Activities of Daily Living: Dependency Assessment

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Questions and Answers

What is the primary purpose of dependency assessment?

To provide a diagnosis for a specific pathology
To evaluate the patient's health status
To assess the caregiver's support needs
To determine the type of assistance required (correct)

What is the focus of physiotherapy in dependency assessment?

Motor-functional aspects (correct)
Symptom control and quality of life
Cognitive-physiological aspects
Domestic aspects and environmental support

What is the difference between generic and specific measures of function?

Generic measures are used in geriatrics, while specific measures are used in rehabilitation
Generic measures are general, while specific measures are specific to a pathology (correct)
Generic measures are specific to a pathology, while specific measures are general
Generic measures are used in rehabilitation, while specific measures are used in geriatrics

What is the Barthel index used for?

To establish the degree of independence from any help in rehabilitation and geriatrics (A) Signup and view all the answers

What is Grade I dependency characterized by?

Need for assistance with daily living activities at least once a day (B) Signup and view all the answers

What is the focus of geriatry in dependency assessment?

Cognitive-physiological aspects (B) Signup and view all the answers

What is the EUROQo-5D?

A generic health status questionnaire (B) Signup and view all the answers

Why is dependency assessment important?

To establish a system for a variety of services and programs related to caring for the elderly and those with disabilities (B) Signup and view all the answers

What is the focus of social work in dependency assessment?

Domestic aspects and environmental support for caregivers (D) Signup and view all the answers

What is Grade II dependency characterized by?

Need for help to perform various ADLs twice or three times a day, but does not want permanent support from a caregiver (A) Signup and view all the answers

What is the primary purpose of assessing a patient's functional capacity?

To design care and rehabilitation plans in an interdisciplinary way (D) Signup and view all the answers

Which of the following is NOT a section of the 10-section assessment?

Vitality (A) Signup and view all the answers

What is the score range for a patient who is 'very dependent' according to the Barthel index interpretation?

20-39 (D) Signup and view all the answers

What is the primary purpose of the EUROQoL-5D?

To measure health-related quality of life (C) Signup and view all the answers

What is the name of the health survey that developed from the Medical Outcomes Study questionnaire battery?

SF-36 (B) Signup and view all the answers

What is the time frame for the standard version of the SF-36 Health Survey?

4 weeks (C) Signup and view all the answers

What is the purpose of the 'Transition item' in the SF-36 Health Survey?

To measure change in health status from previous year (B) Signup and view all the answers

What is the score range for a patient who is 'able to live independently' according to the Barthel index interpretation?

80-100 (D) Signup and view all the answers

What is the primary purpose of assessing a patient's usual source of mobility?

To establish the patient's performance (A) Signup and view all the answers

What is the name of the vertical scale used in the EUROQoL-5D?

Vertical VAS (A) Signup and view all the answers

What type of measures of function are generated specifically for a given pathology?

Pathology-specific items (D) Signup and view all the answers

What is a characteristic of a positive (+) measure of function?

It is sensitive to detect functional changes in response to treatment (C) Signup and view all the answers

What is the main characteristic of Grade III dependency?

Needs indispensable and continuous support of another person (B) Signup and view all the answers

What are Activities of Daily Living (ADLs)?

A set of behaviors that a person performs every day or almost every day (D) Signup and view all the answers

What is the purpose of assessing disabilities using dependency scales?

To identify the patient's components of disability (D) Signup and view all the answers

What is the main difference between specific and generic measures of function?

Specific measures are used for pathology, while generic measures are used for patient-specific disabilities (A) Signup and view all the answers

What is the characteristic of a negative (-) measure of function?

It is not able to detect general psychosocial or health related quality of life status (C) Signup and view all the answers

What is the main goal of assessing a patient's ADLs?

To determine the patient's ability to live autonomously (C) Signup and view all the answers

What type of measures of function are generated specifically for a particular body part?

Body part specific items (C) Signup and view all the answers

What is the main characteristic of patient-specific measures of function?

Each patient identifies their own set of disabilities (C) Signup and view all the answers

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Study Notes

Dependency Assessment

Multidisciplinary approach includes personal, family, social, health, economic, and care aspects.
Physiotherapy focuses on motor-functional aspects, particularly MSK problems.
Geriatry addresses cognitive-physiological aspects, including senescence and dementia.
Family medicine and palliative care prioritize symptom control and quality of life.

Importance of Assessing Dependency

Evaluates a person's ability to perform activities of daily living (ADLs).
Determines the type of assistance required.
Sets goals for treatment.
Determines patient health status.

Dependency Grades

Grade I: Moderate dependency, requiring help at least once a day or intermittent support.
Grade II: Service dependency, needing help twice or thrice a day, but not permanent support.
Grade III: High dependency, requiring continuous support due to total loss of autonomy.

Measures of Function

Generic tools:
- Evaluate overall functional capacities.
- Not specific to any pathology or diagnosis.
- Examples: General health status questionnaires.
Specific tools:
- Evaluate health-related quality of life for a specific pathology.
- Examples: Barthel index, EUROQoL-5D, SF-36.

Barthel Index

Mainly used in rehabilitation, geriatrics, and residential admissions.
Assess independence from any help, however minor.
10 sections: 8 self-care and mobility activities, 2 stooling and urination sections.
Objectives: functional capacity assessment, detecting deterioration, and controlling clinical evolution.
Severity levels: independent, requires help, partially dependent, very dependent, and total dependence.

EUROQoL-5D

Quality of life health-related measurement tool.
Two parts: descriptive system and vertical VAS.
Descriptive system: mobility, personal care, daily activities, pain/discomfort, anxiety/depression.
Vertical VAS: rates health status from worst to best.

SF-36 Health Survey

Developed from the medical outcomes study questionnaire battery.
8 health concepts: physical function, physical role, body pain, general health, vitality, social function, emotional role, and mental health.
Standard version: 4 weeks; acute version: 1 week.

Specific Tools

Pathology-specific items generated specifically for a given pathology.
Body part specific: region-specific items about tasks using the involved body part.
Patient-specific: each patient identifies their own set of disabilities.
Advantages: able to detect specific limitations and sensitive to functional changes.
Disadvantages: unable to detect general psychosocial or health-related quality of life status.

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