Chapter 23, 24, 25 Flashcards
reliability
measures consistently when applied to different individuals, at different times, and in different situations.
-repeatability and consistency of a measure
validity
degree to which an instruement actually measures that which it is intended to measure
widely accepted
instruments that have withstood substantial rigor in the scientific community and are endorsed for use without being subject to question
Glasgow Coma Scale (GCS)
measure of level of consciousness and an indicator of severe BI in the early acute stage of injury
(score from 3-15)
Abbreviated Injury Scale (AIS)
one-time measure of the severity of head injury
range from 1=minor, to 6=unsurvivable
-part of larger system of anatomical scoring called Injury Severity Score
Injury Severity Score
most severe injuries in different areas of the body are considered
scores range from 0-75; higher score = more injury
Loss of Consciousness times and corresponding injury severity
none to less than 30 min = mild
greater than 30 min but less than 24 hrs = moderate
greater than 24 hours = severe
JFK Coma Recovery Scale - Revised (JFK CRS-R)
used with individuals who have an extended disorder of consciousness
-involves measurements of 23 items in subscales
Functional Assessment Measure (FAM)
adjunct to FIM to specifically address issues not addressed in FIM:
- cognitive
- behavioral
- communication & community functionin
Disability Rating Scale (DRS)
usually a research instrument
8-item assessment of impairment, disability, and handicap or particpation
Rancho Los Amigos Level of Cognitive Functioning Scale
used for assessment of cognitive function of people with BI post-coma
BI measures used in post-acute rehab
Craig Handicap Assessment and Reporting Technique (also has short form)
Mayo Portland Adaptability Inventory 4 Participation Index (M2P2)
PART-O
Mayo Portland Adaptability Inventory 4 Participation Index (M2P2)
designed to track post-acute rehab outcomes of both children and adults with TBI
PART-O
measures frequency of engagement of level of involvement in an activity
Common data elements (CDE)
standardized set of measures to be used in the assessment of persons with brain injuries; put together by a consensus of hundreds of experts working in the field of rehabilitation for BIs
employment rates post-BI (%)
less than 10-40%, particularly for those who sustain more severe injuries
Return to work risk factors (barriers)
- more severe injury
- older age at time of injury
- being male
- lower levels of pre-injury educational or occupational status
- lack of social support
- significant physical, psychosocial, or cognitive impairment
- minority
- history of substance abuse
Vocational Rehab successful employment by gender following BI
- 4% females (many have VR services terminated before initiating services almost 50% more frequently than males)
- 6% males
Rehab Act of 1973
first federal civil rights legislation for people with disabilities
- prohibits discrimination on the basis of disability in programs conducted by agencies in the executive branch of the federal government and entities such as schools, hospitals, and non profit organizations receiving federal financial assistance
- prohibits discrimination in hiring, placement, and promotion by federal agencies and federal contractors
supported employment model (Voc Rehab)
emphasizes use of employment specialist or job coach to provide intensive individualized assistance to help with gaining and maintaining employment in a real job for real pay in the community
services offered by employment specialist
assessment job development on the job training and support case management long term follow up
State Voc Rehab Continuum
minimal intervention>education and preparation>advocacy level services>workplace supports
(discreet>intrusive)
vocational case coordination
holistic approach to voc rehab
- voc rehab seen as one part of individualized rehab program
- early medical and voc rehab intervention
- work trials
- employer education
- temporary work support
- supported employment
___% of individuals who receive Vocational case coordination were employed in the community
80%
comprehensive and integrated day treatment models
include individual and group therapies as well as vocational trials and supported employment
some show employment rates as high as 50% and 75-80%
