Evaluation of ADLs Flashcards
Activities oriented toward taking care of one’s own
body and completed on a routine basis
Activities of Daily Living
most basic skills of everyday life
tasks that are typically performed in a
habitual manner, every day, and across all age groups, genders, and cultures
ADLS
T/F
Problems with ADLs can occur at any age, but prevalence rates are higher for the elderly and are a core problem associated with late-stage dementia.
TRUE
T/F
ADL concerns are likely to be related to cognitive, psychological, or motor issues and less frequently due to sensory impairments.
FALSE
What do we assess and how do we evaluate ADLs in persons with mental health disorders?
Environment
Resources
Individual’s skill/ability
How do we functionally assess and evaluate ADLs in persons with mental health disorders?
Self-report
Informant report
functional assessment
Assesses FUNCTIONAL STATUS as a measurement of the client’s ability to perform activities of daily living independently
Katz Index of Independence in ADL Scale
Katz Primary purpose
for screening older patients w their
ADLs
6 items measured by Katz SAT
Bathing Toileting Dressing Transferring Continence Feeding
T/F
Katz can be used in assessing any age if deemed appropriate
true
Katz Scoring Interpretation
6 Full function
4 Moderate impairment
2 or less Severe functional impairment
Limitation of Katz
Does not provide info abt what aspects of ADLs are impaired
- evidence-based, semi-standardized assessment tool
developed within the framework of the cognitive
disabilities model - intended to ASSESS DEGREE TO WHICH COGNITIVE DISABILITY RESTRICTION interferes with everyday task performance through observation of task behavior
Routine Task Inventory - Expanded
Aim of Routine Task Inventory - Expanded
- promote the safe routine performance to valued occupations
- to maximize participation in life situations
Targeted population of Routine Task Inventory - Expanded
people w cognitive disability
Routine tasks/activities are divided into 4 subscales which are?
✓ Physicalscale–ADL
✓ Community scale – IADL
✓ Communication scale
✓ Work readiness scale
T/F
RTI-E is based on a one time structured task performance
False
T/F
RTI-E can be completed by more than 1 method
True
T/F
In RTI-E, level of agreement or discrepancy can be used as a measure of the client’s awareness
True
Widely used instrument in rehabilitation/physdys settings
Used to assess a patient’s level of disability as well as a change in patient status in response to rehabilitation or medical intervention
Functional Independence Measure
T/F
FIM is comprised of 18 items, grouped into 2 sub scales
True
Possible score range in FIM
18-126
T/F
Higher scores indicate more independence (FIM)
True
Performance-based, criterion-referenced, observational tool designed to assist practitioners in documenting functional status and change
Performance Assessment of Self-care Skills
PASS consists of 26 core tasks which are?
✓ 5functionalmobility
✓ 3personalself-care
✓ 14 IADLs w cognitive emphasis
✓ 4 IADLs w physical emphasis
In PASS, examiner may alternate between tasks that are more cognitively based and tasks that require more
physical exertion. T/F
True
SAT that assess Independent functioning in ADL [170 items – 6 areas]
Klein Bell Activities of Daily Living Scale
6 areas of Klein Bell Activities of Daily Living Scale
Bathing and Hygiene Elimination Dressing Mobility Eating Emergency telephone communication
In Klein Bell Activities of Daily Living Scale, all 170 items are rated as “achieved” or “failed”
T/F
True
T/F
Klein Bell Activities of Daily Living Scale can be used with individuals from 8 months old to
the elderly with any diagnosis; also for pediatric and mental health setting
False
6 mos
Klein Bell Activities of Daily Living Scale total raw score range
0-213
Actual or simulated performance of basic living skills (20 subtests)
Milwaukee Evaluation of Daily Living Skills
Target Population of Milwaukee Evaluation of Daily Living Skills
• Adults (18 years and above)
• Chronic mental illness (2 year hx)
• Resided or at least 6 months in a psychiatric hospital,
halfway house, group home, or skilled nursing facility
• Participated for at least 2 years in an outpatient day
treatment program
- Reflects the nature, depth, and breadth of services provided
- Shows the clinical reasoning of the OT practitioner
- Provides enough info that services are delivered in a
safe and effective manner
Documentation in Occupational Therapy
The ff are purposes of documentation of evaluation except:
-Communicate info about the client’s occupational history and experiences, interests, values, and needs
-Provide an accurate justification for outcomes
-Articulate the rationale for provision of OT services
and the relationship of those services to client outcomes
-Provide a clear chronological record of client status
-Provide an accurate justification for outcomes
How do we document the objective results obtained from our assessment tools?
- Identify type of assessment tool used
- Describe the use of assessment tool.
- Identify purpose of using the assessment tool with
the client. - Provide complete description of the results obtained
What should be included in analysing OP?
Client (Client factors, performance skills)
Context
Occupation
