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826: Geriatrics > Outcome Measures > Flashcards

Outcome Measures Flashcards

1
Q

Describe how the six-minute walk test is performed

A

Walk as far as possible in 6 minutes in a quiet hallway with cones placed at the beginning and end of the 30 meter boundary to indicate turns

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2
Q

Describe score interpretation for the 6MWT

A

healthy adults ranges from 400m to 700m

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3
Q

What is the average normal score of the 2MWT in older adults?

A

150 meters

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4
Q

Describe the 2 minute step test

A

Patients place one foot on a 7.5 cm high step then back down to the floor repeatedly as fast as possible for 15 seconds

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5
Q

What is the average score from the 2 minute step test?

A

around 80

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6
Q

BMI Values:

Underweight __

A
  1. 5
  2. 5 - 24.9
  3. 9 - 29.9

30 - 34.9

35 - 39.9

40

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7
Q

Women with a waist circumference greater than __cm and men with a waist greater than __ cm have an increased risk for CV disease

A
  1. 5

39. 5

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8
Q

What is the waist-to-hip ratio?

A

The ration of the circumference of the waist to that of the hips.

Calculated as the waist measurement divided by the hip measurement (W/H)

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9
Q

Waist-to-Hip Values:

Normal __

A
  1. 80
  2. 80-0.84
  3. 85
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10
Q

The _____ _____ Scale is a 30-item self-report assessment used to identify depression in the elderly.

A

Geriatric Depression

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11
Q

Geriatric Depression Scale Norms:

Normal: -
Mildly Depressed: __-__
Severely Depressed: __-__

A

0-9

10-19

20-30

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12
Q

What does the mini-cog assess?

A

executive function

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13
Q

How is the mini-cog test scored?

A

1 point for each recalled word

Score clock drawing as Normal (the patient places the correct time and the clock
appears grossly normal) or Abnormal

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14
Q

Describe the score interpretation for the mini-cog test

A

0: Positive for cognitive impairment

1-2: Abnormal CDT then positive for cognitive impairment

1-2: Normal CDT then negative for cognitive impairment

3: Negative screen for dementia (no need to score CDT

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15
Q

Saint Louis University Mental Status Examination Score Interpretation: (for both HS and less than HS education level)

Normal: __-__
MNCD: __-__
Dementia: _-__

A

HS: 27-30
Less than HS: 25-30

HS: 21-26
Less than HS: 20-24

HS: 1-20
Less than HS: 1-19

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16
Q

On the 15 Question Geriatric Depression Scale a score greater than _ is suggestive of depression.
A score greater than or equal to __ is almost always indicative of depression.

A

5

10

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17
Q

On the Mini-Mental Status Examination a score greater than or equal to __ points (out of 30) indicates a normal cognition.
Mild: __-__
Moderate: __-__
Severe less than or equal to _

A

27

19-24

10-18

9

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18
Q

What does the Trail Making Test assess?

A

visual attention and task switching

19
Q

Describe the 2 parts of the trail making test

A

Part A: the patient draws lines to connect numbers in
ascending order (1-25) as fast as possible
Part B: the patient draws lines to connect the circles in an ascending pattern,
but with the added
task of alternating between the numbers and letters (i.e., 1-A-2-B-3-C, etc.)

20
Q

Trail Making Test Scores:

Trail A average = __ seconds
Trail B average = __ seconds

Trail A deficient > __ seconds
Trail B deficient > ___ seconds

A

29

75

78

273

21
Q

What does the STEADI screening tool assess?

A

fall risk

22
Q

What does STEADI stand for?

A

Stopping Elderly Accidents, Death, and Injuries

23
Q

What 3 tests are included in the STEADI tool kit?

A
  • TUG
  • 30 second chair stand test
  • 4 stage balance test
24
Q

SLS Test Values:

__ seconds with eyes open is the recommended minimal standard for adults older than 60 years

A

10

25
Q

Describe the progression for the FICSIT-4

A

1) feet closely together, eyes open
2) feet closely together, eyes closed
3) semi-tandem, eyes open
4) semi-tandem, eyes closed
5) full tandem, eyes open
6) full tandem, eyes closed
7) SLS

26
Q

Berg Balance Score Interpretation:

A score

A

45

36

27
Q

A score of __/40 indicates an increased fall risk.

In 7 out of 10 cases an individual who scores __ or lower is at a high risk for falls

A

25

25

28
Q

What does the Physical Performance Test (Modified) exam?

A

Dynamic balance such as turning 360 degrees and picking up a penny from the floor

29
Q

Tinetti Score Interpretation:

High Fall Risks less than or equal to __
Moderate Fall Risk: __-__
Low Fall Risk greater than or equal to __

A

18

19-23

24

30
Q

What does BESTest stand for?

A

Balance Evaluation Systems Test

31
Q

Describe the BESTest

A

It is a 36-item clinical balance assessment tool, developed to assess balance impairments across six contexts of postural control:

  • mechanical constraints
  • limits of stability
  • APAs
  • postural response to induced loss of balance
  • sensory orientation
  • gait
32
Q

A DGI score less than or equal to __ indicates increased fall risk

A

19

33
Q

A score of less than or equal to __/20 indicates an increased fall risk in community dwelling older adults

A

22

34
Q

What is the cutoff score for the four square step test?

A

greater than 15 seconds

35
Q

What is the cutoff score for the modified functional reach test?

A

less than 7 inches

36
Q

Five Times Sit-Stand Score Interpretation:

Greater than __ seconds is abnormal in healthy older adults

A

15

37
Q

What does the Activities-Specific Balance Confidence Scale measure?

A

Balance confidence during common community-based tasks and is known to be responsive to improved balance

38
Q

Do higher or lower scores on the Modified Falls Efficacy Scale indicate an increased fear of falling?

A

lower

39
Q

TUG Score Interpretation:

A time greater than or equal to __ seconds are classified as fallers
A time greater than or equal to __ seconds indicates the patient will have significant difficulties with ADLs

A

13.5

30

40
Q

Gait speed less than __ m/second predicts hospitalization and mortality rate

A

0.1

41
Q

Figure 8 Walk Test Score Means:

Time: __ seconds
Number of Steps: __

A
  1. 5

17. 5

42
Q

Do higher or lower scores on the Gait Abnormality Rating Scale indicate greater abnormality?

A

higher

43
Q

10 meter walk test Score Interpretation:

Less than __ m/s were more likely to be household ambulators
__-__ m/s limited community ambulators
Greater than __ m/s were community ambulators

A
  1. 4
  2. 4 - 0.8
  3. 8
44
Q

Describe the Modified Ashworth Scale for Spasticity

A

0: No increase in muscle tone
1: Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension

1+: Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM

2: More marked increase in muscle tone through most of the ROM, but affected part(s) easily moved
3: Considerable increase in muscle tone, passive movement difficult
4: Affected part(s) rigid in flexion or extension

826: Geriatrics (12 decks)

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