Grading

Question 1

What can a change in health status contribute to?

Answer 1

• Changes in body functions and performance skills
• Limitations in activities
• Restricted participation in life roles

Question 2

What is the definition of grading?

Answer 2

Altering the parameters of performance to increase or decrease the demand

Question 3

What does it mean to grade up an occupation?

Answer 3

When goal is to progressively increase a person’s performance capacity, demands of activity modified to facilitate this

Question 4

What does it mean to grade down an occupation (or compensating)?

Answer 4

When goal is successful OP, demands of occupation reduced to achieve this

Question 5

To adapt and grade occupations, what aspects of the person do you need to understand?

Answer 5

• Important occupations; how they do them
• Goals
• Current capacity
• Health status
• Prognosis
• Precautions
• Contraindications

Question 6

To adapt and grade occupations, what aspects of the environment do you need to understand?

Answer 6

• Demands for OP in environment

- Features of environment that impact OP

Question 7

What are the steps for developing a graded program?

Answer 7

1) Understand factors relevant to client
2) Detailed occupational analysis
3) Identify barriers to OP
4) Decide on approach
5) Define aims and objectives
6) Detailed plan for grading
7) Plan how progress is monitored and evaluated

Question 8

What should OTs look for when conducting a detailed occupational analysis?

Answer 8

Analyse aspects of activity:

• Sequence and timing
• Objects and properties
• Space demands
• Social demands
• Body functions
• Performance skills

Question 9

What characteristics of occupations do you determine to grade

Answer 9

• Duration
• Frequency
• Intensity/rate of work
• Resistance/weights
• Postures used
• Position of activity in relation to person
• Arrangement of objects in relation to each other
• Nature & texture of materials
• Level of difficulty
• Size/shape of objects
• Number of steps
• Complexity
• Method, technique, tools used
• When activity is performed
• Quality of result required
• Communication and social aspects

Question 10

What is required to grade?

Answer 10

• Aspects of performance demand

- Duration or complexity of process

Question 11

What aspects of performance demands do OTs grade

Answer 11

• Physical demands: strength, ROM, speed
• Sensory
• Social interactive
• Perceptual: speed, accuracy, complexity
• Cognitive demands: abstract thinking, decision making