RMD

Elderly Mobility Scale

Area of Assessment

Activities of Daily Living
Aerobic Capacity
Balance – Vestibular
Balance – Non-vestibular
Coordination
Functional Mobility
Gait
Life Participation
Range of Motion
Seating
Strength
Upper Extremity Function

Time

minutes

Assessment Type

Performance Measure

cost

$0.00

Rehabilitation Measure

Rehabilitation Measures Instrument

Mini Nutritional Assessment

Area of Assessment

Eating

Time

minutes

Assessment Type

Other

cost

$0.00

Rehabilitation Measure

RehabMeasures Database

Baecke Physical Activity Questionnaire/Modified Baecke Physical Activity Questionnaire

Area of Assessment

Activities of Daily Living

Time

minutes , The modified version takes approximately 30 minutes. Since the standard Baeke is self-administered, timing varies.

cost

$0.00

Rehabilitation Measure

RehabMeasures Database

Community Health Model Activities Program for Seniors Physical Activity Questionnaire

Area of Assessment

Activities of Daily Living

Time

minutes

Assessment Type

Patient Reported Outcomes

cost

$0.00

Rehabilitation Measure

RehabMeasures Database

Yale Physical Activity Survey

Area of Assessment

Activities of Daily Living

Time

minutes

Assessment Type

Patient Reported Outcomes

cost

$0.00

Rehabilitation Measure

Dynamic Lowenstein Occupational Therapy Cognitive Assessment

Dynamic Lowenstein Occupational Therapy Cognitive Assessment

Area of Assessment

Cognition
Occupational Performance
Vision & Perception

Time

hours , The DLOTCA takes approximately 1-2 hours to administer depending on the level of mediation required for the client’s best completion of each task.

Assessment Type

Performance Measure

cost

$399.00

Rehabilitation Measure

RehabMeasures Instrument

Brief Cognitive Rating Scale

Area of Assessment

Cognition

Time

minutes

cost

$0.00

Rehabilitation Measure

Occupational Self-Assessment

Occupational Self-Assessment

Area of Assessment

Activities of Daily Living
Communication
Life Participation
Occupational Performance
Self-efficacy

Time

minutes

Assessment Type

Patient Reported Outcomes

cost

$40.00

Rehabilitation Measure

RehabMeasures Instrument

Kohlman Evaluation of Living Skills

Area of Assessment

Activities of Daily Living
Cognition
Communication
Life Participation
Occupational Performance

Time

minutes

Assessment Type

Observer

cost

$0.00

Rehabilitation Measure

Rehabilitation Measures Database

Life Satisfaction Index – Z

Area of Assessment

General Health
Patient Satisfaction
Quality of Life

Time

minutes

Assessment Type

Patient Reported Outcomes

cost

$0.00

Rehabilitation Measure

2 Minute Step Test

2 Minute Step Test

Area of Assessment

Aerobic Capacity

Time

minutes

Assessment Type

Performance Measure

cost

$0.00

Rehabilitation Measure

RehabMeasures Instrument

Katz Index of Independence in Activities of Daily Living

Area of Assessment

Activities of Daily Living

Time

minutes , Length of time is variable dependent upon client’s ability to perform the 6 tasks (White, 2011)

Assessment Type

Observer

cost

Free

Rehabilitation Measure