KELS & TOGGS
Name two IADLs assessed by the KELS
Can include:
Money management, self care, community mobility, phone use
What is the maximum score on the mini mental?
30
Name ALL of the sensory systems that are relevant to the OT practice.
Hint- There are 8 of them
Tactile, Vestibular, Proprioception, Gustatory, Auditory, Visual, Olfactory, Interoception (internal sensations- hunger, thirst, temperature, bathroom needs)
What is the maximum score on the MOCA?
30
What does ACLS stand for?
Allen Cognitive Level Screen
Does the KELS result by itself determine if a patient can live indepenently?
No- A complete evaluation should include further assessment, observation and environmental assessments
Name two cognitive areas that are assessed by the mini mental:
Examples include;
attention
orientation
memory
language
visual spatial tasks
If an adolescent covers their ears during meetings, assemblies and bathroom fans- what might this indicate?
The adolescent may be hypersensitive to auditory stimuli and sensory avoidant
What score indicates a cognitive deficit?
25
What is the minimum score that indicates the patient can live independently?
4.6
What do the KELS and TOGGS have in common?
How do they differ?
They both assess IADL tasks required for high functional living. The KELS is broad and assesses many areas of self care. The TOGGS assess grocery shopping only via observation.
What does A, O x3 mean?
Alert and Oriented to Person, Place and Time
What is the difference between sensory sensitivity and sensory avoiding?
Sensitivity describes noticing sensory input at a heightened level, avoidant describes taking ACTIVE steps to avoid the stimuli.
The client is shown five words and asked to repeat them, later they have to repeat them again. What is this assessing?
Short Term Recall and verbal memory
The Running Stitch demonstrates a level of ______ and only ______ (how many?) demonstrations are allowed?
Level 3.0-3.4
2 Demonstrations allowed
A client repeatedly returns to the same aisles that they have already visited while completing the TOGGS. What might this indicate?
Decreased efficiency, increased redundancy, and difficulty organizing, decreased executive function skills.
What score on the mini mental indicates a deficit?
23
What are the four sensory processing quadrants measured by the adolescent/adult sensory profile:
low registration
sensory seeking
sensory sensitivity
sensory avoiding
True or False: The MOCA is more sensitive to mild cognitive impairment than the mini mental state exam.
True.
The MOCA assess higher level cognitive function.
The following stitch indicates a level of 3.6-4.4 and allows 2 demonstrations with instructions:
Whipstitch
Why does the TOGGS assess shopping in an actual store, rather than just relying on interview questions?
Observation in a real world environment reveals how effectively your patient can apply, sequence and plan tasks.
If your patient scores high on the mini mental, however, still can not manage his medication- what should the evaluating OT do?
Assess IADL function further through observation, the KELS or other tools.
If an adolescent scores high in Low Registration; how might this present?
They may fail to notice sensory stimuli that others typically would.
Such as; a dirty face, ripped or dirty clothes, being injured and bleeding without noticing
This assesses language skills and verbal fluency
The final stitch is called the _______ and the highest score is reached when the patient can independently complete _____ (how many?) correct stitches.
Single Cordovan
3