OT P&F Analysis of Occupational Performance and Goal Writing – Flashcards
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Analysis of Occupational performance
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Person's assets and problems are specifically identified through assessments to measure factors that support or hinder occupational performance
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Analysis of occupational performance involves one or more:
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Synthesize information from the occupational profile to focus on specific occupations & contexts to address Observe activities relevant to occupations noting effectiveness of performance skills and performance patterns Select specific assessments to measure performance skills & performance patterns; and contexts, activity demands, and client factors that influence performance skills and performance patterns Selecting outcome measures
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Interpreting Assessment data in analysis of occupational performance is to
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to identify support and hindrances to performance
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defining and refining what in analysis of occupational performance is to
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hypotheses about the client's occupational performance strengths and limitations
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Collaborate goal with who
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the client that address desired outcomes
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Determine procedures to
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to measure the outcomes of intervention
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When would you delineate a potential intervention approach
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approach based on best practice or best available evidence
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Subjective information
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would be what the client or caregiver said
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Objective
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would be assessment scores or measurements
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Descriptive are
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objective
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interpretive are
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drawing a conclusion based on observations or data)
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Lindsay is outgoing (descriptive or interpretive)
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interpretive
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Lindsay initiated conversations with everyone on the mini-bus: Is this descriptive or interpretive
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Descriptive
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On the MoCA, IB scored a 3/5 on the visuospatial subscale (descriptive/ interpretive)
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descriptive
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IB's responses on the MoCA visuospatial subscale indicates visuospatial deficits (descriptive/ interpretive)
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interpretive
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IB's decreased coordination measured with the Nine Hole Peg is affecting her typing speed (descriptive/ interpretive)
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interpretive
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Ivey indicated on the Role Checklist a number of former roles she wants to resume (descriptive/ interpretive)
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descriptive
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Evaluation
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background findings: profile, analysis performance and interpretation
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Intervention
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Plan, implementation and review
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OTPF continues to guide and can help you how?
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Use language found in it Follow the ultimate goal of OT Follow the intervention plan OTA can contribute to the plan
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The ultimate goal of O. therapy according to OTPF
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"Achieving health, well-being, and participation in life through engagement in occupation" (keyword participation)
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The intervention plan according to OTPF
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describes selected occupational therapy approaches...is developed collaboratively with clients or their proxies (keyword is approaches and collaboratively with clients)
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OTA can write the intervention plan T/F
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False
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OTA can contribute to the intervention plan T/F
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True
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Remediation goals are what FOR
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biomechanical frame Restoring
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What type of goal is this? Improve shoulder AROM for upper body dressing from 105˚ to reaching to 115 ˚ without pain.
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Remediation Restoring ROM is the aim
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Compensation goals are what FOR
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Rehab Frame Modifying task demands is the aim.
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What type of goal is this? Improve lower body dressing from needing moderate assistance to dressing independently using adaptive equipment and strategies.
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Compensation goal Modifying task demands is the aim.
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Occupational performance goals follow what model
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PEO
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Goal to resume roles follow what model
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MOHO
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Goal directions (6 directions)
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Restorative, Habilitative, Maintenance, Modification, Preventive, Health Promotions
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Restorative
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Return client to prior level of function
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Habilitative
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Goals to teach new skills, typicaly to client with devlepmental delay
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Maintenance
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Written for a client w/ deteriorating condition
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Modification
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Seek to change the context or activity demands rahter than the client
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Preventive
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Written to assist clients at risk of occupational performance problems
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Health Promotion
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Written for clients w/ disability , a propensity for developing a disability or to enhance occupation performance
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What types of words when writing goal specific roles
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Action verbs: attempts, organize, performs, showers, zips
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Ways to measure change for goal specific writing?
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frequency or consistency, Duration, Assistance,
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Duration can mean
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time in seconds or minutes and number of repetitions
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Quality of Performance in goal specific writing?
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Number of errors and Accuracy
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Level of complexity in goal specific writing
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Amount of instruction, Number of steps in process, Cognitive level, and Multitasking
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How do you know someone is participating?
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attend, engage, initiate, transition, interaction, adapt to environmental signals/social cues
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Other goal specifics when writing goals
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Express feelings Specific task completion Environments where behavior will occur Level of cooperation Complete steps of a tasks
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Four different Goal formats
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ABCD; COAST; RHUMBA; SMART
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ABCD stands for
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Audience behavior conditions degree
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COAST
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client occupation assistance level specific conditions timeline
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RHUMBA
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Relevant/Rates: (Goal relate to something relevant) How Long: (when goal will be met) Understandable: (read goal and know what goal means) Measurable: (how you know goal is met) Behavioral: (goal must be seen or heard) Achievable: (Is realistic and doable)
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SMART
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Significant: in person's life Measurable:clear target stated Achievable: reach goal in time alotted Relates: goal connected to Onal needs Time: stated end point
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Commonalities of Goal Formats
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Time frame; relate to cliet; achievable; conditions; goal is measurable; RHUMBA & SMART use similar terminology; address the occupation; clear and understandable
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Determinants of Goal Format Selection
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Be familiar w/more than 1; Client population; Typical diagnoses seen; Setting level of care; Supervisor/setting preference; Other: interprofessional collaboration & social changes.
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OTs usually --------------------- on the initial evaluation report
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start interventions with the first sets of high priority goals listed
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They remain mindful of All of the problems that may need to be addressed over time. As higher priorities are met, they move down the list to address those or to target --------------------- or new goals the client would like addressed
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new problems that arise
