Eval and intervention for performance in areas of occupation

Question 1

scales to measure functional performance

Answer 1

total A: 100%
max A: 75%
mod A: 50%
min A: 25%
SBA: supervision
Independent: none

Question 2

general intervention guidelines

Answer 2

• top down approach: consider the person’s areas of occupation first
• remediate, alleviate effects of performance skills deficits and client factors are often required
• interventions for deficits than cannot be remediated should include adaptive strategies that compensate for the deficits
• strategies can be generalized etc different situations that are particularly helpful (energy conservation)

Question 3

AMPS

Answer 3

assessment of motor and process skills
effectiveness, efficiency, or safety of a person’s ADL task performance
interview to list 3-5 meaningful tasks and work on them
must be trained

Question 4

exam hint with AMPS

Answer 4

if AMPS is an answer option in a CST item, “yes” should be selected for the AMPS IF the scenario indicates the eval is being administrated by a therapist who completed the AMPS training course and is a calibrated rater
if this info is not provided, say “no”

Question 5

barthel index

Answer 5

• measures someone independence in BADL and functional mobility before and after intervention and the level of person care assistance needed by the individual
• direct observation of 10 ADLs/mobility
• max score is 100 (means they can do all task independently)
  *does not equate to ability to live independently

Question 6

cognitive performance test (CPT)

Answer 6

assesses 6 functional ADL tasks that require cognitive processing skills based on allen levels
(dressing, shopping, making toast, phone call, washing, traveling)

Question 7

FIM and WeeFIM

Answer 7

functional independence measure
6 performance areas are assessed: self care, sphincter management, mobility, locomotion, communication, and social cognition
observation
score 1- 7
totalA, max A, mod A, min A, supervision/set up, mod I, total I

The FIM™ is a measurement tool that has been shown to predict the discharge disposition for patients who have had a stroke.

Question 8

katz index of ADL

Answer 8

level of independent functioning and assistance in 6 areas of ADL
receive a grade
A = independent in all 6
G = dependent in all 6

Question 9

kitchen task assessment (KTA)

Answer 9

measures judgement, planning, organizational skills in a simple cooking task
0 = independent
1 = verbal A
2 = physical A
3 = totally incapable

Question 10

klein-bell ADL scale

Answer 10

ADLs in 170 items in 6 areas
“achieved” or “failed”

Question 11

kohl man eval of living skills (KELS)

Answer 11

17 basic living skills needed to live independently in 5 main areas
self care, safety+health, money management, comm mob+telephone, employment+leisure

“independent” “needs assistance” “not applicable”

Question 12

milwaukee eval of daily living skills (MEDLS)

Answer 12

actual or simulated performance of BADLs
screening form to choose relevant ones
scored according to standardized criteria for each item

Question 13

routine task inventory (RTI)

Answer 13

according to allens levels
observation, self report, or report of caregiver
housekeeping, preparing food, spending money, taking meds, doing laundry, shopping, telephone, travel

Question 14

scoreable self-care evaluation

Answer 14

motivational questionnaire
assess their values and beliefs about self care skills
do the tasks and score

Question 15

test of grocery shopping skills (TOGSS)

Answer 15

done at their grocery store
accuracy, time, redundancy, observation, strategies, asking for help, prices, etc

Question 16

sexual expression/activity evaluation

Answer 16

in routine screenings/questions to see if it is valued to them
identify potential obstacles
determine if their knowledge is appropriate and adequate

legally must report any suspected abuse

Question 17

self-care intervention

Answer 17

choose meaningful and valued activities
what do they really want to do independently vs what will they use adaptations for to make it easier
adaptive equipment

Question 18

sexual expression/activity intervention

Answer 18

safe and satisfying
old people like sex too
correct answers will be using the PLISSIT model and a therapist debunking the myths and advocating for the person’s right to sexual activity

Question 19

PLISSIT model

Answer 19

P = permission
LI = limited information - ensure the individual has accurate knowledge about their sexual abilities and potentials
SS = specific suggestions (alone or with partner, positioning, warm baths, energy conservation, catheter care/hygiene)
IT = intensive therapy when they require intervention for long-standing sexual problems (marriage counselor, sex therapist)

cognitive impairments - essential to ensure safety
- training in self-protection, roll playing, sex ed

Question 20

play/leisure evaluation

Answer 20

• activity index: perception of meaning of leisure and extent of their participation
• interest checklist: level of interest
• leisure diagnostic battery: motivational/situational issues that influence leisure
• leisure satisfaction questionnaire
• meaningfulness of activity scale: enjoyment in it
• Minnesota leisure time physical activity questionnaire: energy expended during
• play history: child/adolescent dev level
• preschool play skill: observation

Question 21

work assessment

Answer 21

1. initial screening and prevocational assessment
2. functional capacity eval (FCE)
3. work capacity evaluation using real or simulation work activities (like BTE)
4. job site analysis

Question 22

mccarron-dial systems (MDS)

Answer 22

assesses prevocational, vocational, and educational abilities of individuals with disabilities
5 main areas: cog/verbal/spatial, sensory, motor, emotional, coping/adaptive behaviors
must be trained with a 3 day workshop
*questions about this could be yes if the workshop is mentioned

Question 23

work intervention

Answer 23

1. eval the work site and adaptive the environment and job tasks
2. assistive devices, adaptive strategies
3. practice, modify, and instruct in work activities
4. conditioning exercises
5. educate about safety and injury prevention
6. reasonable accommodations

Question 24

specific work programs

Answer 24

1. work hardening - interdisciplinary, real and simulated activities, need CARF accreditation, productivity, safety, physical tolerance
2. work conditioning - one discipline, flexibility, strength, movement, endurance are addressed, no accreditation
3. ergonomic program - prevention, fit workplace to the body
4. rehab or transition programs - employees with supports, transition

Question 25

sleep red flag

Answer 25

people with parasomnias (narcolepsy, restless leg, sleepwalking) or obstructive sleep apnea syndrome (OSAS) should be referred to a physician for more in depth eval

OSAS is deadly, physician referrals for it must be completed immediately

Question 26

sleep interventions

Answer 26

• develop a daily pattern of relaxation activities: meditation, prayers, progressive muscle relaxation, visualization
• pre sleep routine
• meals 2 hours prior
• avoid caffeine and alcohol
• consistency with time
• soothing environment (dark, cool, quiet)
• only sleep and sex in the room