A functional assessment is a multidimensional and often interdisciplinary diagnostic process, which assesses and quantifies an older adult’s medical, psychosocial and functional status.
Among the most commonly used instruments, the usual gait speed test, the Short Physical Performance Battery, the handgrip strength, the Timed Up-and-Go test, the 6-minute walk test, and the 400-meter walk test are widely adopted by clinicians and researchers.
functional assessment an objective review of an individual’s mobility, transfer skills, and activities of daily living, including self care, sphincter control, mobility, locomotion, and communication.
The evaluation of functional performance in older adults is essential for planning support needed in older age. Changes related to normal aging, acute illnesses, worsening chronic illnesses, and hospitalization can contribute to a decline in the ability to perform tasks necessary to live independently in the community.
Functional assessment measures an individuals level of function and ability to perform functional or work related tasks on a safe and dependable basis over a defined period of time. Functional assessments evaluate specific things, such as grooming, bathing, dressing or more general aspect such as quality of life.
There are simple questionnaires that can be used to assess functional ability. For example, the Health Assessment Questionnaire, originally developed by rheumatologists for arthritis but applicable to other physically disabling conditions, assesses activities of daily living in eight domains.
The guideline recommends assessing decline in physical and mental capacities (mobility, nutrition, vision, hearing, cognition, and depression) as well as assessing two geriatric syndromes (urinary incontinence and risk for falls).
They go on to define functional behavior assessment and how to utilize it through 6 steps: Collect Data, Develop Hypothesis, Direct Observation, Behavior Support Plan, Implement Scripts, and Evaluate/Redesign.
Functional assessment aims to identify the contextual variables influencing the client’s behavior, and the context in which particular private events such as thoughts, feelings, bodily states, and behavioral urges emerge and are maintained or co-occur with other problem behaviors (i.e., actions).
There are three main categories of functional assessment approaches— indirect (e.g., questionnaires, rating scales), observational, and experimental/functional analysis. Gathering information about the conditions surrounding the behavior, asking relevant individuals questions about the behavior are initial steps.
The physical, psychological, cognitive and social ability to carry on normal activities of life. *including only functional ability aspects of care in exemplars. Explain the concept of Functional Ability (including definition, antecedents, and attributes). Identify the four domains of Functional Ability.
Components of functional assessment – Vision and hearing, mobility, continence, nutrition, mental status (cognition and affect), affect, home environment, social support, ADL-IADL.
Most commonly, older adults’ functional status is assessed at two levels: activities of daily living (ADLs) and instrumental activities of daily living (IADLs). ADLs refer to self-care tasks such as bathing, dressing, toileting, maintaining continence, grooming, feeding, and transferring.
It often involves a minimum of 3 hours of assessment time, as well as 1 hour to complete a formal written report. A thorough functional assessment may take more than 10 hours to complete. The assessment may include discussion, pen and paper activities and observation, and are often conducted in your home and community.