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.
How do clarity and intelligibility affect stimulus manipulations?
unclear or ambiguous stimuli are notoriously difficult for BI adults to perceive, discriminate, or interpret. Negative effects of lack of clarity often surface when treatment stimuli are line drawings representing common objects or situations.
In terms of stimulus manipulations, what are redundancy and context?
Redundancy and Context- redundancy refers to the presence of information in a stimulus beyond that needed to specify the target response under ideal conditions (“Show me the small red cup” vs. “I want you to show me a cup that is red and small. Show me the small red cup”). Context refers to backgrounds or settings that provide information about a stimulus not found in the stimulus itself
How do novelty and interest value affect stimulus?
Most BI pts attend, comprehend, and respond more accurately and with less effort to novel or personally interesting materials than to materials that lack novelty or interest value
What are cues?
hints given by a clinician when a pt is having difficulty getting a response out; cues lead the pt in the direction of a target response without giving the response away
Discuss negative, positive, and neutral feedback. Which is best?
In an experiment, after 3 sessions, the performance of the group that received discouraging comments and negative feedback was significantly worse than that of the group that received encouraging comments and positive feedback. The performance of the group with neutral comments and feedback fell between that of the other two groups.
What is social validation?
procedure for evaluating generalization of skills or behaviors acquired in treatment to a person’s daily life; attempts to determine whether a pt is better in a real-world sense than he or she was before treatment.
How is social validation accomplished?
SV can be accomplished in 2 ways: 1. Compare the socially relevant behavior of the person receiving treatment with the behavior of a normal group of peers, 2. Obtain subjective evaluations of the behaviors of interest from persons in the pt’s natural environment
What is online data scoring?
clinician score responses intermittently- score a percentage rather than every response
What is offline scoring?
clinician records activity on audiotape and does scoring later
