Chapter 16 : Treatment and Intervention Planning Flashcards
A planned process for creating change so that the client will be able to carry out chosen daily life activities as independently and comfortably as possible
Intervention or Treatment
The final responsibility for intervention planning and management rests with the…….
OT
In planning interventions, what organizes our thinking?
practice models
What are the steps in planning intervention?
1) review assessment results
2) identify problems
3) identify persons strengths and assets
4) collaborate with the client to set up goals
5) identify intervention principles using practice model
6) select methods appropriate to practice model
states functional outcome or destination of the intervention
long term goal
can be understood as small steps to achieve a long term goal
short term goal
Importance or urgency of the goal
priority
All goals should address what?
functional occupation centered outcomes
Aims to alter the underlying disease process
treatment or functional restoration
Aimed at assisting the person to use his or her remaining capabilities
maintenance of function
Focuses on restoring the person’s ability to function after the disease process has been medically treated
rehabilitation
Client has lost the ability to function as a result of the disease
residual disability
Used to distinguish intervention for clients who never developed these functional abilities because they became ill at a young age
habilitation
Rehabilitation and habilitation are common areas of focus in what?
psychiatry
Aims to intervene before dysfunction occurs
prevention
What does the mnemonic RUMBA for goal statements mean?
Relevant Understandable Measurable Behavioral Achievable
A goal is ________ if it reflects the individuals life situation and future goals
relevant
A goal is ________ when it is stated in plain language and observable terms
understandable
A goal is ________ when it focuses on what the client must DO to accomplish the goal
behavioral
A goal is ____________ when it is something that the person is likely to be able to accomplish within a reasonably short period as defined by the client and the therapist together
achievable
Made almost automatically, as the assist or therapist notes the client’s reaction to the intervention
Informal observation
Is the responsibility of the OT
Formal reevaluation
_______ are the changes that are brought about by occupational therapy intervention
Outcomes
A systematic approach to the evaluation of patient care that enables to identification, assessment, and resolution of problems in order to improve health care benefits for patients
Quality Assurance (QA)
What are the 3 major areas that should be assessed in QA programs for mental health OT?
1) progress toward goals
2) patients satisfaction with care
3) behavior rating scores
Most easily measured when the goals are behaviorally observable and measurable…….
Progress toward goals
Can be measured through exit interviews, but the most objective and easily assessed measures are surveys with rating scales……
consumers satisfaction with care
Can be achieved by using numerical rating scales such as the Comprehensive OT Evaluation scale…..
behavior rating