Functional Assessment Fall 2024
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Questions and Answers

Which of the following instruments is NOT used to assess a person's function?

  • Stress Impact Measure (correct)
  • Functional Independence Measure (FIM)
  • Katz Index of ADL
  • Berg Balance Scale
  • The FIM scale is primarily used for assessing a patient's function in rehabilitation.

    True (A)

    Name one assessment used for dynamic balance.

    Dynamic Gait Index (DGI)

    The balance scale used for assessing static balance accepts _____ challenges.

    <p>maximal</p> Signup and view all the answers

    Match the following categories of functional assessment with their descriptions:

    <p>Berg Balance Scale = Static and dynamic balance assessment Oswestry = Assessment of back pain SPADI = Shoulder pain and disability assessment Barthel Index = Activities of daily living measurement</p> Signup and view all the answers

    What is a primary goal when instructing a patient in functional mobility activities?

    <p>To improve the patient's overall function (A)</p> Signup and view all the answers

    Assessing a partner's sitting balance is not part of the lab activities.

    <p>False (B)</p> Signup and view all the answers

    What are the two areas of balance assessed in the balance scale?

    <p>Static balance and dynamic balance</p> Signup and view all the answers

    Documentation of functional assessment is recorded in the _____ portion of your note.

    <p>O</p> Signup and view all the answers

    When assessing a patient with a right CVA and left hemiparesis, which side of the body may show more difficulty in performing functional activities?

    <p>Left side (D)</p> Signup and view all the answers

    Flashcards

    Functional Assessment Components

    Components used to evaluate a person's ability to perform daily tasks.

    Functional Mobility Activities

    Activities that assess a person's ability to move around and perform daily tasks.

    Static Balance

    The ability to maintain balance while stationary.

    Dynamic Balance

    The ability to maintain balance while moving.

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    Balance Scale

    A tool used to evaluate a person's balance abilities.

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    FIM Scale

    Functional Independence Measure scale for assessing a patient's function in daily tasks.

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    Patient Assessment

    Evaluating a person's ability in performing daily tasks.

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    Functional Activities

    Tasks like transfers, locomotion, and stair negotiation.

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    CVA

    Cerebrovascular Accident - Stroke.

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    Hemiparesis

    Weakness or paralysis on one side of the body.

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    Study Notes

    Functional Assessment Fall 2024

    • Learner Objectives:
      • Describe components of a functional assessment
      • Instruct patients/caregivers in functional mobility activities
      • Document functional assessments in medical records

    Categories of Function

    • Physical:
      • Basic ADLs (BADLs): Transfer, 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, 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

    • 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
    • Dynamic Balance:

      • Measures the distance a person moves out of their base of support (BOS)
    • 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.

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