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Occupational Therapy > Cognition assessment and intervention > Flashcards

Cognition assessment and intervention Flashcards

1
Q

What does QUEST stand for?

A

Quality of Upper Extremities Skills Test

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2
Q

What does the QUEST aim to do?

A

It is designed to evaluate movement patterns and hand function in children with cerebral palsy

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3
Q

What is the difference between grasp in the Dissociated Movements domain and in the Grasp domain?

A

Dissociated movements domain looks at the arm position during grasp/release of a 1 inch cube and grasping at shoulder, elbow, wrist, and fingers where as the Grasp domain looks at posture during grasp of a 1 inch cube, cereal and a pencil/crayon

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4
Q

Is QUEST top-down or bottom-up?

A

It is a bottom-up approach as it focuses on the cause of deficits in foundational skills

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5
Q

What is the age range for the QUEST?

A

18 months to 8 years

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6
Q

What is the MACS?

A

The Manual Ability Classification System (MACS) has been developed to classify how children with cerebral palsy (CP) use their hands when handling objects in daily activities.

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7
Q

How is the information gathered through MACS useful in assessment and intervention of individuals with Cerebral Palsy?

A

MACS has 5 levels based on a child’s self-initiated ability to handle objects and their need for assistance or adaptation to perform manual activities in everyday life. Knowing a child’s MACS level can help parents, teachers and others to understand situations in which a child is independent and the extent to which they need support or adaptations.

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8
Q

How can MACS and QUEST be used together?

A

QUEST can be used to give a baseline while MACS is top-down and looks at the skills necessary to complete daily activities and address functional performance

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9
Q

What age group is MACS suitable for?

A

4-18 years

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10
Q

What are the primary differences between MACS and QUEST?

A
  • MACS level stays relatively stable throughout life where as quest score can change
  • MACS assesses what children can do in everyday life where quest assesses specific upper limb performance components
  • MACS doesn’t take into account differences in hand function between left and right and looks at overall ability where quest assesses both left and right upper limb seperately.
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11
Q

What is the School Function Assessment (SFA)?

A

It is used to measure a student’s performance of functional tasks that support his or her participation in the academic and social aspects of an elementary school program (K-6)

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12
Q

What does the SFA measure?

A

Participation, task supports and activity performance

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13
Q

What client group is the SFA used for?

A

Children in school kinder to grade 6, between the ages of 5-12 years

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14
Q

Is the SFA top-down or bottom-up?

A

Top-down as it looks at performance as opposed to the cause of the deficits

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15
Q

What is the 4QM?

A

The four-quadrant model of facilitated learning (4QM) is used by teachers and practitioners in selecting effective learning strategies based on changing needs of the learners during acquisition of new skills.

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16
Q

How is the SFA administered?

A

Individual scales

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17
Q

How long does the SFA take to administer?

A

5-10 minutes

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18
Q

What is the RUDAS?

A

Rowland Universal Dementia Assessment Scale - is an assessment scale that assesses cognitive impairment in people from all educational, cultural and linguistic backgrounds

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19
Q

Who is the RUDAS suitable for?

A

People with suspected or diagnosed dementia, people of all education, cultural and linguistic backgrounds

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20
Q

What are benefits of the RUDAS?

A

likely to have less cultural and educational bias due to adaptability

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21
Q

How long does it take to administer the RUDAS?

A

10 minutes

22
Q

Does the RUDAS require training to administer?

A

Yes, must be administered by anyone familiar with working with clients with cognitive impairments/dementia and RUDAS administration and scoring

23
Q

What are some limitations of the RUDAS?

A

There may be cultural and educational bias due to the instrument being developed in the western world

24
Q

What cognitive or perceptual skills does the RUDAS assess?

A

Memory, body orientation, praxis, drawing, judgement, memory (recall), language

25
Q

What is the MOCA?

A

The Montreal Cognitive Assessment, Screens for cognitive impairment and can follow a
patient’s progress over time. Also used to screen for stroke

26
Q

Who is the MOCA used with?

A

Adults only

27
Q

What cognitive or perceptual skills does the MOCA assess?

A

Attention, executive functions, memory, language, visuoconstructive skills, conceptual thinking, calculations, orientation

28
Q

How long does the MOCA take to administer?

A

5-10 minutes

29
Q

Who can administer the MOCA?

A

Can be administered by anyone familiar with working with clients with cognitive impairments and familiar with the MOCA administration and scoring.

30
Q

What is the MMSE?

A

Mini Mental State Exam - Screens for cognitive impairment and can follow a patient’s progress over time. Also used as a screen for Dementia.

31
Q

Who is the MMSE used for?

A

Adults only

32
Q

What cognitive or perceptual skills does the MMSE assess?

A

Orientation to time, orientation to place, registration, attention and calculation, recall, naming, repetition, comprehension, reading, writing, drawing.

33
Q

How long does the MMSE take to administer?

A

5-10 minutes

34
Q

Who can administer the MMSE?

A

Very simple and easy to follow. Can be administered by anyone familiar with working with clients with cognitive impairments and familiar with the MMSE administration and scoring.

35
Q

What is the DLOTCA?

A

The dynamic Loewenstein occupational therapy cognitive assessment for adults - Enables the therapist to develop a detailed cognitive profile to assist with intervention planning and management.

36
Q

What age group is the DLOTCA designed for?

A

18-69 years

37
Q

What cognitive or perceptual skills does it assess?

A

orientation, awareness, visual perception, spatial perception, praxis, visuomotor construction, thinking operations

38
Q

How long does the DLOTCA take to administer?

A

45-90 minutes

39
Q

Who can administer the DLOTCA?

A

Can be administered by anyone familiar with working with clients with cognitive impairments and familiar with the LOTCA administration and scoring. Requires standardised materials.

40
Q

What is the DLOTCA-G?

A

Dynamic Loewenstein Occupational Therapy Cognitive Assessment for Geriatrics - Assesses basic cognitive skills in geriatric clients with traumatic head injuries or stroke

41
Q

What age group is the DLOTCA-G designed for?

A

Ages 70+

42
Q

What is the CAM?

A

Cognitive Assessment of Minnesota - Used with clients with stroke, Level IV and above on the Ranchos Los Amigos Scale of Cognitive Functioning.

43
Q

Who is the CAM not suitable for?

A

Not suitable for clients with severe visuo-perceptual motor or visual acuity deficits or clients with aphasia.

44
Q

What cognitive or perceptual skills does the CAM assess?

A

Attention span, Memory/Orientation, Visual neglect, Following directions, Immediate memory, Temporal awareness, Matching, Object identification, Visual memory & sequencing, Recall/recognition, Auditory memory & sequencing, Simple money skills, Simple math skills, Foresight & planning, Safety & judgement, Concrete problem solving, Abstract thinking

45
Q

How long does the CAM take to administer?

A

40 minutes

46
Q

Who can administer the CAM?

A

Can be administered by anyone familiar with working with clients with cognitive impairments and familiar with the CAM administration and scoring. Materials are easily accessible and inexpensive.

47
Q

What is the RMBT?

A

Rivermead Behavioural Memory Test - Can be used for clients with TBI, stroke, Encephalitis and progressive conditions such as Alzheimer’s Disease

48
Q

What age group is the adults RMBT designed for?

A

Ages 16 - 96

49
Q

What cognitive or perceptual skills does the RMBT assess?

A

First and second name, Belonging, Appointment, Pictures, Story (immediate & delayed), Picture, Faces, Route (immediate & delayed), Message (immediate & delayed), Orientation and date, Body-image self-identification.

50
Q

How long does the RMBT take to administer?

A

25-30 minutes

51
Q

Who can administer the RMBT?

A

Can be administered by anyone familiar with working with clients with cognitive impairments and familiar with the RBMT administration and scoring. Requires standardised materials

Occupational Therapy (21 decks)

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