Functional Ability

Question 1

Relate to personal care and mobility and include eating as well as hygienic and grooming activities such as bathing, mouth care, dressing, and toileting.

Answer 1

BADLs or ADLs

Basic Activities of Daily Living

Question 2

More complex skills that are essential to living in the community. Examples are managing money, grocery shopping, cooking, house cleaning, laundry, taking medication, using the phone, and accessing transportation.

Answer 2

IADLs

Instrumental Activities of Daily Living

Question 3

Roper-Logan-Tierney Model of Nursing

What are the 12 ADLs

Answer 3

• Maintaining a safe environment
• Breathing
• Communicating
• Mobilizing
• Eating and drinking
• Eliminating
• Personal cleansing and dressing
• Maintaining body temp
• Working and playing
• Sleeping
• Expressing sexuality
• Dying

Question 4

3 major dimensions of concern relative to an individual’s functional ability

Answer 4

1) risk recognition
2) functional assessment
3) planning and delivery of individualized care appropriate to level of functional ability

Question 5

Problems in which the ability to preform a particular function never developed

Answer 5

Primary problems related to alterations in functional ability

Question 6

Problems that occur after functional ability has been attained; thus they represent a loss of functional ability

Answer 6

Secondary problems related to alterations in functional ability

Question 7

4 Domains of of functional ability

Answer 7

1) Physical Domain
2) Social Domain
3) Cognitive Domain
4) Psychological Domain

Question 8

NGAGED

Performance based assessment tool; ages 2-12

Answer 8

Now, Growth & Development, ADLs, General Health, Environment, and Documentation

Question 9

Exemplar:

Process of Demyelination- destruction of the fatty and protein material that surrounds nerve fibers in the brain & spinal cord.

Results in impaired nerve transmission

Answer 9

Multiple Sclerosis

Question 10

Exemplar:

A progressive destruction of cells in the basal ganglia of the nervous system

Process of Pathophysiology- decreased levels of dopamine related to decreased # of basal ganglia cells
Results in impaired neurotransmission of impulses
•tremors, change in gait, rigidity, depression, change in speech

Answer 10

Parkinson’s Disease

Question 11

Exemplar:
A chronic, progressive, degenerative brain disorder
Process of Pathophysiology- beta-amyloid (protein) plaque accumulates in the spaces between neurons; Tau-tangled (protein) fibers accumulate within neurons

• loss of memory, loss of judgement, visual-spatial perception, changes in personality

Answer 11

Alzheimer’s Disease

Question 12

Exemplar:
A rapid loss of brain function due to disturbance in the blood supply to the brain
• Ischemia caused by blockage, or hemorrhage
Results in neurological damage; dysfunction of the brain tissue in that area

• In ability to see one field of vision, inability to understand or formulate speech, inability to move one or more limbs on one side of a body

Answer 12

Cardiovascular Accident (CVA)

Question 13

Exemplar:
Chromosomal genetic disorder that includes a combination of birth defects
• Error in cell division; three number 21 chromosomes instead of two
• heart deficits, intestinal deficits, vision deficits, hearing loss, memory loss

Answer 13

Down Syndrome

Question 14

The physical, psychological, cognitive, and social ability to carry on the normal activities of life.

Answer 14

Functional Ability