Evaluation Flashcards
What is the purpose of evaluation?
- Describes current performance level
- Predicts future function
- Measures outcomes/serves as baseline
- should describe any unique circumstance such as previous injury, context, emotional issues
Top down assessments
Grocery skills
Kitchen task assessment
KELS
Barthel
School Functional Assessment
Bottom up assessments
Berg
DTVP-3
ROM
MMT
What are the components of an eval?
ID info
Reason for referral
Doc or referral source
Any specific tools/test previously performed
Precautions or contraindications
Appropriate diagnosis
Occupational profile
Results and how they affect occupational performance
You might add, if the test results were consistent with observed behavior
Evaluations can be…
Comprehensive
- Faulkner
Problem specific
- DASH, KELS
Standardized
- Peabody
Nonstandardized
- clinical observation, reflexes
Informal
- cognitive through conversation
Activity Based
- ADL, ACL, FCE
What should we consider when evaluating a client?
Development of person
Context
Clients relationships
Clients occupational performance
Quality of the performance
Relationship between developmental level and occupations
What are the roles of OTR and COTA in evaluation?
OTR is responsible for:
- The process
- Choosing appropriate eval
- Summarizing, analyzing and interpreting
- Developing the intervention plan
- Referring to another party or profession
COTA is responsible for:
- Contribute and perform parts or components
Both can educate and explain evaluation to family or client
When should you perform informal reevaluations?
Every time you see the client
May result in changes to care plan or treatment
Don’t charge
When should you perform formal evaluations?
After a dr visit
After medication change
Depends on setting, facility, and insurance
If there is a significant change
If a change needs to be made in treatment plan or goals
May result in changes or show progress and justify continuation
Can usually charge
