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16 Cards in this Set
- Front
- Back
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BADL vs IADL |
Basic - everyone needs to do Instrumental - don't need to do on a daily basis |
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Nagi Disability Scheme |
-based on a medical diagnosis Active Pathology - med diagnosis Impairments - ROM, strength, balance measures Fxnl Disability - certain tasks are impaired Disability - impairs ability to fill certain roles |
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ICF Conceptual Model |
-like the Nagi but takes environmental and personal factors into account Health Condition - disorder/disease Body Fxns - same as impairment Activities - same as limitation Participation - same as disability Environmental/Personal Factors - can be +/- |
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Functional Independence Measure (FIM) |
-determine the degree of disability using direct observation of patient performing tasks -uses a 7-point scale -use on adult population |
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What does FIM predict? |
-burden of care |
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Problems with FIM |
-it only assesses BADL -doesn't measure the impact of disability on the individual |
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Barthel Index |
-a 10-item ADL that assesses the ability of the individual to do self care -self report or direct observation -takes 25 mins -use on elderly and chronically ill |
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Barthel Index Interpretation |
100 - patient can do self care 60 - probably needs assisted independence <40 - low probability of assisted independence |
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Barthel Index Problems |
-does not measure IADL |
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Stroke Impact Scale (SIS) |
-59 items with 8 domains -takes 20-30 mins -each item rated on a 5 point scale indicating difficulty the patient has experienced with it |
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Physical Performance Test (PPT) |
-assess a Pt's level of fxn as indicated by taaks that stimulate ADLs -scored via timed direct observation -takes about 10 minutes -use with elderly and parkinsons |
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Pain Disability Index |
-a self report measuring the amount of pain-related disability -takes less than 5 minutes -use on adult with chronic pain |
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Patient-Specific Functional Scale (PSFS) |
-self report that is used mainly in orthopedics -they ask the Pt to name 5 activities they have difficulty with and give them a score from 0=unable to perform, to 10 =able to perform |
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Problems and Benefits of PSFS |
P - can't compare patients B - patient specific and can guide treatment |
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Global Rating of Change (GRC) |
-asks Pt to recall their health status at a previous time and calculate the difference between then and now |
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Concerns with GRC |
-can't perform on people with cognitive deficits -it's hard for Pt's to remember prior health status |
