Podcast
Questions and Answers
Which of the following instruments is NOT used to assess a person's function?
Which of the following instruments is NOT used to assess a person's function?
The FIM scale is primarily used for assessing a patient's function in rehabilitation.
The FIM scale is primarily used for assessing a patient's function in rehabilitation.
True
Name one assessment used for dynamic balance.
Name one assessment used for dynamic balance.
Dynamic Gait Index (DGI)
The balance scale used for assessing static balance accepts _____ challenges.
The balance scale used for assessing static balance accepts _____ challenges.
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Match the following categories of functional assessment with their descriptions:
Match the following categories of functional assessment with their descriptions:
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What is a primary goal when instructing a patient in functional mobility activities?
What is a primary goal when instructing a patient in functional mobility activities?
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Assessing a partner's sitting balance is not part of the lab activities.
Assessing a partner's sitting balance is not part of the lab activities.
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What are the two areas of balance assessed in the balance scale?
What are the two areas of balance assessed in the balance scale?
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Documentation of functional assessment is recorded in the _____ portion of your note.
Documentation of functional assessment is recorded in the _____ portion of your note.
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When assessing a patient with a right CVA and left hemiparesis, which side of the body may show more difficulty in performing functional activities?
When assessing a patient with a right CVA and left hemiparesis, which side of the body may show more difficulty in performing functional activities?
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Study Notes
Functional Assessment Fall 2024
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Learner Objectives:
- Describe components of a functional assessment
- Instruct patients/caregivers in functional mobility activities
- Document functional assessments in medical records
Categories of Function
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Physical:
- Basic ADLs (BADLs): Transfer, 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, attitude toward body image
- Social: Social roles in interpersonal relationships at work and leisure
Physical Functional Assessment Areas
- ADLs: Primarily focusing on Basic ADLs
- Bed Mobility
- Transfers
- Locomotion: Ambulation or wheelchair use
- Stair Negotiation
- Balance: Static and dynamic balance
Balance Scales
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Static Balance:
- Totally dependent: Unable to hold self upright
- Able to hold self upright
- Accepts slight challenges
- Accepts minimal challenges
- Accepts moderate challenges
- Accepts near maximal challenges
- Accepts maximal challenges
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Dynamic Balance:
- Measures the distance a person moves out of their base of support (BOS)
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Note: Dynamic balance scale is slightly different from a standard scale, and some scales use more levels. Multiple instruments exist for assessing function, which include the FIM.
Lab Activities
- Partner Assessment: Assess partner's static and dynamic balance
- Documentation: Document findings in SOAP notes, including two things for a patient with "fair" and "good" static balance
- Functional Tasks: Instruct a partner with right cerebrovascular accident and left hemiparesis to perform functional tasks (e.g., scooting, rolling, transfers, ambulation, stair negotiation). Document the partner's ability to perform each task.
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Description
This quiz focuses on the components of functional assessments, emphasizing physical and psychological categories of function. You'll learn to instruct patients and caregivers in improving functional mobility and document these assessments accurately. Engage with various assessments including ADLs, IADLs, and psychological aspects.
