Assessment Tools + Scenarios

What is the purpose of the Functional Independence Measure (FIM)?

Basic indicator of rehabilitation severity of disability and used to track changes and outcomes of rehabilitation.

What domains does the FIM measure?

It measures all domains of functional independence in rehabilitation.

What type of assessment is the FIM considered?

A multi-disciplinary assessment.

What requirement is needed to administer the FIM?

FIM training must be completed.

What population commonly uses the FIM?

Rehabilitation populations.

What does the Lawton IADL measure?

Independent living skills.

What activities are evaluated in the Lawton IADL?

Shopping, Food preparation, Laundry, Housekeeping.

What population commonly receives this IADL assessment?

Older adults living in LTC, Rehabilitation, Day treatment or in community settings.

What does the World Health Organization Disability Assessment measure?

Disability and functioning in daily life.

What areas does WHO-QOL-BREFmeasure?

Cognition, Mobility, Life activities, Participation.

What does the Rancho Los Amigos Scale measure?

Level of cognitive functioning after traumatic brain injury.

What levels are included in the Ranchos Los Amigos scale ?

Levels 1-8 and the revised 1-10 scale.

What does Ranchos los Amigos scale evaluate?

level of cognitive functioning after TBI

What setting commonly uses Ranchos los Amigos?

Inpatient physical rehabilitation for brain injury.

What does the Glasgow Coma Scale measure?

Level of coma and impaired consciousness.

What three responses are measured in the Glasgow Coma Scale?

Eye opening, Motor response, Verbal response.

Where is the Glasgow Coma Scale typically conducted?

Acute care .

What is the purpose of the Orientation x3 measure?

Quick screening of Ongoing orientation status.

What three questions are used in Orientation x3?

1. Person 2. Place 3. Time.

Where is Orientation x3 usually used ?

Hospitals & long term care

What does the MMSE measure?

Cognitive function and screens for dementia.

What is the structure of the MMSE?

30-point questionnaire.

What cognitive abilities are evaluated in the MMSE?

Attention, Calculation, Recall, Language.

What settings commonly use the MMSE?

Hospitals, Long-term care, Geriatric psychiatric settings.

What does the Montreal Cognitive Assessment measure?

Rapid screening for cognitive dysfunction .

In what healthcare settings is the MoCA used?

All healthcare settings.

What does the FACES of Pain Rating Scale measure?

Pain intensity using facial expressions.

Where can the FACES of pain rating scale be used ?

All hospitals, long term care, community

What does the Pain Visual Analog Scale measure?

Pain intensity on a visual continuum.

What does the WHO-QOL-BREF measure?

A person’s perception of their life quality in 4 domains

What domains are included in the WHO-QOL-BREF?

Physical health, Psychological health, Social relationships, Environmental health.

QOL for people with dementia, what does this assessment measure?

Quality of life through observation.

QOL for people with dementia, How is the assessment completed?

It is completed by two staff members who know the resident well. Completed after 1 week of observation.

What is the Berg Balance Scale considered?

“Gold Standard” functional balance test.

What does the Berg Balance Scale measure?

Static and dynamic balance and fall risk.

How many tasks are included in the BBS?

14 simple balance tasks.

What populations commonly uses BBS scale?

Rehabilitation, Long-term care, Community, older adults.

What does the Dynamic Gait Index measure?

Gait and walking ability under changing conditions/ external demands

What populations commonly use the GDI scale?

Fall risk populations, Traumatic brain injury, Cerebrovascular accident (stroke), All healthcare settings.

What does the ABC Scale measure?

Balance confidence during daily activities.

What type of assessment is the ABC scale?

Self-report confidence measure.

Who is the School Social Behavior Scales -2 meant for ?

Children ages K-12

What does the School Social Bhevaior Scale-2 evaluate?

Social competence, Antisocial behavior.

What can the School Social Behavior Scale -2 identify ?

Students social & emotional behaviors. Can identify challenges and plan targeted interventions.

What does the Social Empowerment and Trust Scale measure?

Changes in social attitudes and social skills after social skills treatment program.

What areas are measured in the Social Empowerment & Trust Scale?

Bonding, Empowerment, Self-awareness, Affirmations, Awareness of others.

What does the Stress Scale / Life Change Index measure?

Likelihood of developing a stress-related illness.

How does the Stress scale/ Life change Index determine stress risk?

By measuring life stressors that occurred during the past 12 months.

What does the Depression Anxiety Stress Scale measure?

Levels of depression, anxiety, and stress.

What population is the Geriatric Depression Scale designed for?

Older adults.

What does the Cohen-Mansfield Agitation Inventory measure?

Frequency of agitated behaviors over a 2 week period

What does the Modified Differential Emotions Scale measure ?

Positive and negative emotions experience within a particular time frame ( 24 hours ). Ability to recognize emotions.

Overt Aggression Scale

Scale that evaluated aggression in 4 categories; Verbal, physical against self, physical against others, physical against objects

What does the BUS Utilization Scale evaluate?

Use of public transportation in the community.

What type of clients is the BUS Utilization Scale designed for?

Clients with cognitive and physical impairments.

What skill areas are evaluated in the BUS utilization scale?

8 skill categories related to using public transportation.

What population is REDS designed for?

Severe and profound intellectual disability functioning below one year developmental level.

What does REDS assess?

Developmental level in Play, Fine motor, Gross motor, Sensory development.

What does the Leisure Competence Measure assess?

Outcomes related to therapeutic recreation participation.

What areas are measured in the Leisure Competence Measure ?

Leisure skills, Social skills, Community skills.

What does the Leisure Attitude Measure evaluate?

A person’s attitude toward leisure.

What levels are measured in the Leisure Attitude Measure?

Cognitive, Affective, Behavioral.

Leisure Attitude measure, diagnostic group ?

No cognitive impairments

What does the Leisure Interest Measure identify?

Areas of leisure interest.

What types of interest areas are included in the leisure Interest Measure?

8 domains of activites including Physical, Social, Cultural, Outdoor activities, etc.

Diagnostic Group for the Leisure Interest Measure ?

Moderate to No impairments

What does the Leisure Satisfaction Measure evaluate?

Level of satisfaction gained from leisure participation.

What is the Leisurescope assessment?

10 Picture card assessment used to identify leisure interests.

The leisure Scope Assessment is meant for ?

Adults & adolescents who have little to no cognitive impairments

What does the Leisure Diagnostic Battery measure?

1. Leisure competence 2. Leisure control 3. Leisure needs 4. Depth of involvement 5. Playfulness

What populations can use the Leisure Diagnostic Battery assessment?

Adults and adolescents with little to no cognitive impairment.

What does the Leisure Step Up assessment do ?

It is part of a leisure education program that helps people develop attitudes, knowledge, & skills needed for a healthy leisure lifestyle

Who is the primary diagnostic group for the leisure Step up ?

Adults & Adolescents in behavioral medicine & drug/alcohol treatment

What is the diagnostic group of the Functional Assessment of Characteristics for TR ( FACTR-R)?

All individuals with developmental delays & physical disabilities

What is the purpose of the FACTR-R?

To evaluate clients needs related to functional skills. Can be used as a screening tool for TR

What is the diagnostic group of the General Recreation Screening Tool ? (GRST )

Individuals with intellectual & developmental disabilities

What is the purpose of the General Recreation Screening Tool ( GRST ) ?

It determines functional level in 18 skills areas related to leisure

What is the purpose of the TR Activity Assessment ( TRAA)?

To evaluate basic functional skills in a group setting

What is the diagnostic group of the TR Activity Assessment (TRAA) ?

ALL disability groups

What is the diagnostic group for the Social Attributes Checklist ?

Kids aged 3-10

What is the purpose of the Social Attributes Checklist ?

To evaluate social behavior to developmentally appropriate social competence

What is the diagnostic group of the FOX assessment ?

Individuals who are LOW FUNCTIONING: ID, DD, Dementia, Brain injury

What is the purpose of the FOX assessment ?

To evaluate basic social skills

What is the purpose of the Social School Behavior Scales assessment ?

To measure social competence & antisocial behavior. It can identify students at risk for ODD ( oppositional defiant disorder ) & need prevention/ intervention programs

What is the diagnostic group for the Social School Behavior Scales assessment ?

Youth from ages 5 - 18 years old

A CTRS working in brain injury rehabilitation needs to determine the stage of cognitive recovery following a traumatic brain injury.

Rancho Los Amigos Scale

A CTRS in acute care must quickly determine a patient’s level of consciousness following a traumatic injury.

Glasgow Coma Scale

A CTRS in an inpatient rehabilitation hospital needs to measure a patient’s overall functional independence across multiple daily activities.

Functional Independence Measure (FIM)

A CTRS working in pediatric rehabilitation must evaluate functional independence in daily living skills for children.

WeeFIM

A CTRS assessing an older adult living in the community needs to determine whether the individual can manage complex daily living tasks such as cooking, shopping, and medication management.

Lawton Instrumental Activities of Daily Living (IADL)

A CTRS wants to screen a client for early signs of mild cognitive impairment before dementia develops.

Montreal Cognitive Assessment (MoCA)

A CTRS needs a general cognitive screening tool used to detect dementia and cognitive decline in older adults.

Mini Mental State Examination (MMSE)

A CTRS is evaluating a client’s disability level and participation limitations across daily life activities.

World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0)

A CTRS working with individuals recovering from traumatic brain injury wants to measure adaptation to life roles and participation after brain injury.

Mayo-Portland Adaptability Inventory

A CTRS needs to evaluate a client’s balance ability and fall risk using functional balance tasks such as standing and reaching.

Berg Balance Scale

A CTRS wants to assess a client’s ability to walk safely while turning the head, changing speeds, or navigating obstacles.

Dynamic Gait Index

A CTRS wants to measure a client’s confidence performing activities that require balance such as walking outside or climbing stairs.

Activity-Specific Balance Confidence Scale (ABC)

A CTRS is working with a child who cannot verbally explain their pain level and needs a visual pain assessment tool using facial expressions.

FACES Pain Rating Scale

A CTRS needs a self-report pain scale where a client marks their pain intensity on a straight line between “no pain” and “worst pain.”

Pain Visual Analog Scale

A CTRS working in a long-term care facility wants to measure the frequency of agitated behaviors in residents with dementia.

Cohen-Mansfield Agitation Inventory