Eval/Doc Test 1 – Flashcards
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What does EFPT stand for?
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Executive Functioning Performance Test
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What is the purpose of the EFPT (3)?
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1. Determine which executive functions are impaired 2. Determine an individual's capacity for independent functioning 3. Determine the amount of assistance necessary for task completion.
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What is a topdown approach?
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Begin by considering performance in areas of occupation and move to other areas of OT later. Concerned with ability to engage in meaningful occupations.
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What is a bottoms up approach?
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Improve the motor skills/client factors, then performance ares will improve.
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What type of assessment is the EFPT? A top-down, or a bottoms up approach?
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Top-down
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What is universal design?
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(Inclusive design, life-span design, life-span) A concept that all products, environments, and communications should be designed to consider the widest possible array of users.
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What is environmental modification or adaptation?
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Changing the environment to improve the independence of a specific individual or population.
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What is the difference between universal design and environmental modification?
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Universal design is the original design. There are no alterations. It is supposed to work for anyone.
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What are some common barriers that an individual might face in their environment?
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Curbs/stairs Doors Emergency exits Bathroom stalls Parking spaces Shopping isles
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What are some steps that can be taken to increase accessibility at home for someone who is disabled?
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1) Ramps 2) Rails 3) Throw out the throw rugs 4) toss extra furniture 5) Remove doors/offset hinges 6) Change height of furniture, rearrange 7) Tub benches 8)_ raised commodes 9) Grab bars 10) Portable phone (cell phone) 11) Rearrange kitchen 12) Lower rods in the closet.
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What are the proper measurements for a ramp installment?
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12 inches of ramp length for every 1 inch of ramp height
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What does the Executive functioning performance test measure?
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cognitive function through performance execution.
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What are the simple/basic tasks measured in the Executive functioning Performance Test?
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1) Simple cooking 2) Telephone use 3) Medication management 4) Bill payment Administer in that order.
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Is the Executive functioning Performance test a criterion referenced assessment?
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yes, performance is measured against a fixed set of criterion/standards.
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How would an OT test a client prior to administering the EFPT?
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Ask them to wash their hands to see if they can follow directions. Rule out severe cognitive impairments. Also ask them pre-test questions to see how much assistance they think they need within each subtest.
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What does the EFPT pretest assess?
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Insight into deficits
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What subtest can be dismissed from the EFPT?
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the bill paying sub-test if the person has never used a check book before.
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How long does the EFPT take to administer?
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30-45 minutes
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How many times can the EFPT be given to clients?
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once, as they can learning of the subtests.
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Who is the EFPT designed for?
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13 +, anyone suspected of cognitive and executive functioning deficitis
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What is the scoring scale for the executive functioning performance test?
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scale = 0-5. 0=I. 5=do for participant.
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What are the 5 skills measured by the executive functioning performance test?
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Initiation Organization (executive skill) Sequencing (execution skill) Judgement and safety (execution skill) Completion of task Each subtest is scored for the 5 skills.
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How is the scoring for the executive functioning performance test estimated?
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scoring is based on the levels of cuing that the client needs. Non-direct verbal to physical assistance. Give 2 of each cue before progressing to the next. Time it takes is recorded.
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What is the purpose of the "Potential Awareness Problem" section in the EFPT?
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provides information on the client's insight or awareness into their deficits. Compares the pre-test self-report to the actual performance. If they have an impairment, and ask for help with the impairment, then they still are scored as independent.
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What is the Inter-rater reliability for the EFPT?
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.79-.91
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What is the internal consistency for the EFPT?
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.94
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What is the validity of the EFPT?
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<.001-<.05
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What are the advantages of the executive functioning performance test?
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free kit costs <$50 can be scored regardless of the physical assistance needed no bias agains motor impairments
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How do you score the EFPT if you don't administer all four tasks
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report the sub-tests the were administered
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Are clients allowed to use cognitive strategies on their own and still be score independently?
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yes
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On the EFPT how is initiation defined
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As the state of the motor activity. They move to the materials table to collect items
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On the EFPT how is execution defined
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completing each step with organization, sequencing, safety, and judgment. Individual carries out the steps to complete the task.
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On the EFPT how is organization defined
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correctly retrieving and using the items that are necessary for the task.
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What are the levels of cueing needed for the EFPT?
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No cues required Indirect verbal guidance Gestural guidance Direct verbal assistance Physical assistance Do for the participant
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While administering the EFPT, when should the OT provide cues?
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Not until the client shows signs that they are not processing. If the client is in danger. Don't let them make an error, cue beforehand.
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What is the progression of cues in the EFPT
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verbal guidance gestural guidance direct verbal assistance physical assistance.
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What are some of the issues of administering the EFPT?
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incorrect indirect verbal cues Doing for the participant Not giving two cues before proceeding to the next level.
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What does DTVP-A stand for?
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Developmental Test of Visual Perception for Adults and Adolescents
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What is the purpose of the developmental test of visual perception for adults and adolescents
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measure the visual perceptual and visual motor integration ability.
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What are the ages of use for the DTVP-A
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11-74
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How long does it take to complete the DTVP-A
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30+ minutes
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Is the DTVP-A a bottom-up or a top down approach
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bottom up, performance based. Standardized
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How many subtests does the developmental test of visual perception for adults and adolescents have? What are they?
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Subtest 1: Copying (measuring spatial relations) Subtest 2: Figure-Ground Subtest 3: Visual-Motor search (measure figure-ground) Subtest 4: Visual Closure (measures form constancy) Subtest 5: Visual-Motor Speed (measures form constancy and spatial relations) Subtest 6: Form constancy (measures form constancy)
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Describe DTVP-A Subtest 1
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Copying. Measure spatial relations. Score range 0-3. Ceiling= 3 consecutive 0s. Use a booklet, paper, pencil. Shown a simple figure and asked to draw it on a piece of paper. Figures get more complicated (3-D).
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Describe DTVP-A subtest 2
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Figure-ground. Find figures in the picture. Stop at ceiling. Score range 0-1 each. Asked to find a figure on a page with the figure hidden in confusing background.
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Describe DTVP-A subtest 3
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Visual-Motor Search measuring visual motor. A 3 minute max test to complete sequence. Scoring = # of seconds to connect numbered circles 1-25. Random circles on a page and must connect them.
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Describe DTVP-A subtest 4
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Visual closure. Measures form constancy. Scores range from 0-1 each. Stop at ceiling. Shown figures and asked to id the correct item even though the original items are not complete.
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Describe DTVP-A subtest 5
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Visual-Motor Speed. Measures form constancy and spatial relations. Score 1 point each shape that is correctly marked. Only have 1 minute to complete as many marks as possible inside the shape. Need the booklet, pencil, stopwatch. Shown 4 geometric designs, two have marks. Asked to fill the marks for the correct shapes.
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Describe DTVP-A subtest 6
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Form Constancy. Stop at ceiling. Scoring ranges from 0-1 for each item. Shown figures and asked to identify the correct item even when the item has a different size, position, shade.
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What does BIT stand for?
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Behavioral Inattention Test (Visual test)
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What is the purpose of the BIT?
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Measure unilateral visual neglect (UVN) and it's affect on daily life. A guide for intervention.
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Is the BIT a standardized test?
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Yes, norm-referrenced assessment
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How many subtests does the BIT have?
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6 conventional (to determine the presence/absences of UVN 9 Behavioral (Performance based. reflect daily life activities. The affect on their day to day activities.)
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How long does the BIT take to complete?
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45-60 minutes
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What is the validity and reliability rating for the BIT?
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V= .92, R=.99
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How are the conventional subtests scored for the BIT 6 subtests
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Correct # of responses. Add for total score. Max score 146. Cutoff score =129.
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What is the cutoff score for the BIT-C
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<129. Indicating unilateral visual neglect.
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What are the 6 conventional subtests for the BIT
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Line crossing Letter cancellation Star cancellation Figure and Shape copying Line bisection Representational drawing
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What are the 9 behavioral subtests for the BIT?
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picture scanning telephone dialing menu reading article reading telling and setting the time coin sorting address and sentence copying map navigation card sorting
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What is the cutoff score for the BIT-B?
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<67 = perceptual or attention difficulties.
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How is the BIT-B scored
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each behavioral subtest is scored by recording omissions/errors and then converting that into a score for the subtest. Max score of 81.
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What does DLOTCA stand for?
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Dynamic Lowenstein Occupational Therapy Cognitive Assessment
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What is the purpose of the DLOTCA?
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to ID abilities and limitations of an individual suffering from neurological disabilities in primary cognitive areas related to function (7 areas). Measure learning potential Id level of awareness.
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How many subtests are in the DLOTCA?
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28 subtests, 7 cognition areas
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What are the 7 cognition areas in the DLOTCA
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1. Orientation (2 subtests) - place, time 2. Awareness (2) - reason for assessment/hospitalization. Awareness of impairments 3. Visual Perception (3) - object identification, figure-ground, object constancy 4. Spatial perception (3) - Direction on body, spatial relations, spatial relationships in picture 5. Praxis (3) - Motor imitation, utilization of objects, symbolic actions. 6. Visuomotor construction (7) copy shapes, reproduce 2-D model, pegboard, block design, plain block design, draw clock, 7. Thinking Operations (8) -
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When is awareness of cognitive impairments assessed during the Dynamic Lowenstein Occupational Therapy Cognitive assessment?
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After completion of thinking operations at the beginning and end of the testing.
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What is the target population of the DLOTCA?
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18-69. Or LOTCA-G for older adults >70 (23 subtests). Suspected cognitive deficits, but designed for brain injury.
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How long does it take to complete the DLOTCA?
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45 minutes - 1/2 hours
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What are the 5 mediation/cuing principles used in the DLOTCA?
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Level 1 - general intervention Level 2 - general feedback level 3 - specific feedback Level 4 - partial intervention Level 5 - Copying or subtracting amount
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What are the the principles behind universal design?
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Equitable use Flexibility in use Simple and intuitive use Perceptible Information (communications information effectively) Tolerance for error Low physical effort Size and space for approach and use.
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What does KELS stand for?
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Kohlman Evaluation of Daily Living Skills - 3rd edition
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What does the Kohlman Evaluation of Daily Living Skills assess?
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Ability to live independently and safety in the community.
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What is the population for assessment with the Kohlman evaluation of Daily Living Skills?
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Adults with various impairments.
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How many items are on the KELS?
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17 items in 5 categories, across all occupational areas
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How is the Kohlman Evaluation of Daily Living Skills scored?
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Ranges from 0 up to six. 0=Independent., Needs assistance=1.
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What does a score of </= 5 1/2 mean on the Kohlman Evaluation of Daily Living?
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Capable of living independently.
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What does a score of 5-5 1/2 mean on the Kohlman Evaluation of Daily Living?
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borderline skills
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What does a score of 6 or higher on the Kohlman Evaluation of Daily Living?
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client needs assistance to live in the community.
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What are the 5 categories assessed in the Kohlman Evaluation of Daily Living?
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1) Self-Care (appearance, frequency) 2) Safety and health (Awareness of danger, ID of appropriate actions, knowledge of emergency numbers, knowledge of location of medical facilities 3) Money Management (use of money, obtaining/maintaining source of income, budgeting, use of bank forms, payment of bills) 4) Transportation and telephone (mobility in community, basic knowledge of transit system, use of phone book/phone) 5) Work and leisure (plans for employment, leisure activities.
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What is the overarching statement describing the domain and process of OT?
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Achieving health, well-being, and participation in life through engagement in occupation.
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According to the OTPF, what is the definition of health?
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a state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity.
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According to there OTPF, what is the definition of well-being?>
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term encompassing the total universe of human life domains, including physical, mental, and social aspects
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What is the definition of "engagement in occupation"
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performance of occupations as a result of choice, motivation, and meaning within a supportive context and environment. Objective and subjective.
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What are client factors
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Values, beliefs, spirituality, body function, body structure
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What performance skills
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motor skills, process skills, social interaction skills.
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What are performance patterns
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habits, routines, rituals, roles.
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What is included in the context/environment of an individual?
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cultural, personal, physical, social, temporal, virtual.
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What are habits?
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acquired tendencies to respond and perform in a certain consistent way in a familiar environment (context). Car keys in same spot, look both ways before crossing street.
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What are routines?
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patterns of behavior that are observable, regular, and repetitive. Provide structure to life. Embedded in cultural and ecological influenced. May take time. Morning toiling, bathing, meal prep, dropping off kids.
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What are rituals?
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symbolic actions with spiritual, cultural, or social meaning. Contribute to identity. Reinforce values and beliefs.
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What are performance skills
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underlying body functions. Various combinations of interactions. A change in one skill might greatly affect another. Observable and key aspects of successful occupational participation.
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What are the training and guidelines that an OT must meet to practice
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1) graduated from accredited program 2) Successfully completed fieldwork 3) passes a nationally recognized entry-level examination 4) fulfills licensure, certification, registration
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What are transitions
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actions coordinated to prepare for a facilitate a change.
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What is sleep insufficiency
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not obtaining restorative sleep. A public health crisis in the States. Negative economic consequences (decreased job performance, increase health care needs, injury, low productivity) 80 different sleep disorders.
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How can an OT help promote sleep performance?
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Education of sleep misconceptions/expectations Prevent secondary conditions Promote healthy activities. Manage pain/fatigue Establish routines Teach cognitive-behavioral techniques. Modify environment Advocate Increase coping skills
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What are the most common home modifications needed
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bathroom grab bars near the toilet or shower railings on both sides of stairs widening door frames repair and removal of structural barriers
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What does MBI stand for?
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Modified Barthel Index
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What is the modified barthel Index
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an assessment tool of self-care and mobility activities of daily living. Takes 5-10 minutes to complete. Main goal is to establish what the patient can do independently
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What areas does the Barthel Index measure?
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Chair/bed transfers Ambulation Ambulation/wheel chair stair climbing toilet/transfers bowel control bladder control bathing dressing personal hygiene feeding
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What are the interpretation scores for the Modified Barthel Index and what do they mean?
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0-20, total dependence 21-60, severe dependence 61-90, moderate dependence 91-99, slight dependence 100, independence 85 and up, discharged into community, 60-80 live alone with some assistance, less than 40 unlikely to go home.
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Describe the ADL-self performance coding system for scoring?
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0=Independent, 1=supervision (oversight, encouragment, cueing) 2=limited assistance (contact guard, non-weight-bearing assistance 3=extensive assistance (weight-bering. Only perform part of the task. Min, mod, max) 4= Total dependence. 7 = activity only occurred once or twice 8 = activity did not occur
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Describe the coding for scoring ADL support in the ADL Assistance assessment
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0= no setup or help 1=setup. Provide resident with materials or devices they will need to perform the ADL 2= one person providing assistance (cues, supervision, min, mod, max, total assist) 3= 2 people providing assistance 8=ADL did not occur
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What is the definition of a mentorship agreement?
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a signed contract between the mentor and menthe outlining goals, objectives, and designated plans of activities that the menthe will meet, but must be in relation to the development of new occupational therapy skills. Licensee may gain one point for each 4 hours of activities spent achieving goals.
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What are the FIM levels
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7=complete independence. No helper 6=modified independence. No helper 5=supervision (100%). Modified dependence 4= minimal assistance (client 75% or more). Modified dependence 3=moderate assistance (client 50%-74%). Modified dependence 2=max assistance (client 25-49%). Modified dependence. complete dependence 1=totat assistance (less than 25%). Complete dependence 0=did not occur.
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What is the purpose of vision?
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motor/cognitive response to stimulus
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What is low vision?
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Not correctable, interfering with performance in activities, still has visual discriminate but limited.
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What is refractive error?
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A problem with the refraction process. Near sighted (myopia), far sighted, astigmatism.
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What is a visual impairment?
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Visual problem that can't be corrected by meds, surgery
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What are the 3 leading causes of visual impairment
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Macular deg - loss of central vision Glaucoma - damage to optic nerve Diabetes retinopathy - nerves and blood vessels, central/peripheral vision loss.
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What are questions to be asked when referring pt to optometrists?
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do they have glasses? Last time they saw an eye doctor? Has their vision gotten worse?
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What is an optometrist?
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BA, evals vision, uses vision therapy
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What is an ophthalmologist?
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med school, deals with diseases of the eye eye surgery
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what is a developmental/functional optometrist?
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Specialized training, low vision therapy
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what is a rehab neuro-optometrist?
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knows acquired visual deficits (TBI, CVA, MS)
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Where does an OT start a vision evaluation?
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visual foundational skills (acuity, oculomotor movement visual/fields). Saccades, smooth pursuits. Anything dealing with movement.
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What is the second step in assessing vision?
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Visual-perceptual skills that don't require motor response. They can see, but what do they see?
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What tests can be used to measure visual-perceptual skills?
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visMVPT-4 (Motor-free Visual Perception Test-4) DTVP-A (Developmental Test of Visual Perception) subtests 2 figure-ground, 4 visual closure, and 6 form constancy) biVABA (Brain Injury Visual Assessment Battery for Adults) Scan board task.
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What is the last step in the vision evaluation?
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vision motor skills. Top-down approach -> functional methods. Doing tasks Bottom-up approach -> starting with components (table top activities)
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What tests can be used to conduct a visual/motor skills assessment in a vision evaluation?
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-DTVP-A, developmental test of visual perception. Subtests 1 Copying, subtest 3 visual motor, subtest 5 visual-motor speed. -biVABA, brain injury visual assessment. Word search task.
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What are the measurements for normal field of vision?
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75 inferior, 60 superior, 100 temporal, 60 nasal
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What is unilateral visual neglect?
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unable to respond to stimuli contralateral to the cerebral lesion. Not a visual field issues. Big factor in recovery/rehab. R CVA more serious.
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What is anosognsia
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don't know own body
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What is a visual field deficit (VFD)
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damage to receptor cells/optic pathway
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What are some things to remember before starting the gross visual skills assessment?
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remove glasses eye alignment-resting nystagmus sit knee to knee target within client's head/shoulders small targets (tip of pen) Keep head still
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What are the 4 parts/categories measured in the gross visual skills assessment?
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1) confrontation test - visual fields. 2) Visual extinction Test - unilateral neglect. 3) Smooth pursuits - visual tracking/scanning 4) Saccades - static or dynamic
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What are the categories/parts tested in the biVABA
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1) Visual acuity 2) Contrast sensitivity 3) Visual field 4) Oculomotor function 5) Visual Attention
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What is the biVABA?
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brain injury visual assessment battery for adults
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What is the purpose of the biVABA?
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-screening for visual impairments -Provide info to help build a plan for intervention to address limitation experienced in everyday activities -Not for diagnosis
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What are principles to keep in mind when using the biVABA?
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-significants is in how visual performance affects function -intervention occurs only if there are limitations in function -ID and treatment to maximize strengths, improve weakness
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What is the method employed when using the biVABA?
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performance based. Before use, OT should fill out the Clinical observations indicating visual impairment form (top-down)
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How many areas are tested in the biVABA subcategories?
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5/25
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Can individuals wear glasses during the biVABA?
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Yes
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What is the order of tests used in the biVABA?
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acuity (details) -> contrast (differentiating between objects) -> field (scope of vision) -> oculomotor (movement) -> attention.
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What is the population for the biVABA?
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Brain injury, degenerative near disease, eye trauma folks, age related eye disease, other ocular system disease. 8 years old, but want them to be of 5th grade education if possible. 14+ don't need any modifications.
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Who administers the biVABA?
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time -> right away. Quick.
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What are the advantages of biVABA
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Easy, quick, can go anywhere.
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What is the scoring of the biVABA based on?
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performance based. Time, % correct, # omissions, cues.
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What is the purpose of the Berg?
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measure fall risk/balance
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what is the target population of the Berg?
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older adults (nondescript)CVA
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What is the method of applying the Berg?
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Performance-based
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How long does the Berg take to admin?
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10-15 mins
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Where/what is included in the Berg?
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Anywhere with the basic objects
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How many items are included on the Berg?
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14 items (static and dynamic)
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How are items scored on the Berg?
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0-lowest function. 4-highest function. Total range 0-56.
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What does a score of 0-20 mean on the Berg?
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highest fall risk
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What does a score of 21-40 mean on the Berg?
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medium fall risk
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What does a score of 41-56 mean on the Berg?
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low fall risk.
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What is the purpose of the functional reach test?
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measure dynamic functional reach measure. Max distance someone can reach while maintaining standing balance.
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What is the method used in the functional reach test?
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performance based test. Norm referenced
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What is the target population of the functional reach test?
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all adults
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What is the setting of the functional reach test?
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Anywhere a measurement tool can be used
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How is the functional reach test measured?
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distance between start/end point using 3rd metacarpal head. Compared to age/gender norms.
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What are the 14 items measured in the Berg balance scale?
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1) sitting to standing 2) standing unsupported 3) Sitting unsupported 4) standing to sitting 5) transfers 6) standing with eyes closed 7) standing with feet together 8) reaching forward with outstretched arm 9) retrieving object from floor 10) Turning to look behind 11) Turning 360 12) Placing alternate foot on stool 13) Standing with one foot in front 14) Standing on one foot. Demonstrate each. Time and distance play a part in score.
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At what measurement should the client hold their arm when performing the functional reach test?
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90*. Ft shoulder length
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What is the scoring scale of the functional reach test?
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0=unable to reach. 1=6 10 inches.
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How many trials are involved in the functional reach test?
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3 trials, taking the average.
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What is the modified functional reach test?
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a modified version of the reach test for individuals who cannot stand.
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What are the conditions included in the modified functional reach test?
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sit with unaffected side near the wall and lean forward sit with bak to the wall and lean right sit with bak to the wall leaning left.
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What populations are included in the functional reach test?
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community dwelling elders, parkinson's, peripheral vestibular disorders, spinal cord injury, stroke, vestibular disorders
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What is the purpose of the worker role interview?
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gather information to provide holistic picture of individual's potential as a worker.
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What is the method of application of the worker role interview?
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Questionnaire. Rating scale standardized. Interview questions not standardized.
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What does the PC stand for in the worker role interview?
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Personal causation
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What does the V stand for in the worker role interview?
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values
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What does the I stand for in the worker role interview?
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interests
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What does the R stand for in the worker role interview?
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Roles
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What does the H stand for in the worker role interview
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Habits
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What does the E stand for in the worker role interview?
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environment
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What does the PerfCap stand for in the worker role interview?
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Performance capacity
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What are the 3 worker role interview formats
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1) Injured worker 2) long-standing illness/disability 3) WRI/OCAIRS combined (long-standing disease/disability)
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What are the subsections of format I in the WRI?
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1) Intro 2) Effect of Injury (job/home/roles) 3) Life outside of work (roles, before injury) 4) Present Job 5) Past jobs (5 years back) 6) Return to work
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What are the subsections of format II in the WRI? (Long-Standing)
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1) Intro 2) Present interest 3) Current skill level/abilities 4) present physical/social environment 5) Experience of work/studies 6) work routine 7) previous studies 8) volition/future work role 9) Future roles/routines 10) future work environment
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Who is responsible for assisting in the collaboration with the client to develop a treatment plan? The OTR or the COTA?
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BOTH
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What is the MSE?
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Mental status examination
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What is the purpose of the mental status examination?
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record findings about client's thinking/feeling/behavior
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What is the method used furniture MSE?
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objective, non inferential, formal systematic exam
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What categories are included in the evaluation of the MSE?
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1) Appearance 2) Speech - not content (volume, rate, articulation 3) Emotional expression - subjective and objective 4) thinking/perception (thought form/content/perception/sensorium
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What is thought form?
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linking ideas. Like forming a chain through links. Is the thought process logical
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What are delusions?
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fixed, false, unshared beliefs
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What are ideas of reference>?
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everyday natural occurrences that have personal significance
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What are obsessions?
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unwanted, intrusive, unpleasant thoughts that can't be controlled. Ego-dystonic
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What are preoccupations?
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recurrent throughs. Not necessarily bad. Ego-syntonic
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What are thought insertions? Thought withdrawal?
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implanted thoughts. Removal of thoughts.
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What are the 2 abnormalities of perception?
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1) Hallucinations - coming from the CNS creating sensory perception 2) Illusions - External tim sensory perception that is mis-processed.
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What is sensorium?
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sensory faculties as a whole. Assessment of helps describe intactness of CNS
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What areas of observations can be made to address issues with sensorium?
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1) Alertness 2) Orientation to person (place and time) 3) Concentration (spell/count backwards) 4) Memory - immediate, recent, LTM (birthday, SSN don't count) 5) Calculations 6) Fund of knowledge (world related information) 7) Abstract reasoning (no difference questions) 8) Insight 9) Judgement
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What are the ways in which OT's measure time?
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life stages, chronologically, sequence, duration, rhythms, seasons
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What is at times use diary?
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a way to track what time was spent doing, where, how it felt. accompanied by an interview and discussion
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What is an occupational questionnaire?
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recording days/time on a scale for activities.
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What does CMOP stand for
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Canadian Model of Occupational Performance
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What is the theory behind the CMOP?
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Occupational performance is the result of an interaction between person, environment, occupation.
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What contributes to the person in COMP?
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Physical, affective and cognitive capacity. At the core = spirtuality
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What comprises the occupation/task in the CMOP?
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1) Self-care (ability to take care of self, mobility, community interactions) 2) Leisure (including social) 3) Productivity - work/school
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According to the CMOP, what is at the essence of OP?
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integrating/balance of the person/environment/occupation
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What is the method used in CMOP?
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Standardized interview. Responsive, meaning it can measure changes made over time. Can use with caregivers, but always use with client first.
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What is the purpose of the CMOP?
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To provide a subjective perspective of a person's performance in their occupations, as well as satisfaction.
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What is the formula of CMOP?
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Core = spirituality. Person = physical, affective, cognitive components. Occupations = self-care, productivity, leisure. Environment = physical, social, cultural, instituational
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What is the COPM?
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Canadian Occupational Performance Measure
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What is the purpose of the COPM?
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detect change in client's self-perception of OP over time. ID problems in OP. Rate priorities. Evaluate Performance/satisfaction Measure change
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What is the method used by the COPM?
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semi-structured interview, rating scale. Client-centered
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What is the target population of the COMP?
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can be used with kids as young as 8, but more geared for adults. Looking to rank the occupational performance
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What are the steps involved with the COPM?
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define the problem rate importance (scale 1-10. 5 problems that are most imprint to address)
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Describe the interview guidelines for the COPM
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intro/time purpose/focus pause general perspectives explain topics you want to cover prompt to being details using questions what is expect ID problem areas acore.
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what is concrete value
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something seen, measurable.
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What is symbolic value
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significant value
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what is self-reward value?
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intrinsic
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what is humanistic health
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subjective sociocultural aspects.
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What is the OSA
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occupational self-assessment
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What is the purpose of the OSA
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reflect on client's values/needs. Establish priorities for change. ID goals. Capture self-perception. Subjective rating for measurement. ID Problem areas
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What are the two measures established by the Occupational self-assessment relation to MOHO?
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competence, and values.
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What are the ares measured in the occupational self-assessment
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basic living, managing life responsibilities, satisfaction.
