Later, the KELS was used with the geriatric population as well as persons with mental retardation, brain injury, and other cognitive impairment Burnett et al. It is designed to be a rapidly and easily administered standardized tool to evaluate both basic and instrumental activities of daily living ADLs. This assessment is germane to the field of occupational therapy because a primary goal of therapists who work in adult rehabilitation is to evaluate and improve those basic and higher level skills that are essential for independent living. This process is experimental and the keywords may be updated as the learning algorithm improves.
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In was initially put into practice and intended for use in a short-term psychiatric unit. Kohlman Evaluation of Living Skills KELS is a standardized assessment tool that measures mastery of areas of concern for entering or re-entering the community with intention to live independently Kohlman, KELS is a criterion-referenced test that assesses self-care, safety and health, money management, transportation and telephone, and work and leisure Kohlman, The self-care component is looking at appearance and frequency of self-care activities Kohlman, The health and safety component of KELS looks at awareness of dangerous household situations, identification of appropriate action for sickness and accidents, knowledge of emergency numbers, and knowledge of location of medical and dental facilities Kohlman, In using KELS, each living skill evaluation item is divided into four sections.
These sections are method, equipment, administration procedures, and scoring criteria. The administrator will read the prompts from an instruction manual to account for instructor bias. It is important that the administrator only say what is provided in the instruction manual to maintain reliability and validity. The instructor will go through the five sections of the test, which are self-care, safety and health, money management, transportation and telephone, and work and leisure.
Within these five sections the administrator will score the patient based on two categories. KELS is intended to assess and evaluate the elderly population who are going to be discharged back into the community in the future.
However, it can be used within any population or individual that has encountered a cognitively disabling condition. The settings that KELS is most used in are nursing facilities, inpatient units, and outpatient settings.
It can also be used in acute care units in hospitals and with adolescents in training programs. For example, this could be used on an adolescent with a cognitive disability whom is about to move out into the world and live independently.
KELS could be used to evaluate whether or not this person is ready to live independently and what areas they could stand to improve upon Kohlman, First, KELS is standardized. It can be applied to a wide range of clients and situations while still giving strong reliability and validity in terms of results.
KELS can be generalized to all education levels and to a wide range of different types of people. It has face validity, which means that just by looking at this evaluation tool it seems to be valid.
KELS is easy to follow by both the client and the administrator. It is a timely evaluation tool. KELS can be administered in 30 to 45 minutes. There are a few limitations or weaknesses to consider when using KELS. It should be avoided in long-term care settings, with individuals whose living situation frequently changes, and with individuals who live in rural areas.
KELS should not be used in long-term care facilities with clients who are expected to stay for an extended period of time, specifically, clients who are staying in a facility for longer than one month. KELS should not be used with people whose living situation changes frequently, because it is difficult to fully comprehend all complications that would go along with the various different living situations. KELS should not be used with clients who live in rural areas, because scoring items may not be applicable while other items may not be included that would apply for them.
Finally, KELS is not a comprehensive evaluation tool. This evaluation tool only gives a snapshot of the clients that it is aimed to help evaluate. It looks at a few specific situations, but it does not give suggestions or account for situations not listed within the evaluation Kohlman, It is based on the idea that how one thinks affects the way you move and perform. KELS is a criterion-referenced test that measures mastery of an area of concern or content.
OA involves a press for mastery in the interaction between the person and the occupational environment. The necessary equipment for successfully completing this evaluation is included in the KELS manual.
The necessary equipment for KELS includes pictures, budget forms, scoring sheet, checking account form, savings account forms, and bills examples. Upon completion of KELS, you can compare the results from the evaluation to assistance that will be available to the client to determine an appropriate setting or environment for that client.
The options available upon completion of the evaluation are to discharge the client to community living with others, discharge to a place where the client will receive supervision, or to a place where transportation is provided if they are incapable of transporting themselves Kohlman, Occupational therapy practice framework: Domain and process 2nd ed.
American Journal of Occupational Therapy, 62, Kohlman, L. Kohlman Evaluation of Living Skills. Leave a Reply Your email address will not be published.
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