Tutorial 1 Flashcards
Acute care setting
- Screening
- Inform discharge planning
Rehab setting
- Shift towards comprehensive assessment
- Increased focus on EO
- May occur at different stages throughout admission/intervention
Community setting
- Less access to standardised assessments
- More natural observation
- Focus on participation
OT task oriented approach to assessment: levels of assessment
- Occupational role performance
- Occupational performance tasks
- Task selection and analysis
- Person: performance components
- Environment: performance context
Level one: occupational role assessment
- Identification of past roles
- Can they be maintained?
- Do there need to be changes?
- How can future roles be balanced?
Level two: occupational performance tasks
- ADL
- IADL
- Work and edu
- Play/leisure
- Rest and sleep
How do we assess occupational roles?
- Interview with client/family
- Observe
Level three: task selection and analysis
- Tasks selected for observation should be meaningful to the client
- Observe performance to determine if activity demands, context, client factors, performance skills and patterns, limit or enhance occupational performance
Level four: critical control parameters
- Person: performance components
- Environment: performance context
What information can you gather in a self-care assessment?
- What they can/can’t do
- If they’re safe doing their tasks
- If they require equipment to perform them
- Hypothesise about impairments or components that are impacting their performance
- What assessments could be used to help
Observation and analysis: self care shower assessment example
- Observation of morning self-care routine
- Aim to understand what person can do for themselves, how they approach difficulties and assist them when required
- Look for PEO interaction
- Look to see fi there are any impairments impacting their performance
Assessment tools for self-care
MBI
FIM
When is a score (from an assessment useful?)
- To show progress
- Outcome measures
- Priorities
- Used to support funding applications
Limitations of self-care assessments
- Training involved
- Variability
- Only tells you their level of independence
>doesn’t tell you about their impairments or person factors that form the barriers
>doesn’t take the environment into account
Observation and analysis of IADL assessments
- Observation on a familiar activity
- Observation of motor and process skills
- Presents more challenges from a cognitive perspective than basic self-care assessment
Assessment tools for IADLs
- Kettle test
- AMPS
- PRPP
Purpose of AMPS assessment
- To evaluate a person’s QUALITY of performance of IADLs
Purpose of PRPP assessment
- To determine problems with cognitive information processing during ADLs
What are the 2 stages of the PRPP
Stage 1:
- Steps of the task are mapped
- Observation of the task and identification of errors
Stage 2:
- Identification of that areas of concern - what is causing the errors or breakdown in performance
