RLE 6

• In today's session, the muddiest point was not specified.
• Functional assessment is an essential part of obtaining a complete health history.
• Functional assessment measures a person’s self-care ability in areas of general physical health or absence of illness.
• The Denver II Developmental Screening Test (DDST) is developed and used widely to screen young children from birth to six years of age, it assesses the child’s performance on age-appropriate tasks, and consists of 125 tasks/items covering four major areas: Personal-social, Fine motor-adaptive, Language, and Gross motor.
• Children are tested on these items pertinent to the child’s age, the Denver II must be conducted in a standardized manner with the parent and caregiver present, and it may determine relative areas of advancement and areas of delay in the development of children.
• The resulting Apgar score ranges from 0 to 10.
• The Denver II is an excellent way to begin health appraisal because it is nonthreatening, requires no painful or unfamiliar procedures, and capitalizes on the child’s natural activity play and will be given a toy at a time from a kit.
• The five criteria for the Apgar score are: a score is given for each sign at one minute and five minutes after the birth, if there are problems with the newborn, an additional score is given at 10 minutes, a score of 7-10 is considered normal, a score of 4-6 may require some resuscitative measures, and a score of 3 and below requires immediate resuscitation.
• The signs for the Apgar score are: A for activity, P for pulse, G for grimace, A for appearance, and R for respiration.
• Functional assessment includes activities of daily living (ADLs), instrumental activities of daily living (IADLs), nutrition, social relationships and resources, self-concept and coping, home environment, and intimate pattern: violence.
• The higher the score, the more “dependent” the person is.
• Use of aids for mobility indicates inability to be independent.
• Denver II developmental screening test is a test of child's intelligence.
• A crocyanosis is given a score of 0.
• The test may determine relative advancement and delays in the child development.
• A score of 7 - 10 indicates that the newborn is generally well.
• APGAR score is done at 1 minute and 5 minutes after birth.
• The test may assess self-care ability of the child.
• The test shows what a child can do at a particular age.
• Routine post-delivery care is provided to a newborn with an APGAR score of 8.
• The index is a record of what a patient does, not what a person could do.
• Refusal of a child to perform a task during the test is interpreted as a sign of mental retardation.
• The Barthel Index indicates an adult's ability to perform ADL and mobility.
• Katz Index of Independence in Activities of Daily Living assesses bathing, feeding, dressing, housework, toileting, managing finances, and transferring.
• Reflex irritability is elicited by suctioning the newborn.
• A heart rate of 120 beats per minute is given a score of 2.
• Direct testing of the functions like bathing, feeding, transfers is necessary to have an accurate assessment.
• A good cry of the newborn indicates normal breathing.
• A newborn’s one minute APGAR score is 8.
• Functional assessment questions which should be included in the standard health history are self-esteem, self-concept, activity/exercise, sleep and rest, nutrition/elimination, interpersonal relationships/resources, spiritual resources, coping and stress management, personal habits (tobacco, alcohol and street/illicit drugs), environment/hazard, intimate pattern: violence, and occupational health.
• The health history may be supplemented by standardized instruments on functional assessment.
• These instruments objectively measure a person’s present functional status and measure any changes over time.
• Functional assessment tests include the APGAR score for newborns, Denver II for children, Katz Index of Independence in ADL, and Barthel ADL Index for Adults.
• The APGAR score is a simple and repeatable method to quickly and summarily assess the health of newborns immediately after childbirth.
• The APGAR score is determined by evaluating the newborn baby on 5 simple criteria on a scale from ZERO to TWO, then summing up the 5 values thus obtained.
• The main aim is to establish degree of independence from any help, physical or verbal, however minor and for whatever reason.
• Alcoholism d
• The five minute APGAR score of a newborn baby is calculated as: heart rate 109, no response to stimulation, flaccid, irregular cry.
• The CAGE test is used to identify which of the following conditions? a
• Asking the patient, friends/relatives and nurses are the usual sources, but direct observation and common sense are also important.