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An OTR is completing the Inal
step of the documentation
process of an initial evaluation.
The client is an K1-year-old living
in an assisted living facility (ALF)
with a history of falls within the
home. Administration of the
Berg Balance Scale indicates the
client may require some type of
walking assistance, such as a
cane or a walker, with a client
score of 34 points. Based on the
information provided, which is
MOST appropriate for the OTR to
document for this client?
Explanation
The Berg Balance Scale is an assessment tool designed to measure balance in older
adults and determine risk for falls. This assessment tool consists of 14 items
including static and dynamic balance tasks that require the client to either hold the
position for a speciIc amount of time or move for a speciIc distance. The client is
scored based on performance.
Results from the Berg Balance Scale suggest that this client may beneIt from an
assistive device for functional mobility. Postural stability, also known as balance,
depends on protective responses. The use of an assistive device for walking will
promote postural control and accommodate for loss or changes in the protective
responses.
Results of Berg Balance Scale
High fall risk
0–20 Client beneIts from the assistance of a wheelchair to protect
points against falls

Natl. Medium fall risk

21–40 Client beneIts from a walking device including a cane or a walker
A. The client points to protect against falls
presents
with Low fall risk
41–5X
decreased Client is independent and can move without assistance
points
50.3% postural ✓
stability and
poor
protective
Answer B: Proprioception is the ability to sense feedback through the joints and
responses
allows the body to know position in space. Proprioception is directly related to
balance. Although related to balance, poor proprioception results in diZculty
B. The client knowing the body position or limb position in space. This does not appear to re[ect
presents with the challenges this client is experiencing based on the results of the Berg Balance
1.7%
poor Scale.
proprioception
Answer C: The Berg Balance Scale is intended to measure balance through scoring
of static and dynamic balance tasks. This assessment does not speciIcally test
C. The client
lower extremity strength.
struggles with
tasks
Answer D: The client scored within the medium risk for falls using the Berg Balance
requiring
Scale; therefore, is not anticipated to require caregiver assistance at this time.
42.7% balance
secondary to
poor lower
extremity For more information, see:
strength Pedretti’s Occupational Therapy: Practice Skills for Physical Dysfunction, Kth ed.
Chapter 19: Evaluation of Motor Control.
Asher’s Occupational Therapy Assessment Tools: An Annotated Index, 4th ed.
Chapter 14: Motor and Praxis Assessments. pp. 44K–449
Berg balance scale. Cleveland Clinic.

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Test 20 | TrueLearn Member 2/5/24, 5:56 PM

D. The client
would beneIt
from a private
caregiver to
5.3%
assist with
ADL tasks and
reduce risk of
falls

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