help new student in functional assessment

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Hi everyone:

I am a new RPN studnet, I am working on a assignment- functional assessment using two tools, one is Physical self maintenace scale activities of daily living and one is functional activities questionnaire.

I finished my assessment and filled the two tools. the requirement is to use essay format to discuss your findings and determine the level of independence and functional status of the client based on teh toll scores, include the rational for your judgements.

i am not sure what rational provided to support assessemnt findings and critical thinking.

the instructor asks for : compete interpretation well presented with good use of literature from a variety of resources, clear signs of critical thinking and understanding of the ramificaions of the results of the tests and their impact on the client's concept map

can anybody help me, am i on right track and how can i use my critical thinking and rational, and resource, books:no:? thanks in advance

my client's assessment is follows:

Score

A. Toileting

  • Cares for self at toilet completely, no incontinence.
  • Needs to be reminded or needs help in cleaning self, or has rare (weekly at most) accidents.
  • Soiling or wetting while asleep more than once a week.
  • Soiling or wetting while awake more than once a week.
  • No control of bowels or bladder.

3

_______

B. Feeding

  • Eats without assistance.
  • Eats with minor assistance at mealtimes and/or with special preparation food, or helps in cleaning up after meals.
  • Feeds self with moderate assistance and is untidy.
  • Requires extensive assistance for all meals.
  • Does not feel self at all and resists efforts of others to feel him/her.

2

_______

C. Dressing

  • Dresses, undresses, and selects clothes from own wardrobe.
  • Dresses and undresses self with minor assistance.
  • Needs moderate assistance in dressing or selection of clothes.
  • Needs major assistance in dressing, but cooperates with efforts of others help.
  • Completely unable to dress self and resists efforts of others help.

____3___

D. Grooming

(neatness, hair, nails, hands, face, clothing)

  • Always neatly dressed, well groomed, without assistance.
  • Grooms self adequately with occasional minor assistance, eg., shaving.
  • Needs moderate and regular assistance or supervision in grooming.
  • Needs total grooming care, but can remain well groomed after help from others.
  • Actively negates all efforts of others to maintain grooming.

____3___

E. Physical Ambulation

  • Goes around grounds or city.
  • Ambulates within residence or about one block distance.
  • Ambulates with assistance of (check one)


  • a () another person b ( ) railing
    c ( ) cane d ( ) walker
    e ( ) wheelchair - gets in and out without help
    f (√) wheelchair - needs help getting in, out.
  • Sits unsupported in chair or wheelchair, but cannot propel self without help.
  • Bedridden more than half the time.

___3____

F. Bathing

  • Bathes self (tub, shower, sponge bath) without help.
  • Bathes self with help on getting in and out of tub.
  • Washes face and hands only, but cannot bathe rest of body.
  • Does not wash self but is cooperative with those who bathe him/her.
  • Does not try to wash self, and resists efforts to keep him/her clean.

_____3__

Total Score

____17__

Functional Activities Questionnaire (FAQ)

Functional scale recommended when MMSE is ≥ 15)

0,1,2,3 is the score

Normal*

(0)

Has difficulty but manages†

(1)

Requires assistance

(2)

Dependant

(3)

1. Writing cheques, paying bills, balancing a cheque book.

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2. Assembling tax records, business affairs, or papers.

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3. Shopping alone for clothes, household necessities, or groceries.

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4. Playing a game of skill, working on a hobby.

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5. Heating water, making a cup of coffee, turning off the stove.

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6. Preparing a balanced meal.

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7. Keeping track of current events.

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8. Paying attention to, understanding, discussing a TV show, book, or magazine.

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9. Remembering appointments, family occasions, holidays, medications.

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10. Travelling out of the neighbourhood, driving, arranging to take buses.

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Total Score ____25______

and my essay (i have not finish yet, just need some advices, see i am on righ track)

Assessment

My client is, xx (for the confidential purpose, I use his initial here), 85- year old. According to my assessment tools, PSMS, I found my client, xx, is unable to go to toilet independently; and he needs one person transfer with commode or wheelchair because of his muscle weakness. The only assistance in his meal is to open the milk for him. He does not need feeding, He needs minor assistance in wearing upper clothes, but needs moderate assistance in putting on pants because his upper limbs moves well and lower limbs cannot move well. He can wash his front but unable to wash his back. He needs help getting in and out of wheelchair. what should I interpret in depth with rational?

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to interpret in depth with rational

list the names of the two functional assessment tools used on the patient. explain what functional assessment tools, are. explain who uses the functional assessment tool. explain where the assessment tool is used. explain when the functional assessment is done (on admission, when patient shows signs of decline or improvement and on discharge) explain how the assessment tool can measure improvement and decline in the patients function. explain how the functional tool can help determine appropriate placement in long term care or other facility. explain why the tool is important in the clinical setting you are currently at. explain why rpn needs to how much assistance the patient needs for each adl.

http://www.nursing.umn.edu/cgn/resourceseducators/assessmentfunctional/home.html

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