charts

Question 1

ALLEN COGNITIVE LEVEL

Answer 1

ALLEN COGNITIVE LEVEL

LEVEL 1
automatic actions - reflexive or ritualiatics
attention span = seconds
dependent in ADL
severe dementia, head trauma, CVA

LEVEL 2
spontaneous postural action with propioceptive cues
some imitation, wandering, aimless pacing
attention span = minutes
dependent in all care
paychosis

LEVEL 3
spontaneous manual action with tactile
sorting repetitive task, easily distracted, limited environmental awareness
attention span = ^30mins
independent in familiar ADL with V/C reminders for feeding, bathing etc
dementia, head trauma, CVA, paychosis, mania

LEVEL 4
goal directed action with visual cues
can copy demonstration one step at a time
attention span = 1hour
no learning of new information
mild dementia, mania, depression, chronic schizoph

LEVEL 5
spontaneous action related to visible cues
3 step task can match colors
relationship b/w objects
familiar ADL’s can be independent
self-centered behavior = decrease socialization

Question 2

FIM

Answer 2

FIM Scoring Criteria: 7 point scale

No Helper Required
Score Description
7
Complete Independence (timely, safety)
6
Modified Independence (patient requires use of a device, but no physical assistance)

Helper (Modified Dependence)
Score Description
5
Supervision or Setup (subject = 100%)
4
Minimal Contact Assistance (patient can perform 75% or more of task)
3
Moderate Assistance (patient can perform 50% to 74% of task)

Helper (Complete Dependence)
Score Description
2
Maximal Assistance (patient can perform 25% to 49% of tasks)
1
Total assistance (patient can perform less than 25% of the task or requires more than one person to assist)
0
Activity does not occur

Question 3

All (automatic actions)
Post  (Postural actions) 
Men  (Manual actions)
Go (goal directed)
Explore (exploratory)
Places (planned)

Answer 3

LEVEL 1: All (Automatic actions)- automatic motor responses (walking, standing, drinking, eating), total assist, sensory stimulation

LEVEL 2: Post (Postural)- think of movement associated with comfort and GROSS movements (bending, stretching, pacing), max assist, able to notice large objects in environment, attention span minutes

LEVEL 3: Men (Manual)- think of MANipulation with hands, Can imitate running stitch, mod assist, can perform simple tasks with repetition, very distracted, can perform familiar ADLs; attention span 30 minutes

LEVEL 4: Go (Goal directed)- imitates whip stitch; perform simple tasks/crafts through completion with heavy reliance on VISUAL CUES; can carry out established routines (cannot cope with new or unexpected); min assist, at level 4.6 can live alone; attention span hours

LEVEL 5: Explore (Exploratory)- simple cordovan stitch, overt trial and error problem solving (needs to perform action and learns trial and error by doing), independent and NEW LEARNING occurs, poor organization, planning, and socialization, activities: concrete tasks

LEVEL 6: Places (Planned)- absence of disability, independent

Hope this helps!