Evaluation
Evaluation is the first step in the OT process. What is the purpose of evaluation?
The evaluation process is focused on finding out what the client wants and needs to do; determining what the client can do and has done; and identifying supports and barriers to health, well-being, and participation. Evaluation occurs during the initial and all subsequent interactions with a client. The type and focus of the evaluation differ depending on the practice setting; however, all evaluations should assess the complex and multifaceted needs of each client
“Intervention review” is an important component of the intervention process. How does the OTPF describe intervention review?
Intervention review is the continuous process of reevaluating and reviewing the intervention plan, the effectiveness of its delivery, and progress toward outcomes. As during intervention planning, this process includes collaboration with the client to identify progress toward goals and outcomes. Reevaluation and review may lead to change in the intervention plan.
Outcomes should be measured with the same methods used at __________.
Evaluation; “Outcomes should be measured with the same methods used at evaluation and determined through comparison of the client’s status at evaluation with the client’s status at discharge or transition.”
Describe at least two pieces of information that an OT practitioner should collect when creating an occupational profile for a client.
Name at least two of the following:
Why is the client seeking services, and what are the client’s current concerns relative to engaging in occupations and in daily life activities?
In what occupations does the client feel successful, and what barriers are affecting their success in desired occupations?
What is the client’s occupational history (i.e., life experiences)?
What are the client’s values and interests?
What aspects of their contexts (environmental and personal factors) does the client see as supporting engagement in desired occupations, and what aspects are inhibiting engagement?
How are the client’s performance patterns supporting or limiting occupational performance and engagement?
What are the client’s patterns of engagement in occupations, and how have they changed over time?
What client factors does the client see as supporting engagement in desired occupations, and what aspects are inhibiting engagement (e.g., pain, active symptoms)?
What are the client’s priorities and desired targeted outcomes related to occupational performance, prevention, health and wellness, quality of life, participation, role competence, well-being, and occupational justice?
“Intervention implementation” is an important component of the intervention process. How does the OTPF describe intervention implementation?
Intervention implementation is the process of putting the intervention plan into action and occurs after the initial evaluation process and development of the intervention plan.
The OTPF describes a list of outcomes targeted in occupational therapy. List at least 2 of these outcomes.
BONUS: for an additional 100 points, list an additional 2 outcomes
Outcomes targeted in occupational therapy can be summarized as
Occupational performance
Prevention
Health and wellness
Quality of life
Participation
Role competence
Well-being
Occupational justice
The OTPF lists 5 ways that an OT can analyze a client’s occupational performance during evaluation. Name at least 2.
The analysis of occupational performance involves one or more of the following:
Synthesizing information from the occupational profile to determine specific occupations and contexts that need to be addressed
Completing an occupational or activity analysis to identify the demands of occupations and activities on the client
Selecting and using specific assessments to measure the quality of the client’s performance or performance deficits while completing occupations or activities relevant to desired occupations, noting the effectiveness of performance skills and performance patterns
Selecting and using specific assessments to measure client factors that influence performance skills and performance patterns
Selecting and administering assessments to identify and measure more specifically the client’s contexts and their impact on occupational performance.
What are the 3 components of the intervention process?
The intervention process is divided into three components: (1) intervention plan, (2) intervention implementation, and (3) intervention review.
Planning for discontinuation of occupational therapy services begins at ______________.
Initial Evaluation