Kohlman Evaluation Of Living Skills

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Contents 1 Introduction 2 Indications 3 Clinical-significance 4 Procedure 5 Notes 6 More General Terms 7 Additional Terms 8 References

Introduction

• Occupational therapy evaluation designed to determine a person's ability to function in basic living skills.

Indications

• assistance with discharge planning, especially in the setting of limited time for assessment
• in some states, the KELS is used in court for determination of commitment & gravely disabled cases

Clinical-significance

• Goals:

• successful integration of an individual into his/her environment
• assist medical team & family help a person to live as independently & safely as possible

Procedure

• Administration of the KELS takes 30-45 minutes.
  
• 17 living skills are tested under 5 areas*.
  
• * Assistance that must be provided if KELS item is scored 'needs assistance'
  

• self-care

• appearance {a}
• frequency of self-care activities (report) {a}

• safety health

• awareness of dangerous household situations (from photographs) {b}
• identification of appropriate action for sickness & accidents {b}
• knowledge of emergency numbers {b}
• knowledge of location of medical & dental facilities {c}

• money management

• use of money in purchasing items {d}
• obtain & maintain source of income {e}
• budgeting of money for food {f}
• budgeting of monthly income {g}
• use of banking forms {e}
• payment of bills {e}

• transportation & telephone

• mobility within community {c}
• basic knowledge of transit system {c}
• use of phone book & telephone {a}

• work & leisure

• plans for employment {N/A}
• leisure activity involvement {a}
  

* {a} discharged to community-living with other(s) competent to provide assistance 
* {b} discharged to community-living with other(s) & receiving constant supervision 
* {c} transportation provided by someone else# 
* {d} shopping done by someone else 
* {e} paying bills & banking done by someone else 
* {f} budgeting of money for food done by someone else 
* {g} budgeting of monthly income done by someone else 
* {N/A} generally, not applicable to geriatric population

• Equipment:

• reading & writing form
• pencil
• household situation pictures (4)
• phone book(s)
• deck of cards
• bar of soap
• 2 one dollar bills
• 1 half dollar
• 2 quarters
• 1 dime
• 4 pennies
• budget form
• checking account form
• bill
• Taxi Company Card
• Connected telephone
• Recorded Message Card
• Score sheet

Notes

• originally created in 1977 for use in a short-term inpatient psychiatry ward by Linda Kohlman Thompson, MOT, OTR, OT(C), FAOTA

More General Terms

• clinical procedure

Additional Terms

• activities of daily living (ADL)
• occupational therapy (OT)

References

1. Linda Kohlman Thompson, The Kohlman Evaluation of Living Skills, 3rd edition, The American Occupational Therapy, Inc, 1992

Kohlman Evaluation of Living Skills (KELS)