Grading Client
Match the ACL score with the situation. The client can differentiate features. The client requires close supervision to remove dangerous objects outside of the visual field and to solve any problems arising from minor changes in the environment. The client may spend a daily allowance, walked familiar locations in the neighborhood, or follow a simple, familiar bus route.
ACL 3.8, 4.2, or 4.8?
ACL 4.2
What are the typical ranges for the Allen cognitive level scoring system? How many numbers are there?
The scoring system goes from 1 all the way up to 6. One being automatic reactions with full care and 6 being fully independent with the capability to plan actions.. The test specifically tests from ACL 3 all the way up to ACL 5.8.
Describe how someone would function at a 5.2
-Discriminating Between Parts of an Activity
- Person may live alone with weekly checks to monitor safety and examine potentially dangerous effects of impulsive behavior.
- Person may succeed in supportive employment with a job coach and participate in valued community events.
The first task of the ACLS is called the ______ stitch
What is a running stitch?
What is the ACLS designed to assess?
To provide an estimate of cognitive function.
Match the ACL score with the situation.
The client requires 24 hour nursing care to elicit habitual motions for activities of daily living and to complete motions for an acceptable level of hygiene.
ACL 3.0, 3.4, 3.6
ACL 3.0
What is the associated functional ability at level 1 and level 2 on the Allen cognitive level scoring system? List Both for an extra 100 points.
Level 1: They would feature only automatic reactions and require full care.
Level 2: Defined by postural reactions and require full care.
Describe how someone would function at a 4.0
- Minimal assistance/ closer supervision to remove dangerous objects and to help solve problems
- Can fix a cold meal or snack
- Make small purchases in the neighborhood
- Verbal cues
A score that denotes a client is ready to go home
What is a 4.8?
What are the scores of the ACLS correlated with?
a. Functional skill performance
b. Suggested level of supervision
c. Best environment/ set up/ difficulty level for participation
Match the ACL score with the situation.
The client can note effects on objects.
The client requires close supervision to provide the materials needed for activities of daily living, to remind the person to finish necessary steps, to check results, and to remove access to dangerous objects.
ACL 2, 3.8, 3.6
ACL 3.6
What is the defining characteristic of a five on the Allen cognitive level scoring system?
Client is living independently and learning new activities.
Describe how someone would function at a 3.8
- Close supervision to get materials out that are needed to do activities of daily living, to check results, and to remove dangerous objects.
- 24 hour supervision
- Prompting and cueing
If you're this cognitive level or lower, you would not be able to do the test.
What is level 3?
Where are these assessments used by OT practitioners/ what settings or populations?
Psychosocial and psychiatric settings, geriatric settings, to screen for independence, in rehab settings where cognition is a concern.
Match the ACL score with the situation.
The client is personalizing their space.
The client may live alone with daily assistance to monitor personal safety. The client may manage a daily allowance. Bills and other money management concerns do require assistance. The client does require reminders to do household chores, to attend familiar community events, or to do anything in addition to daily household routine.
ACL 4.0, 4.3, 4.6
4.6
What is the defining characteristic of a 4 on the Allen cognitive level scoring system?
Client has goal oriented skills/familiar activities. This range varies from close supervision to independent living with daily supervision.
Describe how someone would function at a 5.8
- Independent
- Learning new things
- Person may benefit from assistance in planning for the future.
- Person may benefit from discussion of complications such as fatigue, joint protections, functional positioning, etc. (consulting others)
At this level, someone would need help with all activities of daily living, such as bathing, eating, and hygiene.
What is level 2?
What task is used to score the cognitive level of a client with the ACLS?
A leather lacing task.
Match the ACL score with the situation.
The client can discriminate between parts of an activity.
The client may live alone with weekly checks to monitor safety and examine potentially dangerous effects of impulsive behavior. The client me succeed in support of employment with a job coach and participate in valued community events.
ACL 5.2, 5.4, 5.6
ACL 5.2
What is the defining characteristic of a 3 on the Allen cognitive level scoring system?
Client has manual skills. Their needs are varied from full care to needs supervision.
Describe how someone would function at 4.4
- A person may live with someone who does a daily check on the environment and removes any safety hazards and solves any new problems.
- A person may be left alone for part of the day with a procedure for obtaining help by phone or from a neighbor.
- A person may manage a daily allowance and go to familiar places in the neighborhood.
- Min. assist, can complete goals
For this stitch, the person giving you the test will not show you how to do it. They will just show you what the stitch looks when it's finished. Then, they will ask you to copy the stitch three times.
What is Cordovan stitch?
Briefly describe the 6 major Allen cognitive levels and associated functional ability:
a.level 1- only automatic reactions, full care
b.level 2- postural actions, full care
c.level 3- manual skills, varied from full care to needs supervision, sub categories on handout
d.level 4- has goal directed skills/ familiar activities, varied from close supervision to independent living with daily supervision
e.level 5- independent living/learning new activities
f.level 6- independent and plans actions