EVALUATIONS FOR OLDER ADULTS IN SNFS
The following are evaluation tools you may consider for evaluating the psychological well-being of older adults.
E-HOW Integration
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According to the E-HOW Model, health, well-being, and quality of life (QOL) should be considered as outcome areas for OT services. Therefore, these areas need to be assessed during the initial evaluation process. Once assessed, areas for growth can be integrated into OT interventions. These evaluations can be used throughout the OT process to assess occupational participation as well as the outcomes of health, well-being, and QOL.
HEALTHÂ EVALUATIONS
PIZZI HEALTH AND WELLNESS ASSESSMENT [PHWA] (PIZZI & RICHARDS, 2017)
The Pizzi Health and Wellness Assessment (PHWA) is client-centered assessment tool. The PHWA is an assessment that links occupational participation to health. The PHWA assesses health and well-being of clients as it relates to the client’s occupations. (Pizzi & Richards, 2017). To obtain copies of the PHWA, please email Michael Pizzi directly at: mpizzi58@gmail.com.
MONTREAL COGNITIVE ASSESSMENT [MOCA]
The Montreal Cognitive Assessment (MoCA) is an interactive tool developed to detect mild cognitive dysfunction by assessing attention, concentration, executive functioning, memory, language, bioconstruction skills, conceptual thinking, calculations, and orientation (Bortnick, 2017). Screening usually takes approximately 10 minutes to complete (Janssen & Grabanski, 2019). Note that therapists need specialized training to use the MoCA.
SHORT BLESSED TESTÂ (SBT)
The Short Blessed Test (SBT) is a screening tool developed to identify individuals that may have mild cognitive dysfunction (Bortnick, 2017; Janssen & Grabanski, 2019). The SBT evaluates orientation, registration, and attention (Bortnick, 2017). The screening tool takes approximately 10-20 minutes to administer (Janssen & Grabanski, 2019).
GLOBAL DETERIORATION SCALE
The Global Deterioration Scale is a screen that summarizes an individual’s cognitive function (Janssen & Grabanski, 2019). The time to complete this screen varies depending on the individual being screened (Janssen & Grabanski, 2019).
ST. LOUIS UNIVERSITY MENTAL STATUS (SLUMS) EXAM
The St. Louis Mental Status Examination (SLUMS) is an 11-item s tool designed to identify mild to moderate cognitive impairments and dementia. (Vroman & Stuart, 2014). The SLUMS takes approximately 15 minutes to administer (Janssen & Grabanski, 2019).
MINI KINGSTON STANDARDIZED COGNITIVE ASSESSMENT REVISED
The Mini Kingston Standardized Cognitive Assessment Revised screens for cognitive dysfunction.  Janssen and Grabanski (2019) discussed that this assessment is a bridge between a cognitive screen and an evaluation. This assessment typically requires 30 minutes to complete (Janssen & Grabanski, 2019).
ROSS INFORMATION PROCESSING ASSESSMENT-GERIATRIC:2Â (RIPA-G:2)
The Ross Information Processing Assessment-Geriatric:2 (RIPA-G:2) is an assessment of memory. Specifically it targets spatial orientation, temporal orientation, recall, organization, problem-solving, and abstract reasoning (Janssen & Grabansk, 2019). This assessment takes approximately 45-60 minutes to complete (Janssen & Grabanski, 2019).
GERIATRIC DEPRESSION SCALE—SHORT FORM Â
(SFGDS)
The Geriatric Depression Scale—Short Form (sfGDS) is a 15-item rating scale that screens for depression in older adults (Bortnick, 2017). The sfGSD is a self-report/interview based screening that takes 5-7 minutes to administer (Bortnick, 2017; Janssen & Grabanski, 2019).
BECK DEPRESSION INVENTORY-IIÂ
(BDI-II)
The Beck Depression Inventory-II (BDI-II) is a self-report/interview questionnaire designed to assess and quantify depressive symptoms (Bortnick, 2017; Janssesn & Grabanski, 2019). This questionnaire takes 15 minutes to administer (Janssen & Grabanski, 2019).
CORNELL SCALE OF DEPRESSION IN DEMENTIAÂ
(CSDD)
The Cornell Scale of Depression in Dementia is a 19-item interview that was specifically designed to assess symptoms of major depression in individuals with dementia (Bortnick, 2017; Janssesn & Grabanski, 2019). The CSDD takes 15 minutes to administer (Janssen & Grabanski, 2019). administer (Janssen & Grabanski, 2019).
ENVIRONMENT EVALUATIONS
MODEL OF HUMAN OCCUPATION SCREENING TOOL [MOHOST]
An observation based assessment that focuses on the six different areas including the environment. This allows for discernment if factors are facilitating, allowing, inhibiting, or restricting occupational participation (Bortnick, 2017).
OCCUPATIONAL PARTICIPATION EVALUATIONS
ACTIVITY CARD SORTÂ (ACS) 2NDÂ EDITION
The activity Card Sort (ACS) is an evaluation targeted towards older adults to assess areas of interest and helps to assess what occupations are meaningful to them (Vroman & Stuart, 2014). This involves a card-sorting activity and an interview. Clients or caregivers can sort the cards into categories into 5 categories including never done, not done as an older adult, do now, do less, and given up (Vroman & Stuart, 2014). Janssen & Grabanski (2019) reported that this assessment usually takes 30-45 minutes to complete.
CANADIAN OCCUPATIONAL PERFORMANCE MEASURE
The Canadian Occupational Therapy Performance Measure (COPM) is a standardized assessment that is facilitated thorough a semi-structured interview (Bortnick, 2017). The purpose of the assessment is to determine a client’s perspective of performance and satisfaction. It helps clients identify, prioritize and evaluate important issues.  Janssen & Grabanski (2019) reported that this assessment usually takes 30-45 minutes to complete.
BARTHEL INDEXÂ (BI)
The Barthel Index (BI) is a standardized assessment of ADL performance. The BI was designed to quantify performance by observing how well an individual is able to perform ADLs (Bortnick, 2017). It is measured on a numerical scale and usually takes 15 minutes to complete (Janssen & Grabanski, 2019).
FUNCTIONAL INDEPENDENCE MEASUREÂ (FIM)
The Functional Independence Measure (FIM) is an observation tool that is utilized to assess of ability to perform tasks (Janssen & Grabanski, 2019). It usually takes 15 minutes to complete this assessment (Janssen & Grabanski, 2019).
PIZZI HEALTH AND WELLNESS ASSESSMENT [PHWA] (PIZZI & RICHARDS, 2017)
The Pizzi Health and Wellness Assessment (PHWA) is client-centered assessment tool. The PHWA is an assessment that links occupational participation to health. The PHWA assesses health and well-being of clients as it relates to the client’s occupations. (Pizzi & Richards, 2017). To obtain copies of the PHWA, please email Michael Pizzi directly at: mpizzi58@gmail.com.