Clinical Assessment Toolbox as of ... - Functional Pathways

1 Table of Contents Date 1 Balance and 5 Gait 6 Tinetti Assessment Tool: 7 Tinetti Mobility Scale-Balance 8 Tinetti Mobility Scale-Gait 9 Performance-Oriented Assessment of 10 Performance-Oriented Assessment of 11 Berg Balance 13 Dynamic Gait 16 Romberg 19 Balance Assessment : a Modified Romberg 20 Get-Up-and-Go 22 Timed Up and 23 Elderly Mobility 24 30 Second Chair Stand 25 Rivermead Mobility 27 Sensory and Functional 30 Functional Reach 31 Functional Reach 33 Modified Sensory Integration 34 Dix-Hallpik 35 Dix Hallpik Maneuver with Epley Partide 36 Pain Assessment 38 Wong-Baker FACES Pain Rating 39 Assessing Pain in Older Adults with 40 Comprehensive Pain Assessment 41 Pain Rating 45 Short-Form McGill Pain 46 Brief Pain 47 Pulmonary and Cardiac 49 Borg Scale Rating of Perceived Dyspnea/ 50 Timed Ergometer 51 Physical Mobility - 2g Metabolic 52 GXT

2 Stress 56 Breathing 57 Progressive Muscle 58 Important Phone 59 Angina 60 Activity 61 Medicine 62 Blood Pressure 63 Blood Pressure 64 Blood Pressure Tracker-Wallet 65 ADL Assessment 66 Frenchay Activities 71 Northwick Park Index of Independence in 75 Katz Index of Independence in Activities of Daily Living (ADL).. 78 Lawton Instrumental ADL Scale (IADL).. 80 Fine Motor, Dexterity and Coordination 82 Nine-Hole Peg 83 Bowel and Bladder Incontinence 85 Bowel and Bladder Incontinence 86 Seating Assessment and Power 89 Resident Ergonomic Assessment Profile for Seating (REAPS).. 90 Power Mobility Device (PMD).

3 95 Power Mobility Device Assessment (PMD).. 96 Motorized Wheelchair 97 Power Operated Vehicle 99 Body Mass 100 101 Visual Perceptual 102 Line Bisection 103 Dementia Staging and Cognition 105 Comparison of Cognitive 106 Time and Change 107 Modified Barthel Index - Self Care - 66dThe Barthel for the Clock Drawing 109 Clock Drawing 110 Global Deterioration 111 Montreal Cognitive Assessment (MOCA).. 115 Normative 116 Montreal Cognitive Assessment 117 Mini-Mental State Examination (MMSE).. 121 Short Portable Mental Status Questionnaire (SPMSQ).. 123 Brief Cognitive Rating Scale (BCRS).. 124 Confusion Assessment Method (CAM).

4 126 Confusion Assessment Method (CAM) Diagnostic 128 VAMC SLUMS .. 129 Function, Reason, Orientation, Memory, Arithmetic, Judgment and Emotional Status (FROMAJE).. 132 FAST Scale .. 135 Swallowing .. 137 Modified Barium Swallow 138 Fiberoptic Endoscopic Evaluation of 139 Mann Assessment of Swallowing Ability (MASA).. 140 MASA Modified .. 143 Speech-Language Assessment .. 150 Assessment of Aphasia .. 154 Wound .. 159 Wound Assessment / Progress .. 160 Vascular Assessment in Older .. 162 Vascular Risk Assessment of the Older Cardiovascular 163 Braden Scale for Predicting Pressure Sore .. 165 Stroke Assessment .

5 167 Stroke Impact Scale (SIS).. 168 National Institutes of Health Stroke 176 NIH Stroke .. 178 .. 186 Data Collection 7KH PHWKRGV OLVWHG PD\ EH XVHG VHSDUDWHO\ RU LQ FRQMXQFWLRQ ZLWK RWKHU WRROV WRFROOHFW WKH GDWD QHFHVVDU\ WR GHYHORS D FRPSUHKHQVLYH WUHDWPHQW SODQ ,QFOXGHV o+LVWRU\ 5 HYLHZ WKH SDWLHQW V 0 HGLFDO UHFRUG WR JDLQ FXUUHQW DQG SDVWLQIRUPDWLRQ WR LQFOXGH SDVW PHGLFDO KLVWRU\ SULRU OHYHO RI IXQFWLRQ DQGSULRU OLYLQJ VLWXDWLRQ VHWWLQJ VXSSRUWo6 XUYH\ 8 VHG WR DQDO\]H FXUUHQW LQIRUPDWLRQ IRU FRPSDULVRQ WR QRUPVo([SHULPHQWDO $OORZV WKH DELOLW\ WR HYDOXDWH D QHZ FRQGLWLRQ RULPSDLUPHQW E\ FRQWUROOLQJ RU PDQLSXODWLQJ DQ HOHPHQW WR HVWDEOLVK D FDXVH DQG HIIHFW UHODWLRQVKLS o2 EVHUYDWLRQ 2 EVHUYH EHKDYLRUV RU PRYHPHQWV WKDW DVVLVW LQ GUDZLQJFRQFOXVLRQV WKDW LPSDFW WKH SDWLHQW V FRQGLWLRQ DQG LPSDLUPHQWV o4 XHVWLRQQDLUH ,QWHUYLHZ &ROOHFW LQIRUPDWLRQ IURP WKH SDWLHQW XVLQJ HLWKHUZULWWHQ RU YHUEDO TXHVWLRQV o0 HDVXUHPHQW 8 VHG WR FROOHFW PHDVXUDEOH DQG REMHFWLYH GDWD WR DQDO\])

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