Evaluation of ADLs Flashcards
Assessment of Motor and Process Skills (AMPS)
Focus: assess effectiveness, efficiency, safety of a person’s ADL task performance including personal ADLs IADLs, and leisure
method: interview to det 3-5 tasks that are relevant and will be sufficiently challenging
observation of quality of perf
requires special AMPS training course which includes rater calibration
selection by client of 2-3 tasks from those offered by OT
AMPS manual: 120 standardized task choices, specific task guidelines, AMPS score sheet
scoring: quality of 16 motor skills and 20 process abilities on 4 point ordinal scale
1= deficit
2=ineffective
3=questionable
4=competent
population: dev age older than 2 with any diagnosis that causes limitations in ADL
Barthel Index
measuremtn of person’s ind in BADL and FM before and after intervention and level of personal care by individual
10 items:
feeding
transferring
personal grooming
toileting
control of bowel/bladder
bathing
dressing
walking on level ground
negotiating/climbing stairs
method: direct observation of task performance, interview of individual and/or caregivers, and/or review of medical records
materials: score sheet, pencil, and everyday materials for task perf
scoring: high score does not equate with ability to live ind since limited to self-care
used to det need for personal assistance for BADL
population: adults and elders with physical disabilities and/or chronic illnesses, used in medical model settings
Cognitive Performance Test (CPT)
6 functional ADL tasks that require cognitive processing skills based on Allen’s Cognitive Disabilities Model
dressing
shopping
making toast
making phone call
washing
traveling
method: stand adm procedures for each task
scoring:
level 1: lowest functional level
level 6: highest
scores from 6-36
avg test score: dividing total test score by 6
CPT scores used along with Allen’s model to det capabilities
and needs in other ADL tasks and his/her ability to live ind
population: adults and elders with psychiatric and/or cognitive dysfunction
FIM System and WeeFIM System
assess severity of disability as det by what ind actually does and amount of assistance needed to complete each task
6 performance areas:
self-care: toileting, bowel/bladder mgmt, grooming, bathing, dressing, eating
sphincter management: bowel/bladder control
mobility: bed/chair/wheelchair, toilet, and tub/shower transfers
locomotion: walking, using stairs, wheelchair
communication: expression and comprehension
social cognition: social interaction, memory, problem solving
method: observation of activity perf with or without assistance of help as det by person’s ability to do task
WeeFIM: caregiver interview, need manual, common items for ADL tasks, FIM computer program
scoring: 3-7 year olds scale of 1-7 from dep to ind
1: total assist
2-5: increasing levels of assist
6-7: ind
WeeFIM for children less than 3: scale of 1-3 (1=rarely, 2=sometimes, 3=usually)
population: adults with disabilities who are not functionally ind for the FIM
children from 6 months-7 years for WeeFIM
(above 7 with IDs that are less than those of a typical seven year old can be assessed with WeeFIM)
Katz Index of ADL
6 areas of ADL:
bathing
dressing
toileting
transferring
continence
feeding
method: observes activity perf or interviews
materials: rating scale, pencil and common task objects
scoring:
A= ind in all 6
B= ind in any 5
C=ind in all but bathing and one other activity
D=ind in all but bathing, dressing, and one other activity
E= ind in all but bathing, dressing, toileting, and one other activity
F= ind in all but bathing, dressing, toileting, transfers, and one other activity
G= dep in all activities
Other= can’t be classified in A-G
population: adults and elders with chronic illness
Kitchen Task Assessment (KTA)
measurement of judgment, planning, and organizational skills used to perform simple cooking task
method: pre-test of washing hands
instructs and observes ind make pudding mix
large print instructions
evaluator can provide assistance if needed
scoring:
0=ind
1=verbal assist
2=physical assist
3=totally incapable
6 categories:
initiation
organization
performing all steps
proper sequence
judgment and safety
completion of task
final scores range from 0-18 with higher scores ind increased impairment
population: originally for adults/elders with senile dementia of the Alzheimer’s type (SDAT) but expanded to other populations with cog dysfunction
Klein-Bell Activities of Daily Living Scale (K-B Scale)
170 items in 6 areas:
dressing
elimination
mobility
bathing/hygiene
eating
emergency phone commuication
method: observe and score, use of AD is allowed
scoring: 170 items rated as “achieved” or “failed”
achieved: able to perform task ind with or without AD
failed: requires physical or verbal assist
population: 6 months to elderly with any diagnosis (physical, psychosocial, cognitive, and/or dev)
Kohlman Evaluation of Living Skills (KELS)
17 basic living skills to live ind in 5 main areas:
self-care
safety/health
money mgmt
community mobility and phone
employment and leisure participation
scoring: ind or needs assistance for each of the 13 items “not applicable” is used if warranted
give general overview of functional level and give baseline for further eval and intervention
population: originally designed for adolescents/adults in acute psychiatric hospitals but its use has expanded to older adults and those with diversity of diagnoses in variety of settings
Milwaukee Evaluation of Daily Living Skills (MEDLS)
assessment of actual or simulated perf of basic living skills need to function in expected env: basic communication personal care and hygiene (toileting, brushing teeth) med mgmt personal health care (eyeglass care) time awareness eating dressing safety in home safety in community use of phone transportation maintenance of clothing use of money scoring: standard criteria est for each subtest, provide data that are useful for intervention and discharge planning population: dev for adults who have chronic mental illness and who have resided for at least 6 months in a psychiatric hospital, halfway house, group home, or SNF, or who have part for at least 2 years in outpatient day tx program, but has expanded to other populations with ADL deficits
Routine Task Inventory (RTI)
6 physical scales:
grooming, dressing, bathing, walking, feeding, toileting
8 instrumental scales:
housekeeping, preparing food, spending $, taking meds, doing laundry, shopping, phoning, traveling
method: observation, self-report, report by caregiver
scoring; rated behavioral criteria based on Allen’s cognitive level 1-6
population: adults/elders with cognitive impairments
Scoreable Self-Care Evaluation
18 basic living tasks in 4 main areas: personal care housekeeping chores work leisure financial management method: Motivational Questionnaire scoring:based on inability to do task task scores added to get a score for each of the 4 main test areas and then a total score population: adolescents, adults, and elders with psychiatric illnesses in acute hospital settings or living in community
Test of Grocery Shopping Skills (TOGSS)
can be used as intervention pre/post-test to measure skill acquisition, companion tool called Knowledge of GSS
scoring: based on ability to efficiently and accurately find correct items at lowest price
accuracy
time
redundancy
observation to assess strategies to shop
KOGSS is scored to indicate person’s knowledge about grocery shopping; higher scores ind greater knowledge
population: dev for serious mental illness, can be used with cog impairments due to other diagnoses which interfere with community living skills
Sexual Expression/Activity Evaluation
determine if valued
ID potential obstacles for attainment and maintenance of safe, satisfying sexual expression/activity, det knowledge of his/her sexuality is adequate/approp for age, dev level, roles, and env contexts
