OT Module I – Flashcards
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Comprehensive Occupational Therapy Evaluation
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Can be used as an initial evaluation and as a measure of progress. The COTE is a behavior rating scale that is used to delineate occupational therapy's unique role in comprehensive adult mental health programs. It is used to identify behaviors (general behaviors, interpersonal behaviors, task behaviors) that impact occupational performance.
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Routine Task Inventory
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Based on Claudia Allen's frame of reference. To assess functional behavior during typical tasks using self-report or observation. Areas assessed: self awareness, situational awareness, occupational role and social role.
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Activity Configuration
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An assessment approach used by occupational therapists to determine an individual's usual use of time during a typical week. The technique is designed to elicit the person's perceptions of the nature of daily activities and satisfaction with them.
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Barth Time Construction
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This assessment is a way to view how you spent your time throughout the week and how much time you spent doing what. 1) Focus: time usage, roles and underlying skills and habits. 2) Method: person constructs color-coded chart indiv. or w/group which depicts way time spent during typical week 3) Scoring: not scored; percentages of time calculated according to main groupings, discuss w/indiv. 4) Population: adolescent through elder
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Milwaukee Evaluation of Daily Living Skills
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Establish baseline behaviors to develop treatment objectives related to daily living skills. The purpose of the MEDLS is to measure the behavioral performance of daily living skills of long- term psychiatric clients who are lower functioning.
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NPI Checklist
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Neuropsychiatric Institute Interest Checklist, questionnaire that a client can complete independently. It lists 80 activities, client are asked to rate as casual, strong or nonexistent. How a person spends leisure time.
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Assessment of Motor and Process Skills (AMPS)
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Provide an objective assessment of motor and process skills in the context of performing several familiar functional tasks of the subjects choice.
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Baltimore Therapeutic Exercise System (BTE)
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The Baltimore Therapeutic Equipment (BTE) work simulator is routinely used by occupational therapists in functional capacity evaluation.
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Functional Independence Measure
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Measure functional status, reflects the impact of disability on the individual and on human and economic resources in the community. 18 activities, 13 with a motor emphasis related to self care and 5 with cognitive emphasis involving communication.
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Kohl Evaluation of Living Skills
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Evaluate the ability to live independently and safely in the community. Self care, safety and health, money management, transportation and telephone, work and leisure; tends to emphasize the knowledge component of activities.
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Glasgow Coma Scale
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To monitor levels of consciousness in people with traumatic brain injury. Motor, verbal, and eye opening responses.
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Ranchos Los Amigos Scale (Please be sure to create flashcard for each level)
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Assess levels of consciousness and cognitive functioning.
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Rancho Level 1
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No Response Total Assistance Complete absence of observable behavior when presented with stimuli
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Rancho Level 2
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Generalized Response Total assistance General reflex to pain Increased/decreased activity with auditory stimuli significantly delayed responses
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Rancho Level 3
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Localized Response Total assistance Withdrawal/vocalization to pain blinks with strong light follows moving objects responses are related to the stimulus responds inconsistently to verbal commands
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Rancho Level 4
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Confused and Agitated Max A Alert/heightened state of activity spontaneous motor activities no short term memory aggressive/flight behavior mood swings not cooperative to treatment
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Rancho Level 5
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Confused-Inappropriate/Non-agitated Max A Alert/wanders Easily agitated Inappropriate use of objects Brief periods of sustained attention Responds to simple commands/minimal verbalization
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Rancho Level 6
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Confused/Appropriate Mod A Inconsistent orientation 30 mins of attention with highly familiar tasks Max for memory aid use and new learning Consistently follows simple directions Appropriate verbal expressions Unaware of impairments
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Ranch Level 7
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Automatic/Appropriate Min A for ADLs Consistently Ox2 Min A for new learning Initiates & completes familiar routines Self-monitors for accuracy & completeness Unrealistic planning Inappropriate social interactions
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Rancho Level 8
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Purposeful/Appropriate SBA Consistently oriented Independently completes familiar tasks with distractions Aware of impairments when interfering Depressed/Irritable/low frustration tolerance Self-centered Thinks of consequences with Min A
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Rancho Level 9
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Purposeful/Appropriate SBA on request Completes and transitions between tasks Uses assistive memory aids Takes appropriate corrective action Accurate estimate of abilities SBA to adjust to task demands Self-monitors appropriateness of social interactions
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Rancho Level 10
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Purposeful/Appropriate Mod Ind. Handles multiple tasks simultaneously in all environments Completes all tasks Ind. but may need extra time Anticipates & avoids problems from impairments Accurate ability estimate and adjusts to task demands Consistently appropriate with social interactions
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Allen's Cognitive Levels (Please be sure to create flashcard for each level
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To provide a quick measure of learning potential, global cognitive processing capacities, and performance abilities. Problem solving, following direction.
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ACL 1
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Automatic Actions/Reflexive--> TOTAL ASSIST Motor Actions: walking, eating, drinking, standing Attention Span: Seconds Activities: Sensory Stimulation
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ACL 2
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Unable to imitate/complete 'running stitch' Postural Actions/Gross Body Movement-->MAX ASSIST Motor Actions: Approximate imitations, Pacing, bending, stretches Activities: gross motor games, dance Attention Span: Minutes
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ACL 3
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Imitates 3 'running stitches' Repetitive Actions-->MOD ASSIST Motor Actions: manipulation of familiar objects, react spontaneously to tactile stimulation Attention: 30 minutes; no written directions;increased distractability Activities: performs familiar ADL's (face washing, etc)
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ACL 4
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imitates 3 'whip stitches' Goal Directed/Familiar Activities-->MIN ASSIST Sensory Responds to Visual Stimuli Activities: Visual cues to complete tasks, matching, several step-tasks, simple crafts (2-3 steps); NO NEW LEARNING/GENERALIZATION Attention Span: Hours
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ACL 5
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imitates 'simple cordovan stitch' using pvert trial and error X 3 stitches Independent learning/Exploratory --> self control/inclusive reasoning Alters actions with overt trial and error; poor organization, planning, and socialization Activities: Concrete tasks; NEW LEARNING AND GENERALIZATION Attention Span: Weeks
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ACL 6
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imitates 'single cordovan stitch' X 3 with overt trial and error Planned Action--> INDEPENDENT/Conceptual Considers consequense of actions Follows multistep verbal/written cues ABSENCE OF COG DISABILITY
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Bayley Scales of Infant Development
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To assess the current development functioning of infants and children. Mental, cognitive, motor and adaptive behaviors.
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Bruininks-Oseretsy Test of Motor Proficiency
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To assess the gross and fine motor functioning of school age clients. Fine motor control, manual dexterity, body coordination, strength and agility.
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Miller Assessment for Preschoolers
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To identify children who exhibit moderate preacademic problems. Sensory, motor, and cognitive skills through verbal and nonverbal tasks.
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Peabody Developmental Motor Scales
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To quantitively assess motor development of children. Gross and fine motor skills.
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Sensory Integration and Praxis Test
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To assess praxis and sensory processing and integration of vestibular, proprioceptive, tactile, kinesthetic, and visual systems. Sensory processing, visual spatial perception, coordination, motor regulatory.
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Test of Visual Motor Integration
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Visual perception is the process of extracting and organizing visual information from the environment. Visual-motor integration is the ability to coordinate visual perception and finger-hand movements. Performance on a test of visual- motor integration can be affected by visual spatial/discrimination ability and motor skill as well as the ability to integrate the two.
