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What were the four assessments we talked about that measure ADLS?
- CMS GG Self-Care Scale
- Katz ADL
"Each task is coded using 6 pt scale: eating, oral hyg., toilet hyg., wash UB, shower/bathe self, UB dressing, LB dressing, & putting/taking off footwear."
- CMS GG Self-Care - Scale
6 point scale 1-6; 1=dep, 2=max A, 3=Mod A, 4=Supervision, 5=setup/cleanup A, 6=Indep.
"Measures independence in BADLS and functional mobility before and after intervention and the level of personal care needed by the individual: feeding, transferring, personal grooming, toileting, bowel/bladder control, bathing, dressing, walking on level ground, climbing stairs"
- direct observation of task performance, interview or review of medical records
*drawback does not detect change well in highly functional clients
"Evaluates function in basic living skills in the areas of self-care, safety and health, money management, community mobility and telephone, employment and leisure participation"
- standardized assessment w/ script for administration
- Items are scored as independent, needs assistance, N/A, can write notes on side
Fill out score form, indicate concerns, and recommend if the individual can live at home
"measure client's indep in common ADLs: bathing, dressing, toileting, transferring continence, & feeding. Items are scored: 1=Indep or 0=requires supervision, direction, assistance or total care"
- Katz ADL
- observation assessment, less than 5 min
What is the age/population for the CMS GG Self-Care Scale?
Post-Acute Care (PAC) Settings: SNF, IRF, HH, or LTCH
What is the age/population of the Barthel?
Adults w/ chronic illness or disabilities
What is the age/population of the KELS?
adults/older adults who still take care of themselves
What is the age/population for the Katz ADL?
older adults; clients with chronic diseases
"self-reported tool about functional skills necessary to live in the community; use as baseline tool/compare progress
Similar to the Katz, items are scored as either independent or needs assistance
Score threshold is different for women (0-8) than for men (0-5)"
- assess IADL/identify how a person is currently functioning; helpful for d/c planning
- Topics assesseds: shopping, laundry, housekeeping, ability to handle finances, food prep, telephone, medication management, driving
What is the age/population for the Lawton Brody?
older adults not instutionalized
What was the one assessment we discussed that assessed motor coordination?
Disabilities of the Arm, Shoulder, and Hand (DASH); Quick DASH
What is the method and population for DASH?
- clients w/ musculoskeletal disorders 18-64
- self report questionnaire, 30 items on a scale from 1-5, higher the score the greater disability (quick dash has 11 items)
What were the four assessments that assessed gait/balance?
- Berg Balance Scale
- Tinetti Performance Oriented Mobility Assessment (POMA)
- Functional Reach Test
- Self selected gait speed
"Measures static balance, dynamic balance, and fall risk in clinical setting"
What is the rating scale for the berg?
14-item scale rated on a 5-point ordinal scale ranging 0-4 (0 = lowest, 4 = highest)
41-56 = independent
21-40 = walking with assistance
0 -20 = wheelchair bound
What is the age/population for the berg?
adults at risk for falls or impaired balance
"Measures gait and balance during ADL's to determine mobility status and changes over time"
What is the score for the T-POMA?
Measured on a 3 point ordinal scale (0-2) w/ 28 task-oriented items
(0 = impairment, 2 = independent)
25-28 = low fall risk
19-24 = medium fall risk
<19 = high fall risk
What is the age/population for the T-POMA
adults w/ gait impairments
"Screening performance tool
5 total trials - 2 practice, 3 tests; take average of the last 3 to obtain score"
- functional reach test
- Measures stability by measuring how far the client can reach forward with a yardstick
Modified FRT - client sits in a fixed position
What is the age/population for the FRT?
18+ years old w/ vestibular issues and are a fall risk
"Assesses an individual's functional mobility.
Average time (m/sec) determines mobility
Household ambulator (< 0.4 m/s)
Limited Community Amb. (0.4-0.8 m/s)
Community Ambulator (0.8-1.2 m/s)
Able to safely cross streets (1.2 m/s +)"
Self selected gait speed
describe the method for the self selected gait speed
Measure and mark a standard distance, e.g. 5 meters (16.4 feet). Then measure and mark 5 feet before the start, and 5 feet after the middle 5 meter section.
Instruct client to walk at a comfortable pace
Have the client perform 3 repetitions and then calculate average time
What is the population for the self selected gait speed?
What assessment assesses balance/gait and functionalmobility, vestibular?
10 meter walk test
Describe the 10 meter walk test
- Assesses walking speed in meters per second over a short duration (Assistive devices may be used but must be documented)
- 2 trials at comfortable walking speed, followed by 2 trials at fastest walking speed
- Take the average of the 2 and document both in meters/sec
- Provide lowest LOA - do not influence client's speed during the test
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