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Chapter 15
Evaluation and Intervention Methods
56
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Post-Graduate
06/06/2014

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Term
AMPS Assessment of Motor and Process Skills
Definition
Focus on PADLs and IADLs
Interview to identiy 3-5 tasks and client chooses 2-3 tasks from those offered by therapist.
Need to complete special AMPS training course
Uses a computer scoring system
2 years and older
Term
Barthel Index
Definition
Focus is ADL and functional mobility
Feeding, transfers, hygiene and personal grooming, toileting, bowel and bladder, bathing, dressing, walking and climbing stairs.
Scoring by use of a weighted system.
Used with adults and elders with physical disabilities and chronic illness
Term
CPT cognitive Performance Test (CPT)
Definition
Six functional adl tasks based on Allen's cognitive Level Theory
Dressing, shopping, making toast, making a phone call, washing, traveling
Standardized,
Used with adults and elders with psychiatric and/or cognitive function
Term
FIM and weeFIM
Definition
ADL and mobility and bowel and bladder
and expressive/receptive communication and social interaction, memory and problem solving
Scoring dependent 1 to independent 7
Kids 0-3 is scored 1 rarely to 3 usually
Adults for the FIM
Birth to 7 for the weeFIM
Term
Kitchen task assessment KTA
Definition
Measures judgment, planning, organizational skills, simple cooking
Pudding mix is used
Scores 0 - Independent to 3 - totally incapable are rated for each category:
Initiation, organization, performing all steps, proper sequence, judgment and safety, completion of task.
Used with adults and elders with dementia and Alzheimers and with cognitive dysfunction
Term
Klein-Bell Activities of Daily Living Scale (K-B Scale)
Definition
Rates ADLs in Dressing, elimination mobility, bathing, eating, emergency telephone communication for a total of 170 items
Used with ages 6 months to elderly with any diagnosis
Term
Kohlman Evaluation of Living Skills (KELS)
Definition
Perform 17 basic living skills in 5 areas to live independently.
Self-care, safety and health, money management, transportation and telephone, work and leisure
Scores of 5 1/2 or less indicated independent living, 6 or more cannot live alone
Used with adolescents and adults in acute psychiatric hospitals but can be used with anyone.
Term
MEDLS Milwaukee Evaluation of Daily Living Skills
Definition
Basic Living Skills
Basic Communication, personal care, medication management, personal health care, time awareness, eating, dressing, safety in the home, safety in the community, use of telephone, transportation, maintenance of clothing, use of money.
All items have standard instruction s and a time limit for task completion
Used with 18 or older with chronic mental illness and resided in group homes or have participated in 2 year outpatient
Term
Routine Task Inventory
Definition
Level of impairement for ADLs based on Allen's cognitive levels
Grooming, dressing, bathing, walking, feeding and toileting
Housekeeping, preparing food, spending money, taking medication, doing laundry, shopping, telephoning, and traveling
Observation, self report or caregiver report, questionnairre
Rating based on Cognitive levels 1-6
Used wtih adults and elders with cognitive impairment
Term
Scoreable Self-Care Evaluation
Definition
Measurement of 18 basic living tasks in Personal care, housekeeping, work and leisure, financial management
Used with adolescents through elders with psychiatric illness
Term
Sexual Expression Activity Evaluation
Definition
Determine if it is valued
Identify Obstacles
Is age appropriate knowledge for age group
Respect not wanting to discuss
Required to report sexual abuse, exploitation, etc.
Term
SELF CARE Interventions
Definition
Determine whether self-care activity should be modified or eliminated.
Recoment adaptive strategies
Provide adaptive equipment including medication management items
Recognize multiple dimensions of disease
Train in safe use
Practice activity performance
Provide cues
Use groups
Teach principles like work simplification etc.
Educate and train caregivers
Educate individual on managing self and others to assist them
Modify environment
Term
SCI C1-C3 Self Care Levels
Definition
Totally dependent in self-care but can instruct others in preferences for care
Can chew and swallow
Term
SCI C4 self-care levels
Definition
Totally dependent in self-care but can instruct others in preferences for care. Can drink from glass with long straw
Term
SCI C5 self care levels
Definition
Feeding requires assistance with set up: Mobile arm support, dorsal wrist splint with universal cuff, dycem under plate, scoop dish/plate guard/angled utensils
Dressing UB min-mod A LB Dependent
Bathing min-mod A
Grooming set up with assistance
Can be I with teeth, hair shaving with equipment
Term
SCI C6 Self care levels
Definition
Feeding independent w/ A/E
Dressing I w/ LB in bed, Max A w/ shoes/socks I w/ UB w/ A/E
Bathing Min A w/ A/E
Grooming - I w/ tenodesis grasp or splint
Term
SCI C7 self care levels
Definition
Feeding I
Dressing I w/ button hood
Bathing Same as C6 but does transfers
Grooming same as C6
Term
SCI C8-T1 self care levels
Definition
Self care - I
Performs depression transfers and with standby assist can transfer to floor and back.
Term
SCI T6 - L4 self care levels
Definition
I in all self care
Term
Sexual expression Activity Intervention
Definition
Provide to enable sexual expression regardless of age or disability
Myths must be debunked. . . . . . .
OTs use the PLISSIT model
P - permission for OT to create atmosphere where pt. can talk about sex.
LI - Limited information is provided so pt. has factual information
SS - Specific suggestions are provided by therapists to facilitate sexual expression to set goals, do activity analysis, methods, A/E, energy conservation, catheter care, referrals to physician
IT - Intensive Therapy is indicated and proper training is required or do a referral to specialist
Can be 1-1, group, or printed materials
Interventions to ensure safety is imperative with cognitive impairments to include: assertiveness training, self-protection, role playing, sex education, caregiver and family education
Term
Home Management Interventions
Definition
Determine expectations and demands of individual to manage home
Determine whether modification or assistance is needed
Recommend adaptive strategies
Provide adaptive equipment and training
Teach methods of energy conservation, etc.
Provide cues and assistance as needed
Practice activity performance
Recognize and respect sociocultura, etc.
Use thematic and topical groups
Modify environment
Educate and train caregivers
Refer to social service programs
Refer to appropriate living environment.
Term
Family participation Evaluation
Definition
No specific published assessments, but for example the Role checklist can be used.
During screenings and interviews:
Determine roles and expectations of family members
Identify obstacles
Use interpreters
Consider sociocultural background information
families should receive interventions with role transitions

For parenting/child care:
Determine ability to care for child's physical needs, emotional needs, and developmental, play and communication level.
Term
Family Participation Intervention
Definition
Collaborate with family
Determine modification of family activity
Could be 1-1, group, or printed materials
Should be meaningful to individual's role within the family
Use topical and thematic groups to develop family interaction
Term
Parenting Intervention Activities
Definition
Teach parent how to care for child
Instruct about normal development
Recommend adaptive strategies
Provide equipment or A/E
Test furniture and equipment related to parent capabilities
Consider socioeconomic status and cost of recommendations
Recognize personal, cultural, etc. differences.
Teach self-reliance at a young age
Delegate age-appropriate tasks
Modify the environment
Refer to family members to support groups
Provide education in their language
Be aware of neglect or abuse
Term
Activity Index
Definition
Determination of individuals perception and participation of play/leisure
Activity Index Questionnairre of 23 listed activities
A 4 point scale
For elders aged 65 and over
Term
Interest checklist
Definition
Determines level of interest in 80 listed activities on a checklist
Level of interest is rated
Used for adults and adolescents
Term
Leisure Diagnostic Battery (LDB)
Definition
Measures pt. leisure experience
Questionnaire
Scores 1, 2, 3 rating.
Identifies knoledge, barriers and motivating factors
Used for adults, adapted scales for children ages 9-14 with and without mental retardation
Term
Leisure Satisfaction Questionnairre
Definition
Measures perception that leisure activities are meeting needs in:
Psychological, educational, social, relaxation, psysiologica, and aesthetic factors.
Scoring on a 5 point scale
Used with adults and elders.
Term
Meaningfulness of activity scale
Definition
Measurement using likert-type scales for Level of activity enjoyment, reason for doing activity, and perception of activity competence.
Used with adults and elders
Term
Minnesota Leisure Time Physical Activity Questionnaire
Definition
Measurement of energy expended using a list of 63 physical activities
Evaluator determines whether activity is light, medium or heavy using metabolic index and average daily calorie expenditures
Used with adults
Term
Play History
Definition
Assessment of child's or adolescents developmental level and adequacy of play environments
Interview questions with manual
Term
Preschool play scale
Definition
Observation of child's play behavior within: space management, material management, imitation, and participation
A play age score is derived.
Term
Play / leisure Intervention Guidelines
Definition
Disability results in increased leisure time
leisure activities can facilitate satisfying engagement
Provide assistive technology and adaptive equipment
Use thematic and topical groups
Teach principles and methods of energy conservation
Refer to relevant community and national resources
explore web based activities
Term
Play Intervention considerations
Definition
Plan play that is developmentally appropriate
Facilitate cause/effect learning
Cultural relevance
Play with siblings peers
Provide safe toys and stimulating activities.
Term
C1-C4 SCI play leisure activities
Definition
Can play computers games or read or paint and control tv's, radios and other electronic devices with mouthstick, head pointer or voice activation
Term
C5 SCI play leisure activities
Definition
Independently play computer games, access internet, email, use speakerphone, tun pages, play boardgames, and do some crafts or type using a splint or universal cuff.
Term
C6 and C7 SCI play leisure activities
Definition
Can hold a phone, typing stick, pen and use computer using tenodesis grasp or splint. Play bard games and wheelchair sports and do crafts.
Term
C8-T1
Definition
Can do do everything as C7 but has better functional use of both upper extremities.
Term
Work Evaluation
Definition
Screen to identify deficits in occupational performance
Determine interest in work intervention
Gather relevant history
Identify vocational interests
Assess current work-related skills through observations, checklists, standardized work assessments, aptitute, behavioral/personality, and motor coordination.
Determine existing abilities, limitations and any accommodations needed
Determine if training is needed.
Term
Functional Capacity Evaluation (FCE)
Definition
Evaluates one's capabilities related to physical demands, physical capacity, real or simulates, job site analysis.
Term
EPIC Functional Evaluation System
Definition
Determine ability to carry, lift climb, pull, push, balance, motor coordination,
Six models
formal Training and evaluation required
Term
Jacob's Pre-Vocational Assessment (JPVA)
Definition
Assessment of 14 major areas
15 brief tasks
Manual and profile sheet
Check off and clinical observations, time and behavior recorded
Used with adolescents and pre-adolescents with learning disabilities.
Term
McCarron-Dial System (MDS)
Definition
Assessment of prevocational, voc. and educational abilities in 5 areas: Cognitive, verbal and spatial, sensory, motor, emotional coping and adaptive behaviros
Interview work samples and observation
Includes work kits, 6 assessment tools, and computer program
Need to complete 3 day workshop to develop administration.
Ages 16 years or older and who have impairments.
Term
Reading-Free vocational Interest Inventory
Definition
Identification of vocational areas of interest
Uses pictures
Selections are converted to scores
Used with adolescents and adults
Term
Smith Physical Capacity Evaluation
Definition
Performance on 154 items real or simulated work tasks
Used with adults
Term
TOWER, Testing, orientation, and work evaluation in rehabilitation
Definition
Focus on 14 job training areas with 110 work samples focusing on clerical, assembly, and manufacturing jobs.
Compare performance results to TOWER norms of people with disabilities
Used with adults with physical and psychiatric disabilities
Term
Valpar Component Work Sample (VCWS)
Definition
Focus on assessment of groups of work skills
23 work samples
Each sample has standardized equipment with manual
Determine Methods-Time Measurement (MTM)is used along with behavior characterisics.
Can be used with visually impaired
for adults w/and w/o disabilities
Term
Vocational Interest Inventiory
Definition
Eight employment areas for adolescents used with high school students
Used to compare interests with compatible college majors.
Term
Vocational Interest, Temperament, and Aptitude System (VITAS)
Definition
Assessment of vocational interests, etc.
22 work samples and interest interview
need 6th grade reading level
used with adolescents 14 and up
Term
Worker Role Interview
Definition
Determine psychosocial and environmental factors related to work.
Adults involved in a work hardening program
Term
Work Intervention
Definition
Evaluate work site
Determine feasibility to return to work
Provide assistive devices and adaptive strategies
Practice, modify and instruct in work activities
Provide conditioning exercises and activities
Educate work safety and injury prevention
Educate employer
Collaborate with programs
Educate family
Explore other work opportunities
Use topical and thematic groups
Pre-retirement planning
Fllow up care
Refer to programs
Most common are cumulative trauma and psychosocial and cognitive deficits
Term
Specific Work Programs
Definition
Work Hardening - CARF accredition is needed
Work Conditioning - transition from acute
Ergonomic Program - fit work place to human body
Rehabilitation - sheltered workshops, supported employment, transitional employment programs
Discharge criteria - Limited potential, declined help, non-compliance, met goals, returned to work.
Term
Prevocational Assessment Process
Definition
Gather Background Information
Determine consumer work interests and support systems
Return to most recent employment
Assess skill level for employment opportunity
Assess for reasonable accommodations
Term
Ergonomic Risk Analysis Checklist
Definition
manual Material Handling
Physical Energy Demands
Musculoskeletal Demands
Computer Workstation
Environment
General Workplace
Tools
Gloves
Administration
Term
Checklist for computer-user workstations risk analysis
Definition
Does workstation ensure proper posture
Does chair have. . . . .
Height of work surface
Keyboard and keying actions
document holder
Arm rests
Glare, brightness controls
Good eye distance
Sufficient space for knees and feet
Can be used by both handed activities
Adequate rest breaks
Pacing of activities
Employee training
Term
Review Seat and Standing measurements for work - page 323
Definition
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