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assessment of self-care skills
assessment of self-care skills
8
Psychology
Graduate
05/24/2011

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Cards

Term
The Performance Assessment of Self-Care Skills (PASS)
Definition
performance based, criterion-referenced, observational tool designed to assist practitioners in documenting functional status and change.

26 core tasks in 4 domains
5 functional mobility (FM)
3 personal self-care (PSC)
14 instrumental activities of daily living with cognitive emphasis
4 IADL with a physical emphasis

rated for independence, safety and adequacy

2 versions-PASS clinic and PASS home
Term
criterion reference
Definition
scores are referenced to past performance as opposed to a norm
Term
Interactive Dynamic Assessment
Definition
conceptual basis for the design and structure of the PASS.
Vygotsky described a zone of proximal development. The difference between patient's independent performance on a test and the performance when the patient is assisted or guided on a test.
The PASS uses interactive assessment, systematic assistance is encouraged when necessary.
Term
Graduated prompting
Definition
incorporates a hierarchy of prompts that are used only when there is a breakdown in task performance and only in a specific sequence.
Term
structure of the PASS
Definition
each task includes two types of directions
1. conditions
2. instructions
Term
PASS summary scores
Definition
independence is rated for each subtask of a PASS task and the summary score for any task consists of the mean of all task subtask ratings.

Safety for each PASS task is a single summary score that reflects total subtask safety. Adequacy is a single summary score that reflects the combined quality and process data.
Term
PASS and sensitivity to change
Definition
the PASS detected significant change in independence of performance over 6 months in all areas except safety which remained at safe levels.
Term
clinical utility of PASS
Definition
because it is criterion-referenced, each task can stand alone.

this allows practitioners to select tasks that are relevant for each patient's lifestyle.

It is a valid and reliable performance-based observational tool for assessing everyday tasks necessary for living in the community.

yields scores for independence, safety, and adequacy of performance.

enables practitioners to identify the point of task breakdown as well as types of assistance that enable improvement in task performance. Self-report, proxy report and clinical judgment versions are all available.
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