Quiz 5 Flashcards
What is FIM?
Functional Independence Measure: a rating scale for measuring outcome that is widely used for program evaluation in rehabilitation medicine programs
What does FIM focus on?
self-care activities such as bathing and personal care and for that reason it is not sensitive to changes in cognitive-communicative abilities
What does the FIM seven point scale assess?
Self-care, sphincter control, mobility, locomotion, communication, and social cognition in 18 activities of daily life.
How is the FIM scale divided?
- Independent (no helper) level
Dependent (helper) level→ 2.
Modified dependence and 3. Complete dependence
List the measures used for assessing functional communication and QOL
Subjective measures
Objective measures
Functional Communication and Program Evaluation
List the two subjective measures
Functional Communication Profile (FCP) and the Communicative Effectiveness Index (CETI)
What is the Functional Communication Profile (FCP)?
A rating scale that is filled out by someone who knows the person whose communication rated (often a family member; sometimes the SLP)
What is the Communicative Effectiveness Index (CETI)?
A more recent rating scale for estimating aphasic adults’ ability to communicate in several daily life situations: • 1. Basic needs • 2. Life skills • 3. Social needs • 4. Health threats
What is the objective measure?
Communicative Activities of Daily Living (CADL)
What is CADL?
Pt’s performance in an interview and in various simulated daily life communication activities are objectively scored; interview → examiner asks patient to respond to various test items relating to daily life activities by pointing to pictures or by speech or gesture → examiner gives patient an appointment card for a pretend visit to a doctor’s office and, by means of questions and pictorial props, tests the patient’s understanding of the appointment card and estimates the patient’s ability to carry out the appointment
What are the two Functional Communication and Program Evaluation measures?
o FIM
o ASHA FACS
The “formula” for medical-based goals
Pt will (action) with ¬¬#% accuracy and (severity level) assistance
Pt will follow complex commands with 80% accuracy and minimum assistance.
List candidacy for treatment variables
Patient variables, Medical and physical status, motivation
What is resource allocation?
The concept of resource allocation serves as a useful guide in adjusting the difficulty of intervention procedures; basic concept of resource allocation is that human brains have a limited amount of processing resources available for carrying out mental operations. Any mental operation depends on resources from the pool. Complex mental operations require more resources than simple mental operations, and if several mental operations are simultaneously active, each draws resources from the pool. If the demand for resources exceeds the capacity of the pool, performance suffers.
In terms of stimulus manipulations, what are intensity and salience?
Intensity refers to the perceived magnitude or strength of a stimulus. Salience refers to the perceived prominence or conspicuousness of a stimulus, or how clearly it stands out from its surroundings. In some ways, intensity and salience are related, because making a stimulus more intense (e.g. louder, brighter, larger) usually makes it more salient. However, intensity and salience differ in that intensity is a property of the stimulus, whereas salience expresses a relationship between the stimulus and its surroundings. A loud auditory stimulus presented in a noisy environment may be less salient than a soft auditory stimulus presented in quiet surroundings.
