Final - Evaluation Of Adls (Badls Only)

Explanation
Placing someone in a novel situation during an ADL eval is informative to a therapist because it allows them to observe the individual's ability to apply and adapt their learned skills to a new and unfamiliar context. This can provide valuable insights into the person's level of independence, problem-solving skills, and ability to generalize their abilities beyond familiar situations. By assessing their performance in a novel situation, the therapist can gain a more comprehensive understanding of the individual's overall functional abilities.

Explanation
The statement suggests that the time of day can pose challenges for patients with cognitive impairments. This implies that their cognitive functioning may vary throughout the day, with certain times being more difficult for them to comprehend or perform tasks. This could be due to factors such as fatigue, medication effects, or natural fluctuations in cognitive abilities. Therefore, the statement is true as it highlights the potential impact of time of day on cognitively-impaired patients.

Explanation
COPM just requires a semi-structured interview.

Explanation
The correct answer is OT because Occupational Therapists (OTs) are specifically trained to assess and address a person's ability to perform self-care activities. They focus on helping individuals regain or develop the skills necessary for activities of daily living, such as bathing, dressing, grooming, and feeding themselves. Nurses, Physical Therapists (PTs), Speech Therapists, and Recreational Therapists may have their own areas of expertise and assessments, but on the Adult FIM, it is the OT who assesses the Self-Care portion.

Explanation
The correct answer is Nurse. The Adult FIM is a functional assessment tool used to measure a person's level of independence in performing daily activities. The Sphincter Control portion assesses the individual's ability to control their bowel and bladder function. Nurses are typically responsible for assessing and monitoring a patient's bowel and bladder function, making them the most appropriate healthcare professional to assess this portion of the Adult FIM.

Explanation
The Adult FIM is a functional assessment tool used to evaluate a person's level of independence in activities of daily living. The Transfers portion of the assessment focuses on the individual's ability to move from one surface to another, such as transferring from a bed to a wheelchair. Occupational therapists (OTs) and physical therapists (PTs) are trained in assessing and providing interventions for mobility and transfers, making them the appropriate professionals to assess the Transfers portion of the Adult FIM. Nurses, speech therapists, and recreational therapists may have other roles in the care of the individual, but they are not typically responsible for assessing transfers in this context.

Explanation
The correct answer is PT because Physical Therapists are trained to assess and treat individuals with mobility and locomotion issues. They have expertise in evaluating and improving a person's ability to move, walk, and perform functional activities.

Explanation
The Communication portion on the Adult FIM can be assessed by an Occupational Therapist (OT) and a Speech Therapist. These professionals have the knowledge and expertise to evaluate an individual's communication abilities and determine their level of independence in this area. The other options, Nurse, PT, and Recreational Therapist, may have some involvement in the individual's care but may not have the specific training and skills required to assess communication abilities.

Explanation
Rec. therapist assesses the social interaction. OT does the problem solving and memory

Explanation
The WeeFIM is a functional assessment tool that is specifically designed for use in pediatrics. It is used to assess the functional abilities of children, particularly those with disabilities or medical conditions. The WeeFIM helps healthcare professionals in pediatrics to evaluate a child's level of independence in activities of daily living, such as self-care, mobility, and communication skills. By using the WeeFIM, healthcare providers can gather valuable information about a child's functional abilities, track their progress over time, and develop appropriate intervention plans to improve their overall functioning.

Explanation
The Mini FIM is utilized in acute care settings. This assessment tool is commonly used to measure a patient's functional independence and determine their need for assistance in activities of daily living. Acute care refers to the short-term treatment and management of patients with severe injuries or illnesses. Therefore, it is logical to use the Mini FIM in this setting to assess and monitor patients' functional abilities during their stay in acute care facilities.

Explanation
It says 72 on the handout but Glenn made us change it to 48 hrs.

Explanation
It says 72 on the handout but Glenn made us change it to 48 hrs.

Explanation
Reflects what the person usually does. Actual performance rather than capacity is recorded.

Explanation
The explanation for the given correct answer is that when recording the Functional Independence Measure (FIM), it is important to consider any differences in function that occur in different environments or at different times of the day. In order to accurately assess a person's level of independence, it is necessary to record the lowest score observed, as this indicates the individual's lowest level of functioning. By doing so, the FIM provides a comprehensive understanding of the person's abilities and limitations across various contexts.

Explanation
During a FIM eval, setting up the activity for the patient would automatically put her at level 5. This implies that the patient requires "supervision or setup" from the caregiver to complete the activity safely and effectively. Level 5 indicates that the patient is able to actively participate in the activity but needs assistance or cues to complete it.

Explanation
During a FIM eval, if evaluating transfers puts the patient at risk for injury due to being a fall risk, this automatically puts the patient at level 1. Level 1 indicates that the patient requires total assistance and is unable to safely perform the task without the risk of injury.

Explanation
During a Functional Independence Measure (FIM) evaluation, the scoring is based on the level of assistance required by the patient to perform various activities. In this case, if both the evaluator and an aide are required to assist the patient during lower body dressing, it indicates a complete dependence on others for this task. According to the FIM scale, a score of 1 represents total assistance or complete dependence, which is the appropriate level for the given scenario.

Explanation
Do not leave any FIM item blank and do not enter "N/A" for any FIM item.

Explanation
If a person receives scores of 7 and 6 on the FIM assessment, it means that they have demonstrated a high level of independence in their functional abilities. The FIM is a tool used to measure a person's level of independence in activities of daily living, such as bathing, dressing, and mobility. A score of 7 indicates that the person requires no assistance or supervision, while a score of 6 indicates that they may require some assistance or supervision in certain areas. Therefore, receiving these scores on the FIM assessment would classify the person as "Independent".

Explanation
In the given scale, the numbers represent scores on the FIM (Functional Independence Measure) assessment. A score of 2 indicates that the individual requires substantial assistance from another person to perform a task, while a score of 1 indicates that the individual is completely dependent on another person to perform a task. Therefore, if someone receives scores of 2 and 1 on the FIM, they are considered to have "Complete Dependence" as they require significant assistance and are unable to perform tasks without help.

Explanation
If a person receives scores of 5, 4, and 3 on the FIM, they are considered "Modified Dependent". This suggests that the individual requires some assistance and supervision with daily activities and may have limitations in their ability to perform certain tasks independently. The scores indicate a moderate level of impairment in functional abilities, indicating the need for support in various areas of daily living.

Explanation
The correct answer is 80-180. This is because collecting follow-up FIM data on a patient after discharge is important for monitoring their progress and evaluating the effectiveness of their treatment. Waiting at least 80-180 days allows for a sufficient amount of time to pass, during which the patient can undergo rehabilitation and potentially show improvements in their functional independence. Collecting data within this timeframe provides a more accurate representation of the patient's long-term outcomes.