Eval and Intervention for Performance in Areas of occupation

Question 1

overall eval guidelines

Answer 1

• FOCUS IS ON THE PERSON’S ABILITY TO PERFORMED MEANINGFUL, DESIRED OCCUPATIONS
• ASSESSMENT SHOULD BE TOP-DOWN (FOCUS ON OCCUPATIONS) INSTEAD OF BOTTOM-UP (PERFORMANCE SKILLS)
• AFTER COMPLETING THE OCCUPATIONAL PROFILE, YOU ASSESS THE PARTS OF THE DOMAIN (CLIENT FACTORS, PERFORMANCE SKILLS AND PATTERNS, CONTEXT AND ACTIVITY DEMANDS) TO IDENTIFY STRENGTHS AND LIMITATIONS THAT IMPACT OCCUPATIONAL PERFORMANCE
• ASSESS OCCUPATIONAL PERFORMANCE THROUGH INTERVIEWS, CHECKLISTS, TASK PERFORMANCE, RATING SCALES AND STANDARDIZED INSTRUMENTS
• MEASURE FUNCTIONAL PERFORMANCE (FIM LEVELS)

Question 2

Measurement of functional performance

Answer 2

total assistance
- 100 percent assistance for activities

max assistance
- 75-99 percent assistance for activities

moderate assistance
- 50-74 percent assistance for activities

min assistance
- 25-49 percent assistance for activities

standby assistance
- supervision assist

independent
- no assistance needed

modified independence
- independent w/ use of adaptive equipment

Question 3

general intervention guidelines

Answer 3

• INTERVENTION SHOULD BE TOP-DOWN (FOCUS ON OCCUPATIONS) INSTEAD OF BOTTOM-UP (PERFORMANCE SKILLS)
• PERFORMANCE SKILL DEFICITS AND CLIENT FACTOR DEFICITS ARE CONSIDERED, AFTER DETERMINING A PERSON’S MEANINGFUL, DESIRED OCCUPATIONS

Question 4

Assessment of Motor and Process Skills (AMPS)

Answer 4

• assess how effectively and safely a person can perform ADL tasks
• THIS ASSESSMENT CAN ONLY BE PERFORMED BY OT THAT COMPLETED AMPS TRAINING COURSE

Question 5

Barthel Index

Answer 5

• measures a person’s level of independence in BADLs and functional mobility and level of assistance required for personal care

Question 6

Cognitive Performance Test (CPT)

Answer 6

• ASSESSES SIX FUNCTIONAL ADL TASKS THAT REQUIRE COGNITIVE PROCESSING SKILLS

Question 7

FIM system

Answer 7

SEE FIM SCORING SCALES

Question 8

Katz Index of ADL

Answer 8

-assessment of level of independence and type of assistance needed for 6 ADLs
- bathing
- dressing
- toileting
- transferring
- continence
- feeding

Question 9

Kitchen Task Assessment (KTA)

Answer 9

• measuring cognitive skills (judgment, planning, and organizational skills) used to perform a simple cooking task

Question 10

Klein-Bell Activities of Daily Living Scale (K-B Scale)

Answer 10

• assessment of independent functioning ADLs

Question 11

Kolhman Evaluation of Living Skills (KELS)

Answer 11

assessment of basic living skills needed to live independently (home evaluation)

Question 12

adaptive equipment for cleaning activities

Answer 12

• suction bottom bottle and glass brushes
• reachers
• aerosol can holders
• built-up, angle, long-handled sponges, dusters, brooms, mops, dustpans
• front-loading washers and dryers
• electronic dishwasher, self-cleaning oven, automatic defrosting refrigator

Question 13

adaptive equipment for cooking activities

Answer 13

• faucet and knob turners
• jar openers, bowl holders, saucepan stabilizers
• nonskid pad, placemat, Dycem
• cutting board w/ stabilizing nails and built-up edges
• built-up or angled utensils and rocker knives
• electric can opener
• lightweight pots, pans
• reachers and step stools
• UTILITY CART
• high kitchen stool

Question 14

prevocational assessment process

Answer 14

• gather background information
• determine consumer work interests and support systems
• determine if the person can return to past employment
• assess skill level for employment opportunity
• assess for reasonable accommodations

Question 15

work assessment process

Answer 15

• assess the physical demands of job
• work capacity eval using real or simulated work activities
• job site analysis

Question 16

functional capacity eval

Answer 16

see if person has physical and functional abilities to perform specific job after injury—NOT FOR ENTRY-LEVEL PRACTITIONERS

Question 17

job site analysis (eval)

Answer 17

defines physical AND cognitive AND social demands for a specific job using questionnaire, interviews, observations

Question 18

job demand analysis (eval)

Answer 18

strength demands, physical demands, forces, angles, frequency of work tasks, essential job functions

Question 19

Fitness-for-duty eval

Answer 19

determines if worker can perform essential functions of specific job, screens for conditions that could put worker at risk (PHYSICIAN USES THIS)

Question 20

job coaching (intervention)

Answer 20

On-site training is most effective (training for job placement in settings outside of the actual workplace does not support generalization of skills to the workplace

Question 21

Vocational Program

Answer 21

specific skills for new job or learning new skill set

Question 22

work conditioning (intervention)

Answer 22

• single discipline
• real/simulated tasks, restore physical skills, focus—flexibility, strength, mvmt, endurance

Question 23

work hardening (intervention)

Answer 23

• multidisciplinary
• real/simulated tasks, funded by CARF, gradation of activities, focus—productivity, safety, behaviors

Question 24

work bench heights

Answer 24

Precision work = just above elbows
Light work = just below elbows
Heavy work = 4-6” below elbows

Question 25

reasonable accommodations

Answer 25

less than $500, modifying schedule, AE, facility modifications/redesign, altered work schedule

Question 26

DOT

Answer 26

physical demands of clients jobs

Question 27

O*NET

Answer 27

An online, searchable database for information about occupations.

Question 28

Vocational rehab process

Answer 28

• Referral
  -Interview/assessment
• Pre-vocational phase (optional)
  -Worksite visit
• Return To Work (RTW) plan
• Intervention
• Evaluation/outcome achieved
• Discharge

Question 29

ergonomic guidelines

Answer 29

look at TMPOT slides