Self Care and Mobility

What does the Barthel index record

what a patient does, not what a patient could do

for the Barthel index, the need for supervision renders the patient not independent

true

Patient specific functional scale

This useful questionnaire can be used to quantify activity limitation and measure functional outcome for patients with any condition.

what is the objective of elderly mobility scale

The objective of this assessment is to measure the mobility function of older adults with frailty. [1]

what is a limitation of the elderly mobility scale

it has a ceiling effect ~ can't adequately differentiate the performance of high functioning older adults

what are the 7 things tested in the elderly mobility scale

lying to sitting

sitting to lying

sit to stand

standing

gait

timed walk

functional reach

what is the highest score obtained in the elderly mobility scale

20

a score of 10-13 on the elderly mobility scale reports

borderline in terms of safe mobility and independence in ADLs

any score less than 10 on the elderly mobility scale reports

dependent in mobility maneuver and requiring help

what makes the sitting balance dated

it uses a specific textbook that no one uses anymore

why is sitting balance important?

trunk control and ability to perform task while sitting

for the last piece of the sitting balance scale, what is the guideline for using a piece of foam to sit on

density should be that the patient is challenged and foam should not be compressed all the way to the chair. Feet should also remain intact with the ground

what is the difference between the functional reach and modified functional reach test?

the modified is where the patient is seated

if the patient is unable to lift the affect arm for the reach test, then what becomes the new point of measurement

the examiner then needs to assess the distance of the acromion during leaning