Health & Medical Question

Ihave included and labelled the PDFs of both the assignment and my groupmate’s work. It would be really appreciated if, while working on the project and answering the questions, you could also look at the work of my groupmate for ideas and examples. Following the framework that my group partner and the directions provided in the assignment pdf, please construct a page that is comparable to the one that my partner made by responding to the questions in the assignment PDF. The solution must be one whole page in length, and the assignment PDF should include contain formatting instructions. Next, write a two-page answer that integrates both her example and the one you just wrote, following the criteria in the assignment PDF. In addition, please complete the self assessment and screening tasks included in the assignment PDF titled “Assignment 1- KINE..” Instructions: (please check pdfs as well)

Week 1 – Assignment

Each person in the group should complete the following assessment (A and B attached). Ideally, you complete the assessment on an older adult. I am aware that not everyone knows or has access to interact with an older adult. As a result, you can enlist another person, but it will be important to provide information about your participant in your write-up. Who the participant is may even be noteworthy when critically interpreting results.

Although each group member is responsible for completing one set of assessments, you will only provide one assignment – working together to include your assessments, critical thoughts, perspectives, etc. The document should flow together – try to avoid the document being choppy.

When you have completed the assessments, the pages themselves should be submitted as your appendix for the weekly assignment, or Assignment 1 (you can provide a scan or picture of the rough copies, no need to retype).

You are to write two (2) pages max, single spaced about:

1. The purpose of conducting a risk of falling assessment
2. Why may a “self-assessment” (A) or a “quick screen” (B) be beneficial? How did the two compare?
3. Reflection on conducting the assessment (e.g., ease of administering the assessment, perceptions of the individual being assessed, things you would keep, things you may change).

Note: a title page for the individual weekly assignment is not necessary.

• Text/Format Specifics: Single spaced typed, Calibri 12-point font, 1 inch margins, page numbers as the bottom centred.
• References within text should be numerical in order of appearance, with square [1] brackets. Formatting for references:

[1] Ronholm, E., Pittman, R., Suboni, P., Otte, G., & Coene, W. (2024). Title of article. Journal Name, Vol (issue): Pg-Pg.

[2] Wrigley, T., & Fenway, R. (2024: Pg-Pg). Chapter Title. Book Title. Editors. Location

[3] Heart & Stroke Canada:

www.heartandstroke.ca

Last visited on: Jan. 8th, 2024

Note: you are not permitted to reference the class lectures or asynchronous materials

Note: references should not be older than 10 years (i.e., 2014) when possible

KINE8310 W24: Week 1 Assignment
Week 1 – Assignment
Each person in the group should complete the following assessment (A and B attached).
Ideally, you complete the assessment on an older adult. I am aware that not everyone knows
or has access to interact with an older adult. As a result, you can enlist another person, but it
will be important to provide information about your participant in your write-up. Who the
participant is may even be noteworthy when critically interpreting results.
Although each group member is responsible for completing one set of assessments, you will
only provide one assignment – working together to include your assessments, critical
thoughts, perspectives, etc. The document should flow together – try to avoid the document
being choppy.
When you have completed the assessments, the pages themselves should be submitted as
your appendix for the weekly assignment, or Assignment 1 (you can provide a scan or picture
of the rough copies, no need to retype).
You are to write two (2) pages max, single spaced about:
1. The purpose of conducting a risk of falling assessment
2. Why may a “self-assessment” (A) or a “quick screen” (B) be beneficial? How did the
two compare?
3. Reflection on conducting the assessment (e.g., ease of administering the assessment,
perceptions of the individual being assessed, things you would keep, things you may
change).
Note: a title page for the individual weekly assignment is not necessary.
•
•
Text/Format Specifics: Single spaced typed, Calibri 12-point font, 1 inch margins, page
numbers as the bottom centred.
References within text should be numerical in order of appearance, with square [1]
brackets. Formatting for references:
[1] Ronholm, E., Pittman, R., Suboni, P., Otte, G., & Coene, W. (2024). Title of
article. Journal Name, Vol (issue): Pg-Pg.
[2] Wrigley, T., & Fenway, R. (2024: Pg-Pg). Chapter Title. Book Title. Editors. Location
[3] Heart & Stroke Canada: www.heartandstroke.ca Last visited on: Jan. 8th, 2024
Note: you are not permitted to reference the class lectures or asynchronous materials
Note: references should not be older than 10 years (i.e., 2014) when possible
KINE8310 W24: Week 1 Assignment
Self-Assessment (A)
MEDICATIONS:
o I take four (4) or more medications.
BALANCE:
o I find it difficult to keep my balance when I stand with my feet
together (no shoes), my arms by my side, and my eyes closed.
STRENGTH:
o I need to use the arms of a chair to stand up from sitting.
VISION:
o I see three identical circles below.
If you checked off one or move boxes, consult your family doctors as
you may be at an increased risk for falling.
There are many risk factors for falling – it is important that both you
and your family are aware of these risks.
Participant ID: ______________________
KINE8310 W24: Week 1 Assignment
Quick Screen (B) – Instructions and Script
Equipment:
For the Quick Screen you will need the following:
* Eye Chart (see attached)
* Tape measure or other instrument to indicated 3m
* Monofilament (or cardboard, tape, and dental floss)
* White square (piece of paper, 2.5 cm by 2.5 cm)
* Step (or step stool, 2-3 textbooks piled)
* Chair
* Stopwatch (or timer)
1] LOW CONTRAST VISUAL ACUITY
Position the eye chart 3m from client at eye level when standing. Note, client is allowed to wear his or
her glasses IF they typically wear glasses.
“Please read this chart from left to right starting at the first line.”
“Good, now the second line. Good and now the third line, Good.”
Score YES if UNABLE to read the third line correctly.
2] TACTILE SENSITIVITY
Show the client the monofilament. Note: since you probably do not have a monofilament, table a small
piece of dental floss to a piece of cardboard.
“Would you like to sit? I am going to use this monofilament to test your sensitivity/feeling in
your feet. Let me see your hand; I will let you feel it on your finger first.”
Use monofilament on hand/finger. Note: Client must be seated, and have removed their shoes and sock
on dominant foot.
“Did you feel that? Good. Now can you please take off your shoes and socks. I would like to
test your dominant leg. Right or Left? I would like you to close your eyes and say ‘YES’ if you feel the
monofilament on the outside of your ankle. I am going to do this three times, okay? So just say ‘YES’
when you feel it. Okay I am going to start. Keep your eyes closed.”
Repeat three times. Score YES if they were UNABLE to feel 2/3.
KINE8310 W24: Week 1 Assignment
3] NEAR TANDEM STAND TEST
“Nest I am going to test your balance and ask you to stand with this small square between
your feet, like this”
Demonstrate the tandem stance with the square between feet. Note, socks can be on, but shoes should
remain off.
“Now I would like you to stand and close your eyes. I will count to 10 then you can open your
eyes. Ok, ready? 1, 2, 3, 4, 5, 6, 7, 8, 9, 10. Good open your eyes. Thank you”
Score YES if UNABLE to complete for 10 seconds.
4] ALTERNATIVE STEP TEST
“Next I am going to ask you to step on this step, be sure to place your entire foot on step, be
careful not to catch the edge. I will show you, like this. You don’t step up just tap your left foot then
the right etc. We will do 4 taps on each foot so I will count out 8 steps. This is a timed test, so I want
you to move quickly but only if your feel comfortable doing so. Okay, are you ready?”
Stop time when both feet are on the floor and score ‘YES’ if UNABLE to complete in 10 seconds.
5] SIT-TO-STAND TEST
“Please sit back in the chair for the next one. I would like you to complete some sit to stands.
You stand up from the chair with your feet positioned under your knees and your arms crossed on your
body like this. I want you to stand up fully so your hips and knees are extended. Okay? I would like you
to do 5 reps. I will count them aloud. Again, we will be timing this activity. Ready, okay start when you
are ready”
Start time at first movement of shoulder and time 5. Score ‘YES´ is UNABLE to complete in 12 seconds.
KINE8310 W24: Week 1 Assignment
Quick Screen (B) – Scoring Sheet
Participant ID: ______________________
Age of Participant: ______________________
Date of Assessment: ______________________ Assessment Performed By: ______________________
1] LOW CONTRAST VISUAL ACUITY
Notes:
o YES – unable to read the third line correctly
o NO – was able to read all three lines correctly
2] TACTILE SENSITVITY
Notes:
o YES – unable to feel 2/3
o NO – was able to feel all 3
3] NEAR TANDEM STAND TEST
Notes:
o YES – unable to complete for 10 seconds
o NO – was able to complete for 10 seconds
4] ALTERNATIVE STEP TEST
Notes:
o YES – unable to complete in 10 seconds
o NO – was able to complete in 10 seconds
5] SIT-TO-STAND TEST
Notes:
o YES – unable to complete in 12 seconds
o NO – was able to complete in 12 seconds
Each “YES” is an increased risk for falling. How many “YES” results were scored: _________________
Note, being 65+ years of age is also a risk factor. Tell your participant their results and potential areas of
risk. With two or more factors, advise the participant to consult their family doctor.
KINE8310 W24: Week 1 Assignment
Tiedemann, A., Lord, S.R., and Sherrington, C. (2010). The development and validation of a brief
performance-based fall risk assessment tool for use in primary care. The Journals of Gerontology Series A
Biological Sciences and Medical Sciences, 65(8); 896-903.
KINE8310 W24: Week 1 Assignment
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KINE8310 W24: Week 1 Assignment
Examples of a monofilament:
Note – you will be testing around the lateral (outside) ankle.
You can also make your own by taping dental floss (white line) to a piece of cardboard (brown bow; see
diagram).
A fall risk assessment is an evaluation that can be administered by a variety of healthcare practitioners to determine the likelihood that a patient and/or client will experience a fall.
Typically, a fall can pose risk to an individual of any age. However, fall risk assessments are
usually administered to individuals 65 and older due to various conditions and comorbidities.
Upon comparing the different assessments (self-assessment & quick screen), it becomes
evident that there are advantages and disadvantages to each one. The first thing to note is that
both assessments are simple, can be done in the comfort of one’s home, and a professional’s
presence is not required. Likewise, both assessments test the same capabilities, such as balance
and vision. However, it is also important to note that the quick screen physically tests what the
self-assessment simply questions. For this reason, despite being slightly more time consuming,
a quick screen may be more beneficial. Furthermore, in addition to the possibility that a patient
might lie on the self-assessment due to embarrassment, they may answer based on what they
think they can do. For example, one client did not check the box for balance on the selfassessment in honesty but could not successfully perform the Near Tandem Stand Test on the
quick screen.
Although a quick screen is likely to provide a more accurate probability of an individual
being at risk of falling, it is not an ideal assessment. Not only is it more time-consuming, the
individual in need of the assessment could be living alone, or in an underpopulated area where
there’s a lack of professionals who can conduct the assessment. Most importantly, unlike the
quick screen, the self-assessment takes into account medications.
As previously mentioned, both tests were simple to conduct. Since clients were family
members, interactions were cohesive, and everyone was at ease. Specifically, clients felt trust
knowing they would not be hurt in the process. Furthermore, there was no language barrier.
While this may not be feasible, it is suggested that those conducting the assessments and the
clients be unfamiliar with each other. Perhaps this would provide both parties with a more
realistic perspective. Finally, to provide a more accurate assessment, if the client is on
medications, it is suggested that the names of the medications be written down for their
physicians. That way, the physician can quickly factor in the medications into their risk of falling.