OT 504 wk 7 SG1 ADLs and IADLs

Why are fieldwork debriefs held?

To facilitate reflection, peer-to-peer learning, problem-solving, and address questions/concerns.

How often are fieldwork debriefs scheduled?

Every two weeks (Weeks 5, 7, 9, 11…).

What is the teaching team's role during debriefs?

They are resources—not discussion leaders. They ensure safety, answer questions, and uphold class norms.

What are important class norms during debriefs?

Confidentiality Respectful honesty Stay present Listen without interrupting Share appropriately Respect others' experiences.

What does the Barthel Index measure?

Independence in Activities of Daily Living (ADLs).

Who was the Barthel Index originally developed for?

Patients with stroke and other neuromuscular or musculoskeletal disorders.

Approximately how long does the Barthel Index take?

About 20 minutes.

What 10 ADLs are assessed on the Barthel Index?

Feeding Bathing Grooming Dressing Bowel control Bladder control Toileting Chair transfer Ambulation Stair climbing.

Basic Barthel scoring?

10 = Independent 5 = Needs help 0 = Dependent.

What does a higher Barthel score indicate?

Greater independence.

What Barthel score indicates total dependency?

0–20.

What Barthel score indicates severe dependency?

21–60.

What Barthel score indicates moderate dependency?

61–90.

What Barthel score indicates slight dependency?

91–99.

What Barthel score indicates complete independence?

100.

What are the two Modified Barthel Index versions?

Collin Version Shah Version.

What is unique about the Collin Version?

Uses 1-point increments.

What is unique about the Shah Version?

Five scoring categories per item for improved reliability and sensitivity.

What does the Katz Index measure?

Independence in basic ADLs.

What is the administration time for the Katz Index?

About 5 minutes.

What six ADLs are measured on the Katz Index?

Bathing Dressing Toileting Transferring Continence Feeding.

How is the Katz Index scored?

1 = Independent 0 = Dependent.

What does "independent" mean on the Katz Index?

No supervision, direction, or personal assistance.

What does "dependent" mean on the Katz Index?

Requires supervision, direction, assistance, or total care.

What is the highest possible Katz score?

6 (Independent).

What is the lowest possible Katz score?

0 (Very dependent).

What does the Lawton Scale assess?

Instrumental Activities of Daily Living (IADLs).

Who is the Lawton Scale best used with?

Community-dwelling older adults and patients in hospitals, SNFs, or rehabilitation.

What is the administration time for the Lawton Scale?

10–15 minutes.

What eight IADLs are assessed on the Lawton Scale?

Telephone use Shopping Food preparation Housekeeping Laundry Transportation Medication management Financial management.

How is the Lawton Scale scored?

1 = Independent 0 = Dependent.

What is the highest possible score on the Lawton Scale?

8 (Independent).

What is the lowest possible score on the Lawton Scale?

0 (Dependent).

What should you consider before scoring ADLs/IADLs?

Is the activity important to the client? Does someone else routinely perform it? Can they do it? Can they do it safely? Can they do it comfortably?

What common impairments may affect ADLs/IADLs?

Fine motor deficits Vision problems Weakness Limited ROM Cognitive deficits Poor endurance.

How long is the practicum evaluation?

30 minutes.

How long is instructor feedback in the practicum?

10 minutes.

What is the cleanup time for the practicum?

5 minutes.

What setting are you practicing in during the practicum?

PACE Program.

What is your role during the practicum?

Occupational therapist completing an initial OT evaluation after PCP referral.

What assessments are required for the practicum?

One ADL (Barthel or Katz) OR One IADL (Lawton) Plus one additional assessment/screen.

What are some possible additional assessments?

ROM/MMT Hearing + one additional screen Cognition Vision Functional Endurance Scale (FES) Functional Reach Test Sit-to-stand transfers Four Stage Balance Test Timed Up and Go (TUG).

What should you do if you finish early during the practicum?

Be prepared with another assessment.

What must be submitted after the practicum?

Self-reflection (3–5 sentences) Completed evaluation template Overall evaluation rating One long-term goal.

What information is gathered during intake?

Medical diagnosis Treatment diagnosis Precautions Subjective concerns Patient goals.

What are the four parts of the occupational profile/history?

Current Medical History Past Medical History Prior Level of Function Occupational Profile.

What areas are assessed in the occupational profile?

ADLs IADLs Vision Cognition Neuromusculoskeletal function Sensation Performance skills Values and beliefs.

What is included in clinical decision making?

Functional limitations Treatment plan.

What is included in the final evaluation?

Assessment summary OT complexity level Long-term goals Short-term goals Plan of care.

What information should the occupational profile include?

Reason for OT Client concerns Successful occupations Difficult occupations Barriers Interests Values Habits Roles Routines Environmental supports/barriers Social context Client priorities Therapy goals.