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Clinical Methods III > Test 3 > Flashcards

Test 3 Flashcards

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1
Q

Causes of TBI

A

Motor vehicle age (MVA)
Falls
Firearms
Other (sports, domestic violence)

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2
Q

SCATBI name

A

Scales of Cognitive Abilities in Traumatic Brain Injury

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3
Q

SCATBI purpose

A

Assess cognitive-linguistic skills of adults with TBI
Document progress over time
Help determine where to begin in therapy

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4
Q

SCATBI pros and cons

A

Pros
Can opt-out if having difficulty
Lots of cognitive linguistic information
Have to perform the skill not just say it
Can guide treatment
Cons
Long 2 hours to administer
Can be challenging early post onset

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5
Q

SCATBI test design

A

5 Scales/Key areas:
Perception & discrimination (attn)
Orientation
Organization
Recall (verbal & visual)
Reasoning

2 hours long
Testlets within

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6
Q

CLQT+

A

Cognitive Linguistic Quick Test-Plus

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7
Q

CLQT+ purpose

A

Attention, Memory, Language, Executive Functioning, Visuospatial skills

Aphasia: non-linguistic cognition and linguistic/aphasia

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8
Q

CLQT+ test administration

A

15-30 minutes
Must administer in order given (memory/recall)

Adults w/ acquired neurological disorders

18-89 yrs

Aphasia (not diagnostic) or Cog-Linguistic impairment

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9
Q

CLQT+ aphasia administration

A

Administer the original 10 sunstest/tasks plus the new semantic comprenehnsion task

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10
Q

CLQT+ subtests

A

10 core subtests
1.Personal facts
2.Symbol cancellation
3.Confrontation naming
4.Clock drawing
5.Story retell
6.Symbol trails
7.Generative naming
8.Design memory
9.Mazes

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11
Q

CLQT+ pros and cons

A

Pros
Quick to administer
Assesses lots of key eares
Have to actually do something not just verally respond
Qualification/quantification of behaviors throughout test

Con
New addition last subtest a little confusing

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12
Q

RBANS

A

Repeatable Battery for the Assessment of Neuropsychological Status

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13
Q

RBANS purpose

A

Assess areas in subtests: immediate memory, visuo-spatial/constructional, language, attention, delayed memory

For people with dementia originally, now TBI or other cog comm

Considered a screening? Delves deeply into key areas - as valuable as CLQT+ and SCATBI

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14
Q

RBANS test adminstration

A

Time: less than 30 minutes – try to administer in one setting/attempt
Can be readministered to evaluate disease progression or outcome of rehabilitation therapy
Portable – can be administered bedside; easy and compact to transport

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15
Q

RBANS test domains

A

Immediate memory
List learning, story recall
Visuospatial/constructional
Figure copy and line orientation
Language
Picture naming and semantic fluency
Attention
Digit span and coding
Delayed memory
List recall, list recognition, story memory, figure recall

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16
Q

RBANS pros and cons

A

PROS
Quick to administer (~30 mins)
Can be used on kids 12 - 19
Easy to transport
Spanish and English
Types of recall can inform cues for tx
Dementia or TBI
Emphasis on delayed recall
CONS
Scoring severity rating can be lengthy
Debated if it’s comprehensive

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17
Q

BADS assesses

A

Functional Executive Functioning
Higher level deficits for daily life
Novel and familiar problem-solving skills
Patterns of strengths/weakness

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18
Q

BADS

A

Behavioral Assessment of Dysexecutive Syndrom

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19
Q

BADS subtests

A

Rule Shift Cards
Action Program
Key Search
Temporal Judgement
Zoo Map
Modified Six Elements

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20
Q

BADS pros and cons

A

PROS
Sensitive to cognitive deficits (even mild that other assessments don’t pick up)
Qualitative data (impulsivity, flexibility)
Use of strategies (or not)
Strengths/weaknesses
Functional performance piece
May be appropriate for younger adults compared to FAVRES
CONS
Lengthy ~ 40 mins
Lots of materials to organize

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21
Q

FAVRES

A

Functional Assessment of Verbal Reasoning and Executive Strategies

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22
Q

FAVRES purpose

A

Measure higher level complex comprehensions, complex verbal communication, verbal reasoning, executive functioning
Not for severe cases

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23
Q

What FAVRES assesses

A

Complex comprehension
Complex expression
Verbal reasoning and problem-solving
Executive functions

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24
Q

FAVRES subtests

Study These Flashcards
A

4 reasoning tasks
Planning an event
Scheduling
Making a decision
Building a case

25
FAVRES test administration time etc.
50 - 60 mins for all 4 tasks Can pick and choose subtests Shouldn’t be administered in isolation - not comprehensive
26
FAVRES scoring
TIME (efficiency with which examinee completed tasks) ACCURACY (score for correct answer) RATIONALE (score for reasons provided for choosing a particular answer) Strengths and weaknesses checklist (qualitative scoring of behaviors) Analysis of subskills (how examinee derived answer – process)
27
BADS scoring
Each subtest - 0 to 4 (0 = severe EF deficits 4 = no impairment) Total profile score (max 24) Standardized score (reference manual) Age-corrected standardized score (reference manual) Overall classification Impaired to very superior
28
SCATBI scoring
Four types of composite scores: Lower functioning composite Higher functioning composite Total composite SCATBI severity score SCATBI severity score – range of performance from severe to average normal (mean = 10 SD of 3) Severe 3 - 6 Moderate 7 - 9 Mild 10 - 12 Borderline normal 13 - 15 Average normal 16 and above
29
CLQT+ scoring
Severity ratings for each cognitive domain (WNL, mild, mod, severe) Index scores w/ severity rating - only for aphasia Scoring table tells you which skills/domains are assessed in each subtest Descriptive scoring: time delay, self correcting, probe, perseveration, intelligibility
30
RBANS scoring
Raw score, total score, Index scores, Percentile Cumbersome to gather severity scores Severity ratings: -130+ very superior -90-109 Avg -69 below “extremely low”
31
MMSE
Mini-Mental State Exam
32
MMSE assesses
Screener for dementia Orientation to person, place, time Attention/calculation/working memory Recall (immediate and delayed) Naming Repetition Comprehension Reading Writing
33
MMSE scoring
A score of 20 to 24 suggests mild dementia 13 to 20 suggests moderate dementia Less than 12 indicates severe dementia
34
MoCA assesses
Screener assessing Short-term memory Orientation Executive functioning Language abilities Abstraction Attention Clock-drawing and animal naming
35
MoCA
Montreal Cognitive Assessment (test for dementia)
36
MoCA scoring
Normal controls had an average score of 27.4 Mild cognitive impairment: average score of 22.1 Dementia: average score or below of 16.2
37
SLUMS
Saint Louis University Mental Status Examination
38
SLUMS what it assesses
Screener assesses 11 areas Oreitnation of place, time Recall of objects/items and story Calculation/math Generative naming Clocl drawing task Recogntion of geometric figures
39
SLUMS scoring
0 - 20 indicates dementia 21 - 26 mild neurocognitive disorder 27 - 30 normal
40
Staging
Complete with patient, family, therapy team input Helps to track progression of disease progress Helps patient and family know what is to come
41
Staging rating scales
Global Deterioration Scales -- patient and family interview Clinical Dementia Rating -- patient and family interview w/ physician
42
ABCD-2
Arizona Battery for Communication Disorders of Dementia: Second Edition
43
ABCD-2 purpose
Comprehensive (can be used as screener) Establish baseline and measure decline Ability to complete everyday tasks 5 Domains: Mental status Episodic memory Linguistic expression Linguistic comprehension Visuospatial construction
44
ABCD-2 test domains
17 subtests Domains include Mental status episodic memory language expression language comprehension visual spatial Construction
45
ABCD-2 test administration options
1. Screen for deficits only (mild AD) – Four subtest Story retail - delayed 2. Administer subtest in isolation as needed 3. Administer entire test – then must administer subtests in order as outlined in manual
46
ABCD test time
Entire test can be administered in 45-90 minutes or in several shorter sessions ( not ideal due to memory tasks)
47
ABCD-2 scoring
Describes level of performance, does not describe performance Grid to determine what each subtest assesses (Mental status, episodic memory, language expression, language comprehension, visuospatial construction)
48
RICE-3
Rehabilitation Institute of Chicago Evaluation of Communication Problems in Right-Hemisphere Dysfunction - 3
49
RICE-3 purpose
Comprehensive Eval ONLY for RHD/suspected RHD Eval sequelae of RHD Structured observation of behaviors Measures and documents progress
50
RICE-3 subtests
Behavioral Observational profile Rating scale of pragmatic communication skills Narrative discourse - completeness (uses story recall from ABCD-2) Visual scanning and tracking (accuracy & rate) (symbol elimination task, 4 different ways)
51
RICE-3 pros and cons
PROS Easy to administer Pick individual subtests Easy to calculate raw score for each subtest and compare to severity rating Designed for RHD Quick to administer CONS Subtest 3 needs story from ABCD test Behavioral observation subjective, premorbid baselines can impact No overall severity rating - only subtest/skill severities Metaphorical section bias (language, age)
52
MIRBI-2
Mini Inventory of Right Brain Injury - 2nd edition
53
MIRBI-2 purpose
Screener: neurocognitive deficits Determine if they are consistent with RHD Determine severity ID strengths/weaknesses, Tx goals
54
MIRBI-2 domains
4 Domains: Visuoperceptual/visuospatial and attention processing Lexical knowledge processing Affective processing General Behavioral Processing 27 items on 10 subsections
55
MIRBI-2 pros and cons
PROS correct, partially correct, incorrect Percentile rank and stanine score can be compared to severity rating CONS Short, can still provide some helpful info Right left differentiation can be assessed Specific to RHD
56
RHD tests/screeners
MIRBI-2 and RICE-3
57
Dementia screeners
MMSE, MoCA, SLUMS
58
Assessments for TBI
SCATBI, RBANS, CLQT+ FAVRES, BADS

Clinical Methods III (1 decks)

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