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USAHS Adults > Unit 1: Evaluation > Flashcards

Unit 1: Evaluation Flashcards

1
Q

Evaluation consists of…

A

-Occupational profile
-Analysis of occupational performance
-Targeted outcomes

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2
Q

Occupation Based Models

A

-Occupational Behavior
-Occupational Adaptation
-MOHO
-Ecology of Human Performance
-PEOP

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3
Q

Frames of Reference

A

-Biomechanical (have capacity for some improvement)
-Rehabilitative (compensate)
-Motor Control and Motor Learning
-Sensory Integration and Processing
-Cognitive-Behavioral
-Psychodynamic

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4
Q

Evaluation Process

A

-Identify roles, tasks, or activities the person wants or needs to do
-Observe and analyze performance
-Identify the problem list (limited performance and abilities, environmental barriers)
-Select, administer, and interpret appropriate assessnents
-Identify targeted outcomes (goals)

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5
Q

Adults Roles/Outcomes

A

-Work
-Household work
-Unpaid domestic services
-Unpaid caregiving services
-Community service
-Learning
-Socializing and community participation
-Attending/visiting cultural, entertainment and sports venues
-Hobbbies, games and other pastime activities
-Indoor and outdoor sports participation
-Mass media
-Personal care and maintenance

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6
Q

ADLs

A

-Bathing, showering
-Bowel and bladder management
-Dressing
-Eating
-Feeding
-Functional mobility
-Personal device care
-Personal hygiene and grooming
-Sexual activity
-Toilet hygiene

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7
Q

IADLs

A

-Care of others
-Care of pets
-Chid rearing
-Communication device use
-Community mobility
-Financial management
-Health management and maintenance
-Home establishment and management
-Meal prep and cleanup
-Safety procedures and emergency response
-Shopping

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8
Q

Occupational Profile: Problem List and Assessment Selection

A

Starts with the development of the client/groups occupational profile
-After gathering this info, you will then begin to hypothesize your problem list to determine what areas you would like to further assess/evaluate
-Ask what activities are hard and use task analysis skills to determine why

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9
Q

Problem List may include…

A

-Sensation
-Skilleed voluntary movement
-Coordination and/or dexterity
-Active/Passive Range of motion (spasticity and/or tone)
-Strength
-Muscle endurance
-Edema
-Visual Perception
-Attention
-Memory
-Problem-Solving

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10
Q

Analysis of Occupational Performance

A

A way of observing a person perform an occupation to determine what is supporting or hindering them being able to participate to his/her desired level.
-Screen and Assess Occupational Functioning

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11
Q

Screen (Analysis of Occupational Performance)

A

Understand the persons diagnosis or condition
-Obtain and review backdround info

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12
Q

Assess Occupational Functioning (Analysis of Occupational Performance)

A

-Get to know the person
-Understand the context
-Reflect on competence
-Form a hypothesis of what may be impacting their occupational performance
-Consider eval approach (functional screen/observation, provocative test, standardized/non-standardized)

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13
Q

Clinical Observations

A

Skilled observation of your client (or group) to gain info to determine appropriate assessment choices, treatment selection, and individual therapeutic approach

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14
Q

Provocative Tests

A

-Tests completed by a therapist, often a physical maneuver which can be completed with little to no equipment as a method to determine if a condition is present
(sensitivity and specificity)

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15
Q

Sensitivity vs. Specificity (Provocative Tests)

A

Sensitivity: Measures the proportion of positives that are correctly identified as such (ex. % of “sick” individuals who actually have the condition)
Specificity: Measures the proportion of negatives that are correctly identified as such (ex. % of “healthy” individuals who actually do not have the condition)

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16
Q

Provocative Test Examples

A

-Phalen’s Test
-Tinel’s Test
-Hawkins Kennedy

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17
Q

Standardized Test

A

-Administered and scored in a specific “standardized” way
-Designed in a way that the instructions, questions, procedures, scoring, and interpretations are consistent

18
Q

Non-Standardized

A

-observation, Interview, Questionnaires, Occupational Performance Assessments
-Do not require use of script and scoring may not be uniform

19
Q

Edema Assessment Examples

A

Volumetric

20
Q

Gross Assessment Examples

A

-Minnesota Manual Dexterity Test
-Box and Blocks
-Time Up and Go (TUG

21
Q

Tone Assessment Examples

A

Modified Ashworth

22
Q

Balance Assessment Examples

A

Berg Balance

23
Q

Strength Assessment Examples

A

-Jamar Grip/Pinch
-Manual Muscle Test

24
Q

Cognition Assessment Examples

A

-Mini Mental Exam
-MOCA

25
Q

Functional Assessment Examples

A

-Jebson Hand Function Test
-DASH/QuickDASH
-Functional Reach Test

26
Q

Fine Motor Control Assessment Examples

A

-Purdue Pegboard
-O’Connor Finger Dexterity
-9 Hole Peg Test
-Grooved Pegboard Test

27
Q

Sensation Assessment Examples

A

-Semmes Weinstein
-Two-Point Discrimination

28
Q

Work Assessment Examples

A

-Functional Capacity Evaluation (FCE)
-VALPAR
-Job Site Analysis

29
Q

Targeted Outcomes

A

C(lient)
O(ccupation)
A(ssist level)
S(pecific condition)
T(imeline)

30
Q

Client (Targeted Outcomes)

A

-Goals should always be written in terms of what the client will do, not what the therapist will do
-“Client will..(perform, demonstrate, or complete)”

31
Q

Occupation (Targeted Outcomes)

A

The goal should include a specific occupation (not an exercise)

32
Q

Assist Level (Targeted Outcomes)

A

Level of assistance or verbal/physical cues

33
Q

Specific Conditions (Targeted Outcomes)

A

Think location, adaptive equipment, or modified technique
-Make the goal MEASURABLE

34
Q

Timeline (Targeted Outcomes)

A

By certain date, treatment session, week, etc.

35
Q

Inpatient/Acute Care (Targeted Outcomes Timeline)

A

Goals should be set to just a few days
-Once medically stable, patients will often be discharged to a different setting (home health, inpatient, outpatient)

36
Q

Inpatient Rehab (Targeted Outcomes Timeline)

A

Goals are often set for a few to several weeks

37
Q

Outpatient (Targeted Outcomes Timeline)

A

-Goals are often set for a few to sever al weeks
-Mainly insurance companies require updates every 30 days so goals set for 4 weeks is a good timeframe for LTGs

38
Q

Skilled Nursing Facility (Targeted Outcomes Timeline)

A

-Goals are often set for a few to several weeks
-Certain intervals may be required

39
Q

Community Based Practice (Targeted Outcomes Timeline)

A

Depends

40
Q

COAST Goal Example

A

C: Client will perform
O: a three step cooking process
A: with 2 or fewer verbal cues
S: for sequencing and safety from wheelchair level in rehab kitchen
T: within 2 weeks

USAHS Adults (10 decks)

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