PP5: Screening and Assessment Flashcards
big picture
Occupation —> performance
Occupation as the means - promote increase func
Top down
not big picture
Performance —> occupations
Occupation as the ends
Bottom up
Top down FOR
Bottom up FOR
Occupation based
SNF, basic ADLS
outpatient, see them do it
Performance based
if they can’t do, let them choose
Optimal participation
Problems w/ Interviews/questionnaires/self assessments
They can lie
Func outcome measure =
Objective
structured, norm referenced
Cannot be changed
Standardized assessment
what they’re doing/where they are, top down, short sighted
Culture and social determinants
Ecological based
consistency
Interrater (2+), Intrarater (1), test-retest
Reliability
Tests what it’s supposed to test
Validity
level of attention and effort by the client
Based on time of day
Level of intrusiveness
The best or worst at the START
Baseline
The best or worst at the END
Max ability
An ideal assessment is/has what 3 things?
most accurate info, least intrusive, most flexible
FIM score(s) that requires NO helper
6 (mod ind) & 7 (com ind)
FIM score(s) that requires helper
1 - Total A
2 - Max A
3 - Mod A
4 - min A
5 - supervision
FIM score(s) that is considered COMPLETE DEPENDENCE
1 - total A
2 - Max A
FIM score(s) that is considered MODIFIED DEPENDENCE
3 - Mod A
4 - Min A
5 - Supervision
ICD-10 codes, age, gender, living
Nominal
level of independence, MMT, VAS
Ordinal
difference b/w values
ex: Ind w/ dressing 50% of the time
Interval
ability to rule OUT disease
Snout (-)
Sensitivity
ability to rule IN diseases
Spin (+)
Specificity
detect change, even small changes
Responsiveness
Cultural congruence
