Home Assessment Flashcards
Approaches
Self-report/checklists
Interview/observation
Skilled analysis of supportive features
Performance/functional assessments
Checklist Advantages
Can be self-report
Home safety checklist often include recommendations
Quick screening
Checklist Disadvantages
Few have demonstrated reliability/validity studies
Home safety checklists focus on hazards rather than use of environment
Checklist Examples
Rebuilding together
CDC check for safety
Performance Measure Advantages
Demonstrate functional ability
Often have established reliability/validity studies
Performance Measure Disadvantages
May not have specifically recognize the environment
Often requires skilled professionals to administer
Performance Measure Examples
Timed up and go test
Physical performance test
Kitchen task assessment
Skilled Analysis/Interview Advantages
May address interaction of performance in environment
More comprehensive
Can lead to tailored environmental interventions to prevent falls
Skilled Analysis/Interview Disadvantages
Often requires skilled professionals to administer
Can be more time consuming
May need team approach with assessment results from a variety of professionals
Skilled Analysis/Interview Examples
Guided interview
Enabler
Users of the space
Families, friends, visitors, pets
Universal Design of Space Principles
Equitable use Flexibility in use Simple and intuitive use Perceptible info Tolerance for error Low physical effort Size and space for approach and use
Americans with Disabilities Act
Prohibits discrimination
Ensures equal opportunity for persons with disabilities in employment, state and local government services
Are homes typically designed for users of various abilities?
No
Do homes and objects have meaning?
Objects selected by person create permanence in intimate life
Make up person’s identity
Home Modification
Identify needs Determining solutions Implementing solution Training in the use of solutions Evaluating outcomes that contribute to alteration, adjustment or addition to home environment Product
Home Modification (Product)
Any alteration, adjustment or addition to the home environment
Use of specialized, customized, off the shelf, or universally-designed technologies, equipment, products, hardware, controls, cues that affect the layout and structure
To improve functional capability and minimize environmental demands on individuals and their caregivers
Client Perspective
Clients abilities and values
Clients environment and the meaning of your home
Important occupations
PT Role in Home Assessment
Functional mobility assessment Recommendations for enabling equipment Recognition of hazards Recommendations for modifications that are within pt. ability Consider trajectory of client’s needs