Hello Joan: Thanks for pointing out the information about the 4.2 vs. 4.4 scoring. This means that the client scores a 4.4.
I can not find the information in my ACLS 2000 manual about the pouch versus non-pouch. Can you tell me what page in the manual has the explanation? I must tell you though, I ordered my kit from "Allen Conferences" in Ormond Beach, FL. (literally 20 minutes from my house). When the kit arrived, it came in a open bag that was marked "S&S". The instruction manual is a photocopy of the actual instruction booklet!!! And it was simply copied onto several pieces of plain paper!! I called the company back and he insisted that this is the way they receive them from S&S! I wish I had Claudia Allen's e-mail because I would send her this message. Ron ===========> Original Message Follows .... On5/12/2005, Joan Riches, <[EMAIL PROTECTED]> said: JR> Hi Ron JR> My version of the scoring which is the 2000 revision says "When there is a JR> discrepancy between the whipstitch and single cordovan stitch, score the JR> highest score." This is the last sentence in the administration section JR> headed Whipstitch not in the scoring guidelines. JR> How do your clinical observations of this client fit with the profile of the JR> screening score you got? You must validate it somehow by observing actual JR> voluntary motor behaviour, or having behaviour described to you by someone JR> other than the client, which fits the profile before you report conclusions. JR> One way to validate is to continue interventions such as the lymphodema JR> wrapping instruction and see if the 4.4 prediction holds. Then you have a JR> good case for the client's continuing need for assistance. JR> 4.2/4.4 is such a neat score to start with. It gives you a crack at all JR> three stitches but the inability is clear to see. At the beginning it is JR> easy to doubt yourself at 4.6 and above when clients can put up a verbal JR> screen. JR> My version also explains the pouch versus no pouch as item 6 in the set up JR> instructions. JR> Generally to my initial amazement people do do all the things in the scoring JR> guidelines. Sometimes they do completely different things. This is our cue JR> to look for focal deficits and perceptual problems. It also gives you JR> confidence to push for further investigation. Two of our 'nonstandard' JR> clients had brain tumors and a third had a previously undetected abdominal JR> mass - go figure. We kept insisting that there had to be something until the JR> docs ordered more investigation. JR> Yes, we use the ADM. Often in a craft group to follow our long term care JR> residents who have a base line score so we have a pretty good idea where to JR> start, or with people who refuse the leather (often former nurses or school JR> teachers). We use it also if we are checking for improvement because JR> learning may be retained from the original administration. If you are JR> following a decline you can continue to use the leather. It's an expensive JR> proposition for someone working alone in private practice like you. What JR> "book" do you have? JR> Kathy Earhart who has developed most of the ADM was the main speaker at last JR> year's symposium and she put us all through our paces. I'll never forget my JR> red face when I looked at my own sun hanger and said "There is a mistake in JR> the sample." -looked again and saw why the piece in question was positioned JR> as it was. We all learned a lot about ourselves. JR> Again - have fun. JR> Joan Riches JR> -----Original Message----- JR> From: [EMAIL PROTECTED] JR> [mailto:[EMAIL PROTECTED] On Behalf JR> Of Ron Carson JR> Sent: Wednesday, May 11, 2005 2:38 PM JR> To: [email protected] JR> Subject: [OTlist] Calling all Allen Cogn Screen People!!! A Question JR> OK all you allen people, I need help!! The scoring guidelines are JR> confusing. JR> The whipstich guidelines indicate a score of 4.4 is possible,if the JR> client corrects mistakes. However, the more complicated cordovan stitch JR> results in a score of 4.2 if the client "follows the whip stitch...and JR> does not benefit from [repeated] demonstration". JR> So, what is the score if the client complete the whipstich and corrects JR> mistakes (4.4) but then is unable to do the cordovan stitch (4.2)? JR> Thanks JR> Ron JR> P.S. I am open and willing to hear any and all suggestions about the JR> ACLS. JR> p.s.s. Does anyone use the Allen Diag. Module (ADM)? -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] Help? [EMAIL PROTECTED]
