Evaluation of ADL and IADL Flashcards
occupation that requires basic skills and focuses on ax such as taking care of one’s own body
ADL (activities of daily living)
occupation that require the use of executive functions, social sills in a more complex environment
IADL (instrumental activities of daily living)
what are the 3 concepts to remember when evaluating
- level of independence
- safety
- Adequacy
when evaluating, it is important to create or identify these 3 things
- occupational profile
- performance analysis
- factors influencing performance
what are the 7 classes when measuring ADL and IADL (level of independence)
- independent
- supervised
- standby assistance/ contact guard assistance
- minimal assistance
- moderate assistance
- maximal assistance
- dependent
define :
minimal assistance
25% physical/verbal assistance
75% client
moderate assistance
50% assistance
50-74% client indep
identify what level of assistance is stated
>75% assistance
<25% client indep
Dependent
identify level of assistance
25-49% client indep
51-75% assistance
Maximal assistance
What to assess during home mgmt tasks
- home/environmental setting
2. former and present home mgmt roles and responsibilities
what is the purpose of home evaluation
assess:
- safety and accessibility
- cx fxning at home
- determine caregiver training
Steps in evaluating home mgmt
- interview (hpi)
- demo of self care and home mgmt task
- determine access issues
- take required measurement (tape measure)
- survey general arrangement (of house)
different types of community mobility
- walking c or s ambulation aid
- wheeled mobility devices
- powered device
- riding as a passenger
- Driving oneself
- use of public transportation
Give example of open environment/task
commuting
kase every day iba iba yung ganap outside world, may mga possible disruption such as traffic
Give example of closed task
showering/brush teeth
kase repetitive lang, di nagbabago, same routine kumbaga
t/f things that should be considered to assess are the ffg capabilities: physical cognitive perceptual functional social
true
this includes the cx ability to understand medical condition and make decision to maintain good health
health management and maintenance
If a score of 100 in the modified barthel index is interpreted as independence, what would be the interpretation of 70 as a score in the evaluation
Moderate Dependence
Identify 1 Assessment tool for evaluating swallowing functions
THE MANN ASSESSMENT OF SWALLOWING ABILITY (MASA)
In the Modified Barthel index, what is the highest score possible that could be given in the “dressing” item that depicts independence in doffing and donning corset and braces as prescribed
10
IADLs require more advanced level skills in all performance areas than ADLs
t/f
true
In lawton IADL, the summary score for women ranges from 0 to 8. What is the summary score range for men to avoid potential gender bias
0-5
In the physical self-maintenance scale, ADLs’ total score ranges from 0 to 6. What is the total score range for IADLs?
0-8
t/f
OT practitioners must keep in mind that independence is the only important performance parameter to assess during evaluation
false
According to the Katz Index of Independence in ADLs, what is the highest score possible that can be given to a patient independent in all activities
6
Describes the client’s occupational history, patterns of daily living, interests, values and needs
Occupational profile
Level of assistance that requires a verbal cue for safety and OT feels comfortable being greater than
arm’s length at all times
supervised
Continence is a different item from toileting in the Katz Index of Independence in ADLs
t/f
true
