Podcast
Questions and Answers
Which of the following best describes a component of a functional assessment?
Which of the following best describes a component of a functional assessment?
What is the purpose of the FIM (Functional Independence Measure) scale in rehabilitation?
What is the purpose of the FIM (Functional Independence Measure) scale in rehabilitation?
When performing a physical functional assessment, which of the following areas is NOT commonly assessed?
When performing a physical functional assessment, which of the following areas is NOT commonly assessed?
How should a physical therapist document a functional assessment?
How should a physical therapist document a functional assessment?
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What distinguishes the balance scale for dynamic balance from the one for static balance?
What distinguishes the balance scale for dynamic balance from the one for static balance?
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Which of the following instruments is commonly used to assess a person's function within rehabilitation?
Which of the following instruments is commonly used to assess a person's function within rehabilitation?
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During instruction of functional mobility activities, the therapist should focus on which aspect?
During instruction of functional mobility activities, the therapist should focus on which aspect?
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What is a common misconception about functional assessments?
What is a common misconception about functional assessments?
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What are the categories of function that are considered during a functional assessment?
What are the categories of function that are considered during a functional assessment?
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Which patients might be assessed using the functional assessment tools discussed?
Which patients might be assessed using the functional assessment tools discussed?
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Study Notes
Functional Assessment Fall 2024
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Learner Objectives:
- Describe functional assessment components.
- Instruct patients/caregivers in functional mobility.
- Document functional assessments in medical records.
Categories of Function
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Physical:
- Basic ADLs (BADLs): Transfers, ambulation, stairs, feeding, dressing, hygiene.
- Instrumental ADLs (IADLs): Personal affairs management, cooking, shopping, home chores, work, driving.
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Psychological:
- Mental: Initiative, attention, concentration, memory, problem solving, judgment.
- Affective: Coping skills, self-esteem, anxiety, depression, body image attitude.
- Social: Social roles in interpersonal relationships at work and leisure.
Functional Assessment Areas
- ADLs: Primarily focus on Basic ADLs.
- Bed Mobility
- Transfers
- Locomotion: Ambulation or wheelchair mobility.
- Stair Negotiation
- Balance: Static and dynamic balance assessments.
Balance Scales
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Static Balance Scale: Assesses ability to hold self upright.
- Levels: Totally dependent, able to hold self, accepts slight challenges, accepts minimal challenges, accepts moderate challenges, accepts near maximal challenges, accepts maximal challenges.
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Dynamic Balance Scale: Measures distance a patient moves out of their base of support (BOS).
- Levels: Moves minimal, moderate, or maximal distances out of BOS. (Note: This scale differs slightly from other versions, featuring more levels.)
Assessment Instruments
- Many rehab facilities use the Functional Independence Measure (FIM) scale for functional assessment.
- Other examples include Dynamic Gait Index (DGI), Berg Balance Scale, Oswestry, and more.
Lab Activities
- Partner Assessment: Assess partner's static and dynamic balance, document findings using SOAP format (Subjective, Objective, Assessment, Plan).
- Rx Recommendations: Develop 2 recommendations for patients with fair and good static standing balance.
- Functional Activities: Assess the partner's ability to perform functional activities (scooting, rolling, transfers, ambulation, stair negotiation). Important to document assessment for each task.
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Description
This quiz covers the essential components of functional assessment, including both physical and psychological categories. Learners will explore basic and instrumental ADLs, as well as techniques for instructing patients and caregivers. Documenting these assessments in medical records is also emphasized.
