Progressive Resistive Exercise Therapy

Running Head: ASSESSMENT TOOLS
ASSESSMENT TOOLS
Name of the Student
Name of the University
Author’s Note

ASSESSMENT TOOLS1
Case Study 1
Meri is a Maori New Zealander widow of 54 year old and lives in Rotorua. She has 3
children who live in Australia and New Zealand and her time in acute care was coming to an
end. She was admitted to the hospital because she experienced stroke 2 weeks back. She wants to
leave the healthcare and go back to her house, where she is lives with her sister. Her sister keeps
visiting her to assist her regarding her personal needs, but Meri only wants to get back to her
home where she can liver her life with independence without the interference of other people.
Meri has been given a team of clinicians that includes occupational therapists, physiotherapists,
nurse, speech language therapists, social worker and rehabilitation center. Meri has some health
complications that needs to be taken care of with the help of culturally appropriate assessment
tools. Her mobility is restricted because she is unable to move independently and needs support
for her daily tasks and personal care routines, she feels fatigued and has cognitive deficits, lacks
confidence with communication (aphasia), and has limited use of her right arm. There are some
assessment tools used for assessing the medical condition of patients in a medical setting. An
assessment tools depends on the type of condition a person has such as Nottingham Extended
Activities of Daily Living Scale (NEADL) is used for the patients who suffer from stroke and
Berg Balance scale that is used as a geriatric assessment specifically for patients with immobility
and stroke. These assessment tools will be used for identifying rehabilitation needs for Meri.
NEADL is a widely used scale to measure disability and chronic diseases through a score
sheet that gives a score regarding the intensity of the health complication. It has questions about
the daily professional and domestic tasks that requires their efforts and gives a result about their
medical condition (Wu et al., 2016). It is a set of 20-30 questions that has questions about the
daily activities such as the walking routine of a person, the activity of climbing stairs, how often

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the car is used, walking over uneven ground, crossing roads, travelling on public transports,
manage to feed their own selves, manage to make drinks on their own, taking hot drinks from
one room to another, washing clothes on our own, cooking by themselves, managing finances on
their own, able to wash small items on their own, doing the housework on their own, able to do
their own shopping, reading books or newspaper, using television, writing letters, being social
and meeting people, able to manage their own garden and driving the car by themselves. These
questions are answered with the help of different options such as No, With Help, On your own
with difficulty and On your own (Drummond et al., 2017). The options chosen in this
questionnaire has scores, which is calculated after the assessment is done. Meri had issues in her
mobility and this is the reason she had complains of immobility, so this will be the appropriate
tool of assessment for her health conditions. Due to stroke several cognitive impairment occurs
that can lead to certain neuromuscular and nervous system disorders. This can increase issues in
communication and social interaction due to lack of confidence. This assessment tool focuses on
all aspects that are needed for our daily tasks, which makes it accurate and increases validity.
Berg Balance scale is used to measure the balance and ability in older adults. It is a
qualitative measure that is done with the help of functional activities to assess the balance in
older adults during any physical health complication or disability. The normal functions are such
as bending, standing, transferring, reaching, putting feet together, stooping down to pick
something, standing in a single leg stance, using feet in a Romberg position (Downs, Marquez &
Chiarelli, 2014). It has a 5 point scale in which 0 suggests the minimum functionality and 4
suggests that there are no complications. The overall score ranges from 0-56 and it is a reliable
assessment tool because it guarantees validity and reliability. It is a performance based measure
that helps in assessing the balance and risk of falls in the older population. It is popular for acute

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day care patients because this scale is mostly used in high functioning adults in active
communities, which makes this scale give a ceiling effects that is unpredictable. It is a widely
used assessment tool and is the best for evaluating the balance of a person especially in people
with immobility or physical impairment (Maeda et al., 2015).
These two assessment tools will Meri’s team in analyzing her complications that lead to
her treatment in the rehabilitation. It will give a wider idea about his condition and the
convenient way of handling the complication.
Case Study 2
James is a 43 year old, Maori who lives in New Zealand with no caretaker. In the
OREBRO Musculoskeletal Pain Screening Questionnaire: Short Form, he got a score of 75 that
qualified him for the ACC Pain Management Services. His recent concern is his mobility in
physical functionality and pain during movements. He went through a stable symptomatic
compression fracture of T12 and L1 when he participated in a motocross (dirt bike) event
(Gopinath et al., 2015). His fracture has healed but currently he is 6 months post injury and he is
assessed by 3 health professionals. The goals for his assessment was that he needs to improve his
self-efficacy and catastrophe according to the decrease in his PCS and PSEQ scores (Nicholas et
al., 2017). James is an overweight so he needs to reduce his BMI and adapt ways to decrease his
depression and stress in the DASS21 scale. Eventually, he needs to improve his physical activity
by being able to walk 20 minutes on a flat surface, lift 8 kg from ground to waist, and mow his
lawn over 2 sessions.
The assessment forms by the 3 health professionals such as the nurse, physiotherapist and
occupational therapist will be utilized to meet his goals because the score sheets from different