T - Huntington's Disease Society of America
T - Huntington's Disease Society of America
T - Huntington's Disease Society of America
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Purpose Assess Read-ng<br />
StartDate_<br />
Plonning Sheet<br />
Behavior Label Proiect # 1<br />
Cnmnrahen q j on StopDate<br />
Ir{anager Adviser<br />
Dole Situslion: Selfing<br />
npIYRFormol,<br />
fine<br />
One-to-one<br />
Quiet room<br />
Patient seated<br />
at table<br />
7 days<br />
Nlaterials:<br />
.Sample worksheet<br />
. Test Worksheet<br />
.2 pencils<br />
.Timer or watch<br />
rv/second hand<br />
.Standard Behavior<br />
Chart (Dailv)<br />
Events Before/Unlil/Dudng<br />
Day 1<br />
1) Give pacient a sanple worksheet,<br />
and explain how it is complered.<br />
2) Place test worksheet face dou'n<br />
on table.<br />
3) Directions to patient:<br />
. Read and answer questions<br />
by marking correct ones.<br />
. Skip arw questions,vou don t knorv.<br />
4) Flip paper.<br />
.5)Ask patient to "Go."<br />
6)Time for one minute.<br />
7),$k patient to "Stop."<br />
Days 2-7<br />
1) Revierv directions.<br />
2) Repear steps 2-7.<br />
Movemenl<br />
Cyrle(s)<br />
See/read<br />
and answer<br />
questions<br />
(by marking<br />
correct<br />
response).<br />
Evenls After<br />
Praise work.<br />
Correct<br />
worksheet<br />
rvith patient.<br />
Review skips<br />
and errors.<br />
Page #2<br />
Peformonce<br />
Slondord(s) AIM(S)<br />
8-13 items<br />
completed<br />
per minute<br />
@rh6<br />
mqt use tlt sfarm in assessing t/te cognitioe shilk <strong>of</strong> patfunts wth Hnttingtons disease. In t/tis exttmp/e,<br />
,"r'odirrg roorprehenii6n skilk arc to he tested. (Adapted aitlt permis.sion <strong>of</strong> Precision Teac/ing and Management Systems, Nar;ton, MA).<br />
ffirt<br />
To qssess le:ord the nunber <strong>of</strong> items lhe Gompleles pel minute,<br />
Coin Combin<strong>of</strong>ions<br />
1. nickel, penny<br />
2. dime, 2 per-rnies<br />
3. dime, nickel<br />
4. quarteq dime<br />
( ^r tartnr nPnn\/<br />
6. quarter, dime, nickel<br />
7. 2 dimes,3 nickels<br />
8 3quarters,2dimes<br />
9. 1 quaner,2 dimcs,<br />
3 nickels, 1 penny<br />
10.3 dimes, 4 pennies<br />
Bill (ombinotions<br />
1. 3 one dollar bills<br />
?.? fwe dollar bills<br />
and 1 one dollar bill<br />
3. 1 ten dollar bill,<br />
1 five dollar bill<br />
Pctienl ldentifies llen Costs {ou Poy with"<br />
$ 1.89<br />
ongwers.<br />
'{ou Gel Chonge Bock"<br />
; in assessing tlte paticnt's ability to use ntonqt-botlt in terms <strong>of</strong> functionalrnotor skills<br />
oid in trrr,t <strong>of</strong> ngitite ahilin-roitlt a ga/ <strong>of</strong> rtelpirtg t/rc poticnt renmin as independent as possible'<br />
b+.ti)<br />
Db. /J<br />
b /.95<br />
$11.64<br />
$18.65<br />
Items Cost<br />
4 for $1.00<br />
3 for $ .99<br />
5 for $1.00<br />
6 for $1.50<br />
3 for $1.00<br />
4 for $1.00<br />
5 for $1.00<br />
3 for $ .99<br />
$5.00 bill<br />
$1.00 bill<br />
$10.00 bill<br />
$10.00 bill<br />
$20.00 bill<br />
$20.00 bill<br />
$20.00 bill<br />
'{ou Wonf'<br />
I<br />
1<br />
1<br />
1<br />
I<br />
3<br />
2<br />
2<br />
'{ou Poy''<br />
Clinical N4anagement
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