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20 Cards in this Set
- Front
- Back
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activity
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ICF: execution of task or action
PT: fx, fxl ability, fxl status, fxl activity |
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function
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describes someone's performance of skills or tasks pertinent to daily life
2 criteria meaningful aid in fulfilling a role |
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5 categories of fxl abilities
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aerobic capacity & endurance
gait, locomotion, balance neuromotor development & sensory integration self-care & home mgmt, ADL's work, community, leisure, integration |
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tasks
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specific actions that are used in an array of activities
no definable & meaningful goal e.g. walk, squat, lift, reach, grasp |
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documenting task performance
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task performance can be a measure of fxl ability
represents interface between activities & body structures & fx most appropriate to activities section of documentation context-based task task assessment is preferred |
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documenting performance of fxl activities
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PT determines which activities are meaningful & help a pt achieve independence
must be related to pt's life roles & therapeutic goals must be appropriate to pt's environment |
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3 categories of fxl activities
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personal
ADL's & IADL's occupational work, profession, job, school, volunteer work, community service leisure avocations & recreation |
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Activities vs impairments in body structures/fxs
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goal vs mechanisms used to accomplish goal
balance activity: ability to stand in one place for > 30 s impairment: increased sway walking activity: surface walked on, degree of assistance, how long, how fast bs&f: gait analysis |
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ADL's
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bed mobility, transfers, dressing, toileting, grooming, oral care, bathing, self-care, eating, ambulation, climbing stairs
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IADL's
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telephone, shopping, food prep, housekeeping, laundry, transportation, managing meds & finances
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other personal activities
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incl but not limited to
sitting, standing, mobility w/in home, wheelchair mobility, household activities |
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occupational & work activities
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commuting
specific tasks related to work / school children (work=play) ball playing, jumping, running, doing puzzles, stacking blocks, stringing beads |
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leisure activities
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various hobbies & social activities
recreational exercise, sports |
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Choosing activities to document
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prioritize those that are currently most critical
benchmark activities useful avoid overlap w/ other professionals, esp OT's |
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benchmark activities
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activities that show improvement as a result of PT intervention
can be used to measure progress |
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Documenting in the absence of activity limitations
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sometimes interventions are provided for impairments that may lead to limitations
preventive intervention is important, but not something that 3d-party payers typically reimburse |
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measurement of activities
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level of assistance required to achieve a goal
according to FIM scale skill-based how activities are applied |
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skill
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ability to achieve a desired outcome w/ consistency, flexibility, & efficiency
consistency can successfully perform a skill over multiple trials / days flexibility can perform skill in various environments / conditions efficiency perform skill w/in a given level of energy expenditure |
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FIM
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Functional Independence Measure
No Helper 7 Complete independence (timely, safety) 6 Modified independence (device) Helper 5 Supervision (subject=100%) 4 Minimal assistance (Subject ≥ 75%) 3 Moderate assistance (subject ≥ 50%) Helper - complete dependence 2 Maximal assistance (subject ≥ 25%) 1 Total assistance / not testable (subject < 25%) |
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Standardized tests & measures
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various sources available to list & describe standardized tests
report summary scores in eval report attach scoring form to report |
