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PTA 201 REHAB > Functional Status and Activity Level > Flashcards

Functional Status and Activity Level Flashcards

1
Q

AZ Laws and Rules pertaining to documentation…..

What are they?

A

look up

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2
Q

objective

By the end of the lecture, the student will be able to:
Identify functional status and discuss purpose and components of a functional assessment

A

fyi

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3
Q

“Functional activities encompass tasks, activities and roles that identify a person an independent adult or as a child progressing toward adult independence.” Phys Rehab

  • Why do we do it?
  • What clinic settings include assessment of functional status?
  • What things are we assessing?
A

Assesing Functional status

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4
Q

Functional Status

Goals?

A

Return pt to lifestyle as close to the lifestyle that they had before (pre-morbid level of function)
OR
Maximize the current potential for function and maintain it

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5
Q

Functional Assessment
Conceptual Framework for Examining Functional Status

Remember the Nagi Model……….
Model designed to connect various terms used to describe health status

list them

A
  • Disease
  • Impairments
  • Functional Limitations
    • 3 categories of function
  • Disability
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6
Q

3 Categories of Function
Components of Functional Assessment 
Conceptual Framework for Examining Functional Status

A
  • Physical
  • Psychological
  • Social
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7
Q

Physical- Components of Functional Assessment(some examples)

A

ADL or BADL
IADL

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8
Q

Psychological-Components of Functional Assessment (what are some examples)

A
  • Mental
  • Affective
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9
Q

Social- Components of Functional Assessment (what are some examples)

A

Performance of social roles

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10
Q

examples of BADLs

A
  • Feeding
  • Dressing
  • Hygiene
  • Physical mobility
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11
Q

IADL

Instrumental Activities of Daily Living
Higher level tasks: managing personal affairs

what are some examples

A

Cooking
Driving
Home chores
Shopping
Work
Recreational Activities

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12
Q

Examination of Functional Status

Purpose of Exam: Analysis of function (what are some examples?)

A
  • Identify pt’s abilities
  • Get baseline of info to set functional goals
  • Criteria to place patient at appropriate level of care
  • Identify the pt’s level of safety
  • Identify the effectiveness of treatment on the pt’s function
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13
Q

Type of Testing

Performance Based Tests

A
  • What can a patient do under a specific set of circumstances?
  • Assessing current function and/or projected maximum level of function
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14
Q

Examples of performanc based tests you will see in therapy:

A

TUG (Timed Up and Go p258),

Berg Balance Scale (p257) ,

POMA (Performance-Oriented Mobility Assessment p258) Tinetti (p258 & 270-271)

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15
Q

Type of testing: self reports. (what are some ways)

A
  • Clear, direct questions
  • Distinguish habitual performance and pt’s perceived ability to perform a task
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16
Q

Needs to be descriptive enough to gauge change:Example;

A
  1. patient requires max assist of 2 for transfers may improve to mod assist of 1
  2. If the tests only asks for assist or no assist, there was no change
17
Q

Response Formats
Ordinal Measures:Ranks in order

A
  • Novice to Entry-level (sound familiar??)
  • Pain scales also
18
Q

Response Formats
Ordinal Measures:Summary or Additive Measures

A

Measures with awarding of points
50/60 or 6/24

19
Q

Response Formats
Visual Analog Scale

A

10cm long line
Typically has hash marks
Descriptive terms on the endpoints and in between
considered an Ordinal Measure (rank-order scale)

20
Q

Response Formats
Video recordings:

A

Validates effectiveness of a treatment

21
Q

Interpreting Test Result
When impairments or limitations are found

A
  • What functional deficits does the patient have?
  • What normal movements are necessary for the function?
  • What impairments inhibit performance?
  • Is impaired communication, perception, vision hearing or cognition involved?
22
Q

Functional Assessment Instruments

A
  • Barthel Index
  • Katz Index of ADL:
  • Functional Independence Measure
  • Sickness Impact Profile
  • SF-36
  • OASIS
23
Q

measures assistance needed on items of mobility and self-care

  • Individual differences may be masked (test looks at independence or needing assistance)
A

Barthel Index

24
Q

focuses on patient performance and degree of assistance required. Uses direct observation and pt self-report

A

Katz Index of ADL

25
Q

measures what the pt can currently do; helps to look at progress over time.

A

Functional Independence Measure

26
Q

detects small impacts of an illness and looks at meaningful change over time

A

Sickness Impact Profile

27
Q

helps assess people with chronic conditions. This test is used very widely. It helps describe the physical functioning of patients with a variety of impairments

28
Q

used in the home care setting; highlight aspects of patient status that identifies particular needs of care; measures outcomes of care to assess quality

PTA 201 REHAB (7 decks)

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