Week 2 - Peds OT Eval and Assessment Flashcards
The process of collecting and interpreting data about whether a child is a good candidate for OT services.
Evaluation
A formalized procedure within the context of the eval used to collect info about the child.
Assessment
A less formal process of collecting info to primarily determine if the child would require comprehensive eval to determine the need for OT services.
Screening
Activities that kids engage in during daily life (ADLs, IADLs, rest and sleep, education, work, play, leisure, and social participation).
Occupations
Observable goal-directed actions that contribute to occupational engagement
Performance Skills
Integrated habits, routines, rituals and roles that shape performance and participation in occupations.
Performance Patterns
Values/beliefs, body structures, and body functions that influence occupational performance and participation.
Client Factors
The social, built and natural surroundings where occupations take place
Context/Environments
When do we evaluate?
Throughout the entire therapy process (until discharge). (Ongoing process)
Describe the initial evaluation.
- determines a medical or educational diagnosis.
- determines eligibility
- establishes a baseline
- generates a treatment goal
Describe the re-evaluation.
- monitor progress of treatment & measure outcomes
- provide documentation for cost-of-services
Describe the final evaluation (Exit process).
-Determines the conclusion of treatment.
Where do we evaluate?
Wherever necessary or appropriate, based on child’s needs - ex: home, clinic, school setting, natural environment (playground)
Name 4 screening methods.
Interviews, observations, checklists, parts of assessments
Name 4 aspects of a top-down evaluation.
- Create an occupational profile.
- Focus on critical occupations identified through the occupational profile and the corresponding environments.
- Identify which aspects of occupational performance most inhibit participation.
- Perform a standardized assessment.
gathering info about what the child needs and wants to do across a variety of occupational performance areas and settings.
Occupational Profile
Name 4 aspects of a bottom-up evaluation.
- Identify concern related to specific areas of development.
- Examine small, separate components of a client’s skills or occupational performance components.
- Focus primarily on the body structure and function (impairment)
- Tend to be administered in contrived, standardized contexts.
Name 4 important components of observations.
- setting
- behaviors
- the quality of those behaviors
- frequency and or duration of behaviors
Norm-referenced assessments
compares the pt. to other children who were previously given the assessment.
Criterion-referenced assessments
observing and evaluating the child based on how they perform specific tasks. Rating them based on their performance and ability to achieve the task or not.
Ipsative Assessment
Evaluates one’s performance or perception against the prior evaluation outcomes. (their own)
What kind of assessment is the ipsative assessment?
Standardized (But not norm-referenced)
designed to capture youth’s perceptions regarding their own sense of occupational competence and the importance of everyday activities. (how they perceive themselves in certain roles)
COSA client-centered assessment
Name an example of an ipsative assessment.
COSA client-centered assessment
Have been administered to a huge group of children to establish “norms” as a baseline. Compare patient’s results to normative sample.
Norm-Referenced Assessments
Designed to provide info on how children perform on specific tasks. Performance is compared with a criterion or level of performance of a skill. Direct relationship with functional skills and can be used as a starting point for generating appropriate goals and objectives for therapy intervention.
Criterion-Referenced Assessments
What kind of assessment is a criterion-referenced assessment?
may or may not be standardized
What does SMART goals stand for?
Specific, Measurable, Attainability, Relevant, Timely
What does RUMBA framework stand for?
Relevant, Understandable, Measurable, Behavioral, Achievable
