Evaluation for IADL and Health Mgxt Flashcards
These are activities that support daily life within the home and community
IADL
IADL stands for
Instrumental Activities of Daily Living
Occupation that is more complex than ADL
IADL
T/F
A caregiver providing care for others is considered IADL
False (it is considered as work)
What are the common causes of IADL Disability
- Lack of opportunity to experience and learn IADL
- Declining cognitive abilities
- Memory and Attention impairment
- Emotional factors (e.g. anxiety, depression)
widely used assessment
Self-report
People who report self tend to_____ their abilities
Overestimate
People who are reported by their family or other informants tend to _____ their abilities
Underestimate
What is the best thing to do as a therapist to actually see the client’s ability
Direct observation
the only SAT available (8 items)
- administered through written questionnaire or by interview
- takes about 10-15 minutes to administer
Lawton IADL Scale
Scoring for Lawton IADL
0- less able
1- more able
score and interpretation in lawton IADL
0 means____
8 means____
pt has low function
pt has high function
score and interpret IN LAWTON IADL
6 means____
pt has high fxn but there are still problematic IADLS
the 8 items considered in Lawton
- using the telephone
- shopping
- preparing food
- housekeeping
- doing laundry
- using transportation
- handling medication
- handling finances
how many items for women and for men (BEFORE) in lawton
8 items for women; 5 items for men
What items are not included for men IN LAWTON
food prep
housekeeping
doing laundry
Give 1 example of Observation-based Assessment
Independent Living Skills Survey (ILSS)
Assessment with comprehensive questionnaire that is designed for individuals with serious mental illness
-takes about 20-30 minutes to administer
ILSS
two forms of ILSS
informant version and self-report version
ILSS
Scoring for: Informant version ____
Scoring for: Self Report version ____
Informant: 5 point likert scale (always to never)
Self-report: Yes/No
Give 4 examples of Performance-based Assessment
Kohlman Eval of Living Skills (KELS)
Test of Grocery Shopping Skills (TOGSS)
Kitchen Task Assessment (KTA)
Rabideau Kitchen Eval-Revised (RKE-R)
What are the difference between observation-based Assessment to Performance-based?
Observation-based- you observe the cx actually do the Ax (parang AA)
Performance-based- the therapist is the one giving the specific task
- Assessment tool used with combination of interview and simulated performance
- has 17 living skills
- 30-45 minutes to administer
Kohlman Evaluation of Living Skills (KELS)
Scoring for KELS
0- independent
1- needs assistance
.5 (for leisure and work)
T/F
In KELS, the higher the score, the better
False
dapat mas mababa
assessment tool used to see the person’s ability to efficiently and accurately locate 10 items on a grocery shopping list
-administered for 30-45 minutes
Test of Grocery Shopping Skills (TOGSS)
What are the 3 subscales of TOGSS
Accuracy
Time
Redundancy
subscale that checks the correct item, type and lowest price
Accuracy
subscale that checks the number of aisles entered by the cx to find 1 product
Redundancy
Assessment tool that evaluates the cognitive process that underlie successful task completion
-common for patients with dementia
Kitchen Task Assessment (KTA)
What instruction is given in KTA
Make a box of pudding
T/F
in KTA, giving cues and minimal assistance is allowed
False
Scoring for KTA
4 point scale
0 = independent
4 = not capable
Assessment tool used for TBI patients that involved meal preparation
Rabideau Kitchen Evaluation-REvised (RKE-R)
What 2 meals are prepared in RKE-R
Sandwich and Hot drink
Tasks is broken down into ___ steps
40
T/F
Each task is scored on a scale from 0 to 4
True
Scoring for RKE-R
0 - independent
4- unable to perform
T/F
Cues and assistance are provided in some cases
True
in TOGSS, Cues provided if:
assistance is requested
significant frustration is experienced
safety is a concern
behavior interfere with completion of step or task
Give 4 SATs used for Health Management
Modified Morisky Scale
Brief COPE Inventory
Emotion Regulation Questionnaire
Suicide Behaviors Questionnaire- Revised
Activities that is related to developing, managing and maintaining health and wellness routines
Health Management
T/F
Patients that have mental illness do not have problem with their physical activity
False
Factors that may result to physical inactivity
lifestyle factors and treatment (medication)
The ANS and SNS are _____ affecting their physiological symptoms
heightened
Barriers to Physical Activity due to Symptom-related
Depression
Anxiety
Paranoid
Avolition
Barriers to physical activity due to medication-related
Sedation
Photosensitivity
OH
EPS
Common barriers to Medication Adherence
- stigma
- negative side effects
- degree of social support
- forgetfulness
- financial incapacity
Assessment tool usually used for pt taking medications
- Answered by Yes (0) /No (1)
- for cx with poor insight
Modified Morisky Scale
MMS can be administered to the patient’s informant
T/F
False
should be self-report only
2 factors assessed in MMS
client’s motivation and knowledge
Assessment tool that contains 28 item self-report questionnaire that assess the range of coping responses
Brief COPE Inventory
What does COPE stands for
Coping Orientation to Problems Experienced
What are the Primary coping Styles
Approach coping
Avoidance coping
T/F
In Brief COPE, they check if pt can cope or not and to give therapist an overview about the pt’s coping strategies
True
Scoring for Brief COPE
1 - haven’t been doing at all
2- been doing a little bit
3- been doing in a medium amount
4- been doing a lot
Self Distraction
Avoidant
Cope 1 and 19
Active Coping
Approach
Cope 2 and 7
Self-Blame
Avoidant
Cope 13 and 26
Religion
Others
Cope 22 and 27
Denial
Avoidant
Cope 3 and 8
Acceptance
Approach
Cope 20 and 24
Humor
Others
Cope 18 and 28
Substance Use
Avoidant
Cope 4 and 11
Use of Emotional Support
Approach
Cope 5 and 15
Planning
Approach
Cope 14 and 25
Positive Reframing
Approach
Cope 12 and 17
Use of Instrumental Support
Approach
Cope 10 and 23
Venting
Avoidant
Cope 9 and 21
Behavioral Disengagement
Avoidant
Cope 6 and 16
a 10 item self report scale used to assess habitual use of two strategies to alter emotion
Emotion Regulation Questionnaire (ERQ)
two commonly used strategies to alter emotion
Cognitive Reappraisal
Expressive Suppression
Strategy where pt think different about a situation to change its meaning and alter emotion
Cognitive reappraisal
Strategy where pt usually deny possibility of outward expression of emotion
Expressive suppression
Scoring for ERQ
7 point likert Scale
(1) strongly disagree
(7) strongly Agree
In cognitive reappraisal the score ranges _____
while in expressive suppression score ranges ____
6-42
4-28
What are the items included in cognitive reappraisal
1, 3, 5, 7, 8, 10
Items included in expressive suppression
2, 4, 6, 9
A 4 item self report questionnaire designed to identify risk factors for suicide
Suicide Behaviors Questionnaire-Revised (SBQ-R)
Item 1 is about
lifetime suicide ideation and/or suicide attempt
Item 2 assess the
Frequency of suicidal ideations over the past 12 months
Item 3 assess the
threat of suicide attempt
Item 4 evaluates
self-reported likelihood of suicidal behavior in the future
scores for SBQ-R
total score of 3 to 18
What is the cut off score for general population
7
Cut off score for psych population
8
What does cut off score means
it means pt has risk for suicide
What task should clients who are assessed using Kitchen Task Assessment do?
Make a pudding by following instructions in the box
Based on Brief COPE Inventory, which of the following is/are identified as avoidant coping strategies?
Venting
t/f
Symptom-related barriers are one of the major causes of IADL disability in clients with Schizophrenia.
false
t/f
the following are true about TOGSS
- It looks at the ability of the client to locate and select specific items in a nature environment.
- It is administered in an actual grocery store.
- It looks at one’s executive functioning.
true
What are the subcomponents of ERQ?
Approach and avoidant
how
scoring an interpretation of ERQ
Add items for each subscales. Higher scores indicates higher usage of this type of emotion regulation strategy.
t/f
In KELS, each item marked needs assistance is scored as 1 point, except for work/leisure, which is scored as 0.5 point.
true
The client mentioned that his goal is to be able to manage his symptoms, especially to know what to do If he is experiencing anxiety attacks and when faced with a difficult problem.
What evaluation tool can you use to further assess the client’s skills and occupation?
Brief COPE Inventory
Which of the following statements is/are TRUE about ILSS?
- It assesses both ADLs and IADLs.
- It’s self-report version uses a 5-point Likert Scale
- None
- It is a performance-based assessment tool.
It assesses both ADLs and IADLs.
t/f
Performance of ADLs require more cognitive skills than IADLs because they are more complex.
false
