assessment is administered through observation of client performance
What is the scoring and interpretation of the Barthel Index?
0 = unable 5 = dependent 10 = independent
INTERPRETATION: 100-80 = patient can live independently 79-60 = minimal dependent 59-40 = partial dependent 39-20 = very dependent 20 less = total dependence
What is Test Grocery Shopping Skills (TOGSS)?
assess the client’s ability to efficiently locate and select specific items at the lowest price within the natural environment of the grocery store
What is Lawton Brody IADL scale?
assess independent living skills of an individual and measures functional ability
What are the domains of focus of the Lawton Brody IADL scale?
8 domains women: - ability to use the telephone - shopping - meal preparation - housekeeping - laundry - mode of transportation - responsibility for own medications - ability to handle finances 5 domains of men: - ability to use the telephone - shopping - mode of transportation -responsibility for own medication - ability to handle finances
Administration Method of Lawton Brody IADL?
Administrated for 10-15 minutes
This is assessed via interview or written questionnaires
This can be done with the patient, family members, or caregiver
Score and Interpretation of Lawton
1 = unable 2 = needs assistance 3 = independent
INTERPRETATION:
The higher the score, the greater the person’s abilities
