Assessments and Documentation Flashcards
Identify the 3 areas of the Leisure Ability Model.
Functional Intervention, Leisure Education and Recreation Participation.
T or F - The role of the TRS changes as you move through the 3 different areas within the Leisure Ability Model.
True – Time frames may vary, Within the treatment phase, the TRS is viewed as the Therapist. Within the education phase, the TRS is viewed as the Counselor or Educator. Within the participation phase, the TRS is viewed as a Resource and available to provide assistance as required.
Identify the 4 main components of Functional Intervention within the Leisure Ability Model.
physical, mental/cognitive, emotional / affective and social functioning.
Identify 5 techniques to consider when completing an interview / assessment with a patient / participant / client.
Explain the purpose/goal of the interview/assessment
Be consistent
Know the clients characteristics
Establish rapport
Ask open-ended questions
Listen
Speak clearly & Clarify when needed (Rephrase)
Family may be interviewed
Face-to-face interviews (preferred) or by telephone
Identify 2 TRS examples of open ended questions and two examples of close ended questions used during an interview / assessment with a patient
OE? Identify things you like to do for your personal enjoyment in leisure. Before you retired, what sorts of things did you do for enjoyment? ?
CE? Do you use any adaptive leisure aids currently?
5 components to writing a goal
Specific
Measurable
Attainable
Realistic
Timely
T or F - Goals must be client/patient/participant driven.
TRUE
Identify the charting methods used by all healthcare professionals and explain the differences between these two methods.
SOAP – Subjective, Objective, Assessment and Plan
DAP – Data (including subjective and objective), Assessment and Plans
SOAP charting
Subjective (what the patient says)
Objective (what you observed)
Assessment (your findings)
Plan (goals and strategies to address the problem)
DAP charting
Descriptive (subjective and objective)
Assessment
Plan
Barriers to Participation
Leisure, physical, social, emotional, psychological, communication, cognitive, perceptual, financial, cultural, environmental
Charts contain
reason for referral, medical/ personal/social history, medications, allergies, physical/cognitive functioning, intake assessment, diagnosis
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