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?
- Analyzing a patient's ability to perform mobility activities (correct)
- Reviewing a patient's medical history
- Assessing only static balance
- Evaluating a patient's emotional state
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?
- To measure a patient's psychological health
- To establish a patient's history of injuries
- To assess a patient's function in terms of independence (correct)
- To evaluate dietary habits of the patient
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?
- Mobility activities
- Static balance
- Cognitive function (correct)
- Dynamic balance
How should a physical therapist document a functional assessment?
How should a physical therapist document a functional assessment?
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?
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?
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?
What is a common misconception about functional assessments?
What is a common misconception about functional assessments?
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?
Which patients might be assessed using the functional assessment tools discussed?
Which patients might be assessed using the functional assessment tools discussed?
Flashcards
Functional Assessment
Functional Assessment
A process of evaluating a person's ability to perform everyday activities.
Physical Functional Assessment
Physical Functional Assessment
Evaluates a person's physical abilities during activities.
Static Balance
Static Balance
The ability to maintain balance while stationary.
Dynamic Balance
Dynamic Balance
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Balance Scales
Balance Scales
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FIM (Functional Independence Measure)
FIM (Functional Independence Measure)
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Transfers
Transfers
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Locomotion
Locomotion
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Stair Negotiation
Stair Negotiation
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Functional Mobility
Functional Mobility
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Study Notes
Functional Assessment Fall 2024
- Learner Objectives:
- Describe functional assessment components.
- Instruct patients/caregivers in functional mobility.
- Document functional assessments in medical records.
Categories of Function
- Physical:
- Basic ADLs (BADLs): Transfers, ambulation, stairs, feeding, dressing, hygiene.
- Instrumental ADLs (IADLs): Personal affairs management, cooking, shopping, home chores, work, driving.
- 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
- 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.
- 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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